Billing code 57023: Vaginal hematoma drainageMedicare rate & RVUs in Oregon
Reports surgical incision and drainage of a vaginal hematoma when the collection is nonobstetric and requires operative treatment.
CMS doesn’t publish an office rate for 57023 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 57023 covers
This service involves opening a blood collection in the vaginal tissues and evacuating the accumulated blood. Vaginal hematomas can follow vaginal trauma or a gynecologic procedure. A gynecologist typically performs the drainage in a procedural or surgical setting when the hematoma requires incision rather than observation or another approach.
Select this code for a nonobstetric vaginal hematoma; the obstetric or postpartum counterpart is 57022. Document the vaginal location, nonobstetric context, findings, and the drainage performed. CMS assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 57023 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $287.75 |
| Rest Of Oregon | Unavailable | $274.07 |
How the 57023 rate is calculated
Each of 57023’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57023
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.05Practice expense 2.54Malpractice 0.89
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57023
57023 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57023
Vaginal hematoma drainage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57023
Vaginal hematoma drainage
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57023 without 51 · national facility
$283.24
Vaginal hematoma drainage
57023-51 · Second procedure: 50%
$141.62
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57023 compared with similar codes
Compare codes
57023 vs 57022 vs 56405 vs 56420: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57022Vaginal hematoma drainage
- 57023 is for a nonobstetric vaginal hematoma; 57022 is used for the obstetric or postpartum situation.
- 56405Abscess drainage
- Choose 56405 when the treated abscess is in the vulva or perineum. This code is for a hematoma in the vaginal tissues.
- 56420Abscess drainage
- Choose 56420 for a Bartholin gland abscess. This code concerns drainage of a vaginal hematoma.
57023 billing questions
How does this differ from 57022?
Use 57023 for drainage of a nonobstetric vaginal hematoma. Code 57022 is the obstetric or postpartum counterpart.
What documentation supports reporting this code?
Document that the collection is a vaginal hematoma, its nonobstetric context, and the incision and drainage performed.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure's global package.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are paid at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 57023 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →