No office rate
Choose 57291 when no graft is used to construct the canal; choose 57292 when a graft is used.
On this page
CMS RVU26D · Effective 2026-10-01
57291 Vaginal construction Medicare reimbursement rates in Oregon
Reports surgical creation of a vaginal canal without a graft, commonly for vaginal agenesis or another condition leaving the canal absent. Compare 57291 office and facility rates across CMS payment localities in Oregon.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 57291 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$473.11–$497.79
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecologic surgery
About 57291: Vaginal canal construction without graft
Reports surgical creation of a vaginal canal without a graft, commonly for vaginal agenesis or another condition leaving the canal absent.
A gynecologic surgeon creates a vaginal canal when it is absent or markedly underdeveloped, as may occur with congenital vaginal agenesis. The operation is performed in a surgical setting; it is distinct from repairing an existing vaginal wall or supporting a prolapsed vagina. This code identifies construction without a graft, rather than a graft-based reconstruction.
Select the code based on the operation performed: use 57291 when construction is completed without a graft and compare 57292 when a graft is used. The operative report should establish the indication, relevant anatomy, construction performed, and whether graft material was used. Medicare classifies this as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 57291
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.42 · 58%
- Practice expense (office) RVU4.73 · 32%
- Malpractice RVU1.47 · 10%
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.
57291 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
57200 addresses vaginal repair, while 57291 creates a vaginal canal where it is absent or markedly underdeveloped.
No office rate
57210 is a repair involving the vagina and perineum; it does not describe construction of a vaginal canal.
Compare 57291 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$497.79
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$473.11
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57291 billing questions
How is 57291 different from 57292?
57291 is for vaginal canal construction without a graft. Use 57292 when the construction uses a graft.
Can a vaginal repair code be reported for the same construction?
Choose 57291 for creating a canal, not for repairing an existing vaginal defect. Do not separately report a repair code for work that is part of the same construction.
Should modifier 50 be appended?
No. The anatomy and descriptor make bilateral reporting with modifier 50 inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple procedure reduction and are paid at 50%. An assistant at surgery may be paid, but 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,46757287,,Revise/remove sling repair,A,,10.87,7.17,NA,7.17,,1.72,19.76,19.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46857288,,Repair bladder defect,A,,11.83,6.13,NA,6.13,,1.91,19.87,19.87,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46957289,,Repair bladder & vagina,A,,12.48,6.28,NA,6.28,,2.19,20.95,20.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47057291,,Construction of vagina,A,,8.42,4.73,NA,4.73,,1.47,14.62,14.62,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47157292,,Construct vagina with graft,A,,13.66,5.85,NA,5.85,,2.39,21.90,21.90,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47257295,,Revise vag graft via vagina,A,,7.62,4.57,NA,4.57,,1.24,13.43,13.43,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47357296,,Revise vag graft open abd,A,,16.15,6.26,NA,6.26,,2.83,25.24,25.24,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00