Billing code 57200: Vaginal repairMedicare rate & RVUs in Texas
Reports surgical repair of a nonobstetric vaginal injury, such as a vaginal laceration, when the operative work is confined to the vagina.
CMS doesn’t publish an office rate for 57200 in Texas.
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 57200 covers
A gynecologist, urogynecologist, or other surgeon uses this code for operative repair of a nonobstetric injury to the vaginal wall, such as a traumatic vaginal laceration. The repair may be performed in a hospital operating room or another surgical setting. The operative report should identify the injury’s vaginal location and extent and describe the repair performed; it should also clarify whether adjacent structures or the perineum required separate repair.
Report the code when the documented work is repair of the vagina rather than correction of prolapse, a paravaginal defect, or a combined rectal and vaginal problem. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 57200 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $309.63 |
| Beaumont | Unavailable | $290.66 |
| Brazoria | Unavailable | $298.68 |
| Dallas | Unavailable | $301.58 |
| Fort Worth | Unavailable | $300.59 |
| Galveston | Unavailable | $300.23 |
| Houston | Unavailable | $314.88 |
| Rest Of Texas | Unavailable | $295.19 |
How the 57200 rate is calculated
Each of 57200’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 · 57200
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.31Practice expense 4.01Malpractice 0.80
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57200
57200 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57200
Vaginal repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57200
Vaginal repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57200 without 51 · national facility
$304.62
Vaginal repair
57200-51 · Second procedure: 50%
$152.31
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%).
57200 compared with similar codes
Compare codes
57200 vs 57210 vs 57250 vs 57240 vs 57285: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57210Vaginal repair
- 57200 is for nonobstetric vaginal injury repair. 57210 is the closer choice when the repair also involves the perineum.
- 57250Posterior repair
- 57250 addresses a combined rectal and vaginal repair; 57200 is for repair of the vagina without that combined operative problem.
- 57240Anterior repair
- 57240 is used for anterior vaginal wall prolapse repair. Choose 57200 for repair of a nonobstetric vaginal injury instead.
- 57285Paravaginal repair
- 57285 repairs a paravaginal defect through a vaginal approach; 57200 repairs an injury to the vagina.
57200 billing questions
How is 57200 distinguished from 57210?
Use 57200 for repair of a nonobstetric vaginal injury. Code 57210 is the relevant comparison when the operative repair also involves the perineum.
Is 57200 for a laceration repaired during delivery?
No. This code describes nonobstetric vaginal repair; delivery-related laceration repair is coded under the applicable obstetric service.
What documentation supports reporting 57200?
Document the nonobstetric injury’s vaginal site and extent, the operative repair performed, and whether the perineum or another structure was also involved.
Does 57200 have a postoperative global period?
Yes. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How is 57200 handled with other procedures in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are subject to a 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation.
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 57200 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 →