No office rate
Use for anterior vaginal wall prolapse repair when the vaginal canal is preserved; 57120 describes Le Fort closure for prolapse.
On this page
CMS RVU26D · Effective 2026-10-01
57120 Colpocleisis Medicare reimbursement rates in Virginia
Reports an obliterative operation for uterovaginal prolapse that narrows and closes the vagina while preserving lateral drainage channels. Compare 57120 office and facility rates across CMS payment localities in Virginia.
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 57120 in Virginia?
Virginia 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
$457.85–$521.62
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 57120: Le Fort vaginal closure for prolapse
Reports an obliterative operation for uterovaginal prolapse that narrows and closes the vagina while preserving lateral drainage channels.
A Le Fort colpocleisis is an obliterative operation for significant uterovaginal prolapse when the patient chooses vaginal closure and does not plan future vaginal intercourse. The surgeon closes much of the vaginal canal while leaving lateral channels for uterine and cervical drainage; the uterus is retained. A gynecologist or urogynecologist typically performs the operation in an operating room under anesthesia.
Select this code for the Le Fort technique, not for a repair that preserves vaginal function or for removal of a vaginal lesion. The operative report should establish the prolapse indication, the Le Fort closure with drainage channels, and the structures treated. Medicare assigns 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57120
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.07 · 57%
- Practice expense (office) RVU4.78 · 34%
- Malpractice RVU1.33 · 9%
5.8K
Medicare services in 2024 · #1778 by national volume
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.
57120 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Use for posterior vaginal wall repair when the vaginal canal is preserved, rather than an obliterative Le Fort operation.
No office rate
This code describes combined anterior and posterior vaginal repairs that preserve the canal; 57120 describes an obliterative procedure.
Compare 57120 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$521.62
Virginia →
Office / nonfacility
Unavailable
Facility
$457.85
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57120 billing questions
When should I choose this code instead of a vaginal prolapse repair?
Use it for a Le Fort obliterative operation that closes the vaginal canal for prolapse. Repairs such as anterior or posterior colporrhaphy preserve the canal and address a different surgical plan.
Does the Le Fort procedure retain the uterus?
Yes. The Le Fort technique described by this code retains the uterus and leaves lateral drainage channels.
Should modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
What should the operative report document?
Document the prolapse indication, the Le Fort closure and lateral drainage channels, and the work performed. An assistant may be paid; co-surgeon payment needs supporting documentation, while team surgery is not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,43957109,,Vagnc bi total pel lymphadec,A,,27.69,14.54,NA,14.54,,6.42,48.65,48.65,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44057110,,Vagnc compl rmvl vag wall,A,,15.09,6.25,NA,6.25,,2.55,23.89,23.89,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44157111,,Vagnc compl rmvl paravag tis,A,,27.69,14.54,NA,14.54,,6.42,48.65,48.65,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44257120,,Colpocleisis le fort type,A,,8.07,4.78,NA,4.78,,1.33,14.18,14.18,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44357130,,Excision vaginal septum,A,,2.40,3.83,,1.79,,0.42,6.65,4.61,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44457135,,Excision vaginal cyst/tumor,A,,2.63,4.19,,1.95,,0.46,7.28,5.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44557150,,Treat vagina infection,A,,0.49,1.03,,0.11,,0.07,1.59,0.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00