No office rate
57287 addresses revision or removal of an existing incontinence sling; 57288 describes placement of a sling for stress urinary incontinence.
On this page
CMS RVU26D · Effective 2026-10-01
57287 Sling revision Medicare reimbursement rates in Virginia
Reported when a surgeon revises or removes a previously placed sling for stress urinary incontinence, such as for exposure, pain, or obstruction. Compare 57287 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 57287 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
$639.04–$728.73
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.
Urogynecology surgery
About 57287: Revision or removal of urinary sling
Reported when a surgeon revises or removes a previously placed sling for stress urinary incontinence, such as for exposure, pain, or obstruction.
This service covers operative work on a previously placed sling used to treat stress urinary incontinence. A urologist or urogynecologist may revise, release, or remove sling material when a patient develops problems such as vaginal exposure, pain, urinary obstruction, or difficulty voiding. It is commonly performed in an operating room, with the operative report identifying the sling and describing the work performed.
Select this code for revision or removal of the incontinence sling, not for placement of a new sling alone. Document the indication, prior sling, operative approach, and whether material was revised, released, or removed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 57287
- 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 RVU10.87 · 55%
- Practice expense (office) RVU7.17 · 36%
- Malpractice RVU1.72 · 9%
1.7K
Medicare services in 2024 · #2587 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.
57287 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
Use 57295 for revision of vaginal graft material by a vaginal approach when the operative target is graft material rather than an incontinence sling.
No office rate
Use 57296 for revision of vaginal graft material by an abdominal approach when the operative target is graft material rather than an incontinence sling.
Compare 57287 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
$728.73
Virginia →
Office / nonfacility
Unavailable
Facility
$639.04
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57287 billing questions
How does this differ from 57288?
Use 57287 for operative revision or removal of a previously placed incontinence sling. Use 57288 when the service is placement of a sling to treat stress urinary incontinence.
Can 57287 be reported with placement of a new sling?
When the surgeon revises or removes an existing sling and also places a new sling during the same session, the two services may be reported when the operative documentation supports both distinct services.
What documentation supports reporting 57287?
Document the prior sling, the reason for intervention, the operative approach, and the specific revision, release, or removal performed. Describe any exposure, pain, obstruction, or voiding problem that prompted surgery.
Should modifier 50 be used for work on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
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.
6,46457283,,Colpopexy intraperitoneal,A,,11.37,5.21,NA,5.21,,1.95,18.53,18.53,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46557284,,Repair paravag defect open,A,,13.97,5.67,NA,5.67,,2.46,22.10,22.10,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46657285,,Repair paravag defect vag,A,,11.31,5.20,NA,5.20,,1.90,18.41,18.41,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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