Billing code 57210: Vaginal repairMedicare rate & RVUs in Washington
Reports nonobstetric reconstruction when a surgeon repairs vaginal tissue and the perineal body together, rather than treating an isolated vaginal or perineal defect.
CMS doesn’t publish an office rate for 57210 in Washington.
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 57210 covers
This service reconstructs a defect involving both vaginal tissue and the perineal body, restoring the tissues at the vaginal opening. Gynecologists and urogynecologists may perform it for nonobstetric separation or laxity when both structures require repair. It is not the routine repair performed as part of delivery. Operative documentation should identify the affected vaginal and perineal tissues and describe the repair performed.
Select this code when the documented operation treats both areas; use a vaginal-only or perineal-only code when only one is repaired. The combined work is reported once, not as separate codes for the same repair. CMS 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 is paid in full and the others at 50%. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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 57210 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $356.58 |
| Seattle (King Cnty) | Unavailable | $388.89 |
How the 57210 rate is calculated
Each of 57210’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 · 57210
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.57Practice expense 4.05Malpractice 1.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57210
57210 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57210
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 · 57210
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
57210 without 51 · national facility
$355.05
Vaginal repair
57210-51 · Second procedure: 50%
$177.53
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%).
57210 compared with similar codes
Compare codes
57210 vs 57200 vs 56810 vs 57250: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57200Vaginal repair
- 57200 is limited to nonobstetric vaginal injury repair. Choose 57210 when the documented reconstruction also includes the perineal body.
- 56810Perineoplasty
- 56810 addresses nonobstetric perineal reconstruction alone. Use 57210 when vaginal tissue is repaired along with the perineum.
- 57250Posterior repair
- 57250 is used for posterior colporrhaphy to repair a rectocele. 57210 describes combined vaginal and perineal repair, not a rectocele-directed procedure.
57210 billing questions
When should I choose 57210 instead of 57200?
Use 57210 when the operative repair involves both vaginal tissue and the perineal body. Code 57200 is for a vaginal injury repair without the combined perineal reconstruction.
Is 57210 used for repair during delivery?
No. This is a nonobstetric repair; it does not describe routine repair performed as part of an obstetric delivery.
Should I report a separate perineoplasty code for the same repair?
Do not separately report the perineal portion of the same combined reconstruction. The operative note should show that both the vagina and perineum were repaired.
Can modifier 50 be appended?
No. Modifier 50 is inappropriate for this midline repair; report the service once.
What global period and multiple-procedure payment rules apply?
CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and the others at 50%.
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
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