No office rate
Use 57268 for vaginal repair of an enterocele and 57270 for an abdominal approach to the same type of defect.
On this page
CMS RVU26D · Effective 2026-10-01
57268 Enterocele repair Medicare reimbursement rates in Wyoming
Repair of an enterocele through the vagina, reported when the surgeon corrects a bowel-containing peritoneal bulge into the vaginal vault. Compare 57268 office and facility rates across CMS payment localities in Wyoming.
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 57268 in Wyoming?
Wyoming has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$445.56
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
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 57268: Vaginal approach enterocele repair
Repair of an enterocele through the vagina, reported when the surgeon corrects a bowel-containing peritoneal bulge into the vaginal vault.
An enterocele is a pouch of peritoneum, sometimes containing small bowel, that descends into the vaginal canal or toward the vaginal apex. This service repairs the defect through a vaginal approach, typically during pelvic reconstructive surgery by a gynecologist or urogynecologist. The operative work addresses the enterocele itself; it is distinct from repair of a rectocele, which involves the rectal wall and posterior vaginal wall.
Report 57268 when the documented repair is performed vaginally, not through an abdominal approach. The operative note should identify the enterocele, the vaginal route, and the repair performed. This is major surgery with 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. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57268
- 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 RVU7.38 · 54%
- Practice expense (office) RVU5.02 · 37%
- Malpractice RVU1.27 · 9%
643
Medicare services in 2024 · #3338 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.
57268 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
57250 repairs a rectocele involving the rectal and posterior vaginal walls; 57268 repairs an enterocele bulging into the vagina.
No office rate
57268 represents the enterocele repair; 57267 is an add-on for mesh or other prosthesis when that additional work is performed.
Compare 57268 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.
1 of 1 payment localities
Wyoming** →
Office / nonfacility
Unavailable
Facility
$445.56
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57268 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,460
- Code
- 57268
- Physician work
- 7.38
- Practice expense
- 5.02
- Malpractice
- 1.27
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.38 | × 1.000 | 7.3800 |
| Practice expense | 5.02 | × 1.000 | 5.0200 |
| Malpractice | 1.27 | × 0.740 | 0.9398 |
| Total RVUs | 13.3398 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$445.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.38 | 1 |
| Practice expense | 5.02 | 1 |
| Malpractice | 1.27 | 0.74 |
(7.38 × 1 + 5.02 × 1 + 1.27 × 0.74) × $33.4009 = $445.56
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
57268 billing questions
How is 57268 distinguished from 57270?
Both address an enterocele, but 57268 is the vaginal approach and 57270 is the abdominal approach. The operative report should support the route used.
Can 57268 be reported with a rectocele repair?
It may be reported with a separately documented rectocele repair when both defects are treated. The enterocele and rectocele work should be identifiable in the operative note.
Can mesh placement be reported with 57268?
CPT 57267 is an add-on for mesh or other prosthesis used to repair a pelvic floor defect. Report it with 57268 only when the documented work supports the mesh service.
Should modifier 50 be used for bilateral repair?
No. The CMS bilateral adjustment does not apply to 57268, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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.
6,45757260,,Cmbn ant pst colprhy,A,,12.92,5.49,NA,5.49,,2.17,20.58,20.58,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45857265,,Cmbn ap colprhy w/ntrcl rpr,A,,14.63,5.89,NA,5.89,,2.48,23.00,23.00,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45957267,,Insert mesh/pelvic flr addon,A,,4.76,1.02,NA,1.02,,0.78,6.56,6.56,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46057268,,Repair of bowel bulge,A,,7.38,5.02,NA,5.02,,1.27,13.67,13.67,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46157270,,Repair of bowel pouch,A,,13.33,5.95,NA,5.95,,2.30,21.58,21.58,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46257280,,Suspension of vagina,A,,16.30,6.66,NA,6.66,,2.69,25.65,25.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46357282,,Colpopexy extraperitoneal,A,,11.34,5.21,NA,5.21,,1.87,18.42,18.42,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,