No office rate
Both address revision or removal of vaginal graft material. Choose 57296 for the open abdominal approach and 57295 for the vaginal approach.
On this page
CMS RVU26D · Effective 2026-10-01
57296 Vaginal graft revision Medicare reimbursement rates in Wyoming
Reports abdominal revision or removal of previously placed vaginal graft material when the surgeon must address the graft through an open abdominal approach. Compare 57296 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 57296 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
$818.46
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 57296: Open abdominal vaginal graft revision
Reports abdominal revision or removal of previously placed vaginal graft material when the surgeon must address the graft through an open abdominal approach.
A surgeon revises or removes previously implanted graft material supporting the vagina, reaching it through an open abdominal incision. The operation may address a problem with an existing graft used in pelvic floor reconstruction. It is distinct from revising graft material through the vagina and from operating on a urethral sling. These cases are generally performed by gynecologic or urogynecologic surgeons in a facility setting.
Select this code when the operative report identifies revision or removal of vaginal graft material and documents the open abdominal route; the approach and the work on the existing graft distinguish it from initial graft placement or repair of a separate pelvic support defect. The service has 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 multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate.
CMS billing rules for 57296
- 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 RVU16.15 · 64%
- Practice expense (office) RVU6.26 · 25%
- Malpractice RVU2.83 · 11%
50
Medicare services in 2024 · #5357 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.
57296 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This code addresses vaginal graft material; 57287 is for revision or removal of a urethral sling. Identify the implant being treated.
No office rate
This code revises or removes existing vaginal graft material. Code 57284 addresses open repair of a paravaginal defect, not graft revision.
Compare 57296 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
$818.46
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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 57296 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,473
- Code
- 57296
- Physician work
- 16.15
- Practice expense
- 6.26
- Malpractice
- 2.83
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.15 | × 1.000 | 16.1500 |
| Practice expense | 6.26 | × 1.000 | 6.2600 |
| Malpractice | 2.83 | × 0.740 | 2.0942 |
| Total RVUs | 24.5042 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$818.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.15 | 1 |
| Practice expense | 6.26 | 1 |
| Malpractice | 2.83 | 0.74 |
(16.15 × 1 + 6.26 × 1 + 2.83 × 0.74) × $33.4009 = $818.46
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.
57296 billing questions
How is this distinguished from 57295?
This code is for revision or removal of vaginal graft material through an open abdominal approach. Code 57295 describes the vaginal approach.
Is this the right code for revising a urethral sling?
No. This code concerns vaginal graft material; code 57287 addresses revision or removal of a sling. The operative report should identify the implanted material and the work performed.
Can the initial graft placement be reported with this code?
This code reports work on previously placed graft material, not its initial placement. Report only services supported as distinct procedures by the operative documentation.
What documentation supports the abdominal approach?
The operative report should identify the existing vaginal graft, the reason for revision or removal, the work performed on it, and the open abdominal route.
Can modifier 50 be used for bilateral work?
No. Modifier 50 is inappropriate for this code.
How are other procedures in the same session handled?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The code has a 90-day global period.
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.
6,47057291,,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
6,47157292,,Construct vagina with graft,A,,13.66,5.85,NA,5.85,,2.39,21.90,21.90,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47257295,,Revise vag graft via vagina,A,,7.62,4.57,NA,4.57,,1.24,13.43,13.43,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47357296,,Revise vag graft open abd,A,,16.15,6.26,NA,6.26,,2.83,25.24,25.24,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47457300,,Repair rectum-vagina fistula,A,,8.49,6.79,NA,6.79,,1.61,16.89,16.89,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47557305,,Repair rectum-vagina fistula,A,,14.97,8.98,NA,8.98,,2.97,26.92,26.92,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47657307,,Fistula repair & colostomy,A,,16.74,10.74,NA,10.74,,2.41,29.89,29.89,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,