No office rate
Both codes address urethrovaginal fistula repair. Use 57310 for the vaginal route and 57311 for the abdominal route.
On this page
CMS RVU26D · Effective 2026-10-01
57310 Fistula repair Medicare reimbursement rates in Wyoming
Surgical closure of a urethrovaginal fistula through the vagina is reported when the repair is performed by the vaginal route. Compare 57310 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 57310 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
$440.57
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.
Urogynecologic surgery
About 57310: Vaginal repair of urethrovaginal fistula
Surgical closure of a urethrovaginal fistula through the vagina is reported when the repair is performed by the vaginal route.
This operation closes an abnormal communication between the urethra and vagina, which can allow urine to pass into the vagina and cause persistent leakage. A gynecologic surgeon, urogynecologist, or urologist repairs the tract through vaginal access, reconstructing the tissues between the organs. The procedure is performed in an operative setting and is distinct from repair of a bladder-to-vagina or rectum-to-vagina fistula.
Report 57310 when the operative documentation identifies a urethrovaginal fistula and records a vaginal approach; use 57311 when the repair is performed through an abdominal approach. Documentation should establish the tract’s origin and destination, the surgical route, and the repair performed. The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate for this descriptor and anatomy. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57310
- 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 RVU7.46 · 56%
- Practice expense (office) RVU5.02 · 37%
- Malpractice RVU0.96 · 7%
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.
57310 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
This code is for a bladder-to-vagina fistula repaired vaginally. Code 57310 is for a urethra-to-vagina fistula.
No office rate
This code addresses a bladder-to-vagina fistula repaired abdominally; 57310 addresses a urethra-to-vagina fistula repaired vaginally.
Compare 57310 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
$440.57
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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 57310 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,478
- Code
- 57310
- Physician work
- 7.46
- Practice expense
- 5.02
- Malpractice
- 0.96
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.46 | × 1.000 | 7.4600 |
| Practice expense | 5.02 | × 1.000 | 5.0200 |
| Malpractice | 0.96 | × 0.740 | 0.7104 |
| Total RVUs | 13.1904 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$440.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.46 | 1 |
| Practice expense | 5.02 | 1 |
| Malpractice | 0.96 | 0.74 |
(7.46 × 1 + 5.02 × 1 + 0.96 × 0.74) × $33.4009 = $440.57
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.
57310 billing questions
When should 57310 be chosen over 57311?
Choose 57310 when the urethrovaginal fistula is repaired through a vaginal approach. Code 57311 represents repair through an abdominal approach.
Can 57310 be used for a vesicovaginal fistula?
No. This code concerns a tract between the urethra and vagina; codes 57320 or 57330 concern a bladder-to-vagina fistula, depending on approach.
Is modifier 50 appropriate for this repair?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
What does the 90-day global include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports reporting 57310?
The operative record should identify the urethrovaginal tract, document the vaginal approach, and describe the repair performed.
How are multiple procedures handled when performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.
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.
6,47557305,,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
6,47757308,,Fistula repair transperine,A,,10.33,7.07,NA,7.07,,1.48,18.88,18.88,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47857310,,Repair urethrovaginal lesion,A,,7.46,5.02,NA,5.02,,0.96,13.44,13.44,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,47957311,,Repair urethrovaginal lesion,A,,8.69,5.28,NA,5.28,,1.12,15.09,15.09,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48057320,,Repair bladder-vagina lesion,A,,8.66,4.86,NA,4.86,,1.50,15.02,15.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48157330,,Repair bladder-vagina lesion,A,,12.88,6.09,NA,6.09,,1.65,20.62,20.62,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,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.,,,,,,