CPT code 57106: Vaginectomy, partial wall removal2026 Medicare rate & RVUs in Missouri
Reports surgical removal of part of the vaginal wall, commonly for a localized vaginal lesion when treatment requires resection rather than biopsy.
CMS doesn’t publish an office rate for 57106 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 57106 covers
A partial vaginectomy removes a portion of the vaginal wall while leaving other vaginal wall in place. Gynecologic surgeons, including gynecologic oncologists, typically perform it in an operating room when a lesion requires surgical excision, such as a localized vaginal malignancy or other disease for which limited wall resection is planned. The removed tissue is submitted for pathologic examination.
Report 57106 when the operative record supports partial removal of vaginal wall, not a diagnostic mucosal biopsy or complete wall removal. Documentation should identify the site and extent resected and the clinical reason for surgery. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For other procedures performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Do not use modifier 50. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery 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 57106 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $478.90 |
| Metropolitan St. Louis, MO | Unavailable | $482.67 |
| Rest of Missouri | Unavailable | $463.13 |
How the 57106 rate is calculated
Each of 57106’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 · 57106
RVUs × geographic indexes × conversion factor
Work7.31
7.31 RVUs× 1.000 GPCI
Practice expense6.08
6.08 RVUs× 1.000 GPCI
Malpractice1.35
1.35 RVUs× 1.000 GPCI
Adjusted RVUs
14.7400
Conversion factor
$33.4009
Medicare rate
$492.33
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57106
57106 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57106
Vaginectomy, partial wall removal
| 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 · 57106
Vaginectomy, partial wall removal
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
57106 without 51 · national facility
$492.33
Vaginectomy, partial wall removal
57106-51 · Second procedure: 50%
$246.17
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%).
57106 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57110VaginectomyComplete vaginal wall removal
- Use 57106 when only part of the vaginal wall is removed. 57110 describes complete vaginal-wall removal.
- 57105Vaginal biopsyExtensive mucosal sampling
- 57105 is an extensive mucosal biopsy for diagnosis; 57106 reports surgical removal of a portion of the wall.
- 57100Vaginal biopsySimple mucosal sampling
- 57100 is for a simple vaginal mucosal biopsy. It does not describe partial vaginal-wall resection.
- 57135Vaginal lesion excisionCyst or tumor
- 57135 is for excision of a vaginal cyst or tumor. Use 57106 when the documented operation is partial removal of the vaginal wall.
57106 billing questions
How does 57106 differ from 57110?
57106 is for removal of part of the vaginal wall. Use 57110 when the operative service removes the complete vaginal wall.
Can a vaginal biopsy be reported as 57106?
No. A biopsy samples mucosa for diagnosis; 57106 describes surgical removal of a portion of the vaginal wall.
What documentation supports 57106?
The operative report should describe the vaginal site, the portion of wall removed, and the indication for resection. The record should make clear that the service was partial wall removal rather than biopsy or complete removal.
Does modifier 50 apply to this procedure?
No. CMS bilateral adjustment is not used for this code, and modifier 50 is inappropriate.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to 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 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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