CPT code 57107: Vaginectomy, complete, with paravaginal tissue2026 Medicare rate & RVUs in Texas
Reports complete removal of vaginal tissue with adjacent paravaginal tissue, typically for extensive vaginal disease requiring definitive surgical treatment.
CMS doesn’t publish an office rate for 57107 in Texas.
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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What 57107 covers
This operation removes the vaginal tissue and adjacent paravaginal tissue as a complete resection. It may be performed for extensive vaginal malignancy or other disease requiring removal beyond the vaginal wall alone. A gynecologic oncologist or other surgeon with appropriate pelvic surgical expertise typically performs it in a hospital operating room. The operative report should identify the extent of vaginal tissue removed and document removal of paravaginal tissue.
Report the code for the documented complete resection with paravaginal tissue removal, rather than a partial vaginectomy or a biopsy. It has a 90-day global period, which includes 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. The service is reported for its defined operative extent; modifier 50 is not appropriate. Assistant-at-surgery payment may be available. Co-surgeon payment requires 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 57107 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,325.88 |
| Beaumont, TX | Unavailable | $1,277.09 |
| Brazoria, TX | Unavailable | $1,289.66 |
| Dallas, TX | Unavailable | $1,304.50 |
| Fort Worth, TX | Unavailable | $1,302.90 |
| Galveston, TX | Unavailable | $1,297.91 |
| Houston, TX | Unavailable | $1,383.75 |
| Rest of Texas | Unavailable | $1,287.23 |
How the 57107 rate is calculated
Each of 57107’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 · 57107
RVUs × geographic indexes × conversion factor
Work23.95
23.95 RVUs× 1.000 GPCI
Practice expense10.91
10.91 RVUs× 1.000 GPCI
Malpractice4.69
4.69 RVUs× 1.000 GPCI
Adjusted RVUs
39.5500
Conversion factor
$33.4009
Medicare rate
$1,321.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57107
57107 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57107
Vaginectomy, complete, with paravaginal tissue
| 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 · 57107
Vaginectomy, complete, with paravaginal tissue
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
57107 without 51 · national facility
$1,321.01
Vaginectomy, complete, with paravaginal tissue
57107-51 · Second procedure: 50%
$660.51
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%).
57107 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57106VaginectomyPartial wall removal
- 57106 describes partial vaginal-wall removal. Choose 57107 when the operative report supports complete resection with paravaginal tissue removal.
- 57110VaginectomyComplete vaginal wall removal
- 57110 describes complete vaginal-wall removal. This code is distinguished by documented removal of paravaginal tissue.
- 57105Vaginal biopsyExtensive mucosal sampling
- 57105 is for extensive vaginal mucosal biopsy. It does not describe complete resection with removal of paravaginal tissue.
- 57135Vaginal lesion excisionCyst or tumor
- 57135 addresses excision of a vaginal cyst or tumor. This code describes a complete resection with paravaginal tissue removal, not excision of a localized lesion.
57107 billing questions
How does this differ from a partial vaginectomy?
This code describes a complete resection with paravaginal tissue removal. A partial vaginectomy is a better match when the operative report documents only partial removal of the vaginal wall.
When should a biopsy code be reported instead?
Use a vaginal biopsy code when tissue is sampled for diagnosis rather than removed as a complete resection with paravaginal tissue.
Is modifier 50 appropriate?
No. Report the operation for its defined operative extent; modifier 50 is not appropriate 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.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. 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 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
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