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CPT code 57110: Vaginectomy, complete vaginal wall removal2026 Medicare rate & RVUs

Reports complete removal of the vaginal wall, typically for extensive vaginal disease when treatment requires removal beyond a localized lesion.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $797.95 for 57110 nationally in a facility.

Medicare rate · 57110

Vaginectomy, complete vaginal wall removal

Office or facility?

Work RVUs
15.09
Total RVUs
23.89
Global days
090

National rate · 2026

$797.95

Facility setting, before claim adjustments.

See every locality for 57110 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 57110 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 57110 covers

A gynecologic surgeon removes the vaginal wall throughout rather than excising a limited area. The operation may be performed for extensive vaginal malignancy or other disease requiring removal of the full vaginal wall, usually in a hospital or other surgical facility. The operative report should make clear that removal was complete and describe the extent of tissue removed.

Report 57110 when the procedure removes the vaginal wall completely; a partial removal or a procedure that also removes paravaginal tissue may point to a different code. This major surgery has 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 the others are subject to the standard 50% reduction. Bilateral adjustment is not appropriate for this code. Assistant-at-surgery payment may be allowed; 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 57110 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

57110 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$734.89
AlaskaUnavailable$1,025.28
ArizonaUnavailable$779.21
ArkansasUnavailable$727.20
Atlanta, GAUnavailable$819.92
Austin, TXUnavailable$801.35
Bakersfield, CAUnavailable$794.26
Baltimore area, MDUnavailable$841.44
Beaumont, TXUnavailable$773.11
Brazoria, TXUnavailable$781.36

57110 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
57110 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 57110 rate is calculated

Each of 57110’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 · 57110

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.09

15.09 RVUs× 1.000 GPCI

Practice expense6.25

6.25 RVUs× 1.000 GPCI

Malpractice2.55

2.55 RVUs× 1.000 GPCI

Adjusted RVUs

23.8900

Conversion factor

$33.4009

Medicare rate

$797.95

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 57110

57110 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57110

Vaginectomy, complete vaginal wall removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57110

Vaginectomy, complete vaginal 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57110 without 51 · national facility

$797.95

Vaginectomy, complete vaginal wall removal

57110-51 · Second procedure: 50%

$398.98

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%).

When to use modifier 51

57110 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 57110

    Vaginectomy, complete vaginal wall removal15.09 wRVU

    Not priced

  • 57106

    Vaginectomy, partial wall removal7.31 wRVU

    Not priced

  • 57111

    Vaginectomy, complete, with paravaginal tissue27.69 wRVU

    Not priced

  • 57109

    Radical vaginectomy, bilateral pelvic lymphadenectomy included27.69 wRVU

    Not priced

  • 57135

    Vaginal lesion excision, cyst or tumor2.63 wRVU

    $243.16

How to choose

57106VaginectomyPartial wall removal
Use 57106 for partial vaginal wall removal. 57110 is for removal of the vaginal wall completely.
57111VaginectomyComplete, with paravaginal tissue
57111 includes removal of paravaginal tissue along with complete vaginal wall removal; 57110 describes complete wall removal without that added extent.
57109Radical vaginectomyBilateral pelvic lymphadenectomy included
57109 describes radical vaginectomy with bilateral pelvic lymphadenectomy. 57110 represents complete vaginal wall removal without that specified lymphadenectomy.
57135Vaginal lesion excisionCyst or tumor
57135 is for excision of a vaginal cyst or tumor. It is not the complete vaginal wall removal reported with 57110.

Codes related to 57110

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 57110
CodeHow it relatesNational office range
Same family
57106Vaginectomy, partial wall removalPartial vaginal wall removal, rather than complete removal.No office rate
57111Vaginectomy, complete, with paravaginal tissueComplete vaginal wall removal that also includes paravaginal tissue.No office rate
57109Radical vaginectomy, bilateral pelvic lymphadenectomy includedRadical vaginectomy with bilateral pelvic lymphadenectomy.No office rate
Used instead
57135Vaginal lesion excision, cyst or tumorExcision of a vaginal cyst or tumor when complete wall removal is not performed.$215.97–$307.55

57110 billing questions

How does 57110 differ from partial vaginectomy 57106?

57110 describes complete removal of the vaginal wall. Use 57106 when the operative report supports only partial removal.

When would 57111 be a closer fit?

57111 includes removal of paravaginal tissue with the complete vaginal wall removal. The operative report should support that additional tissue removal.

Can modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used to report bilateral performance.

Is an assistant at surgery payable for 57110?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is 57110 affected when other procedures occur in the same session?

The highest-valued procedure is paid in full; other procedures in the same session 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
RVUs for 57110PPRRVU2026_Oct_nonQPP.csv, line 6,440 (RVU26D)

Open CMS sourceHow we calculate rates

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