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

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

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Delaware, Medicare pays $789.36 for 57110 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$789.36Hospital or facility

Check a contract rate as a % of Medicare · 57110 nationwide

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

We’ll open 57110 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 57110 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Delaware compares for 57110

Across 109 of 109 payment localities, the facility rate for 57110 runs from $727.20 in Arkansas to $1,025.28 in Alaska. Delaware pays $789.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

57110 in Delaware vs other payment areas
  1. Delaware · this page$789.36
  2. Los Angeles, CA · California$828.20+$38.84
  3. Washington, DC area · District of Columbia$871.95+$82.59
  4. Miami, FL · Florida$936.73+$147.37
  5. Chicago, IL · Illinois$912.82+$123.46
  6. Manhattan, NY · New York$913.93+$124.57
  7. Alaska · Alaska$1,025.28+$235.92

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

57110 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$734.89
ArkansasArkansas—$727.20
ArizonaArizona—$779.21
Bakersfield, CACalifornia—$794.26
Chico, CACalifornia—$787.04
El Centro, CACalifornia—$787.46
Fresno, CACalifornia—$787.04
Hanford, CACalifornia—$787.04

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

See 57110 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,440

Code
57110
Physician work
15.09
Practice expense
6.25
Malpractice
2.55

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Facility calculation for 57110 in Delaware
ComponentRVULocality factorAdjusted
Physician work15.09× 1.00515.1654
Practice expense6.25× 0.9886.1750
Malpractice2.55× 0.8992.2925
Total RVUs23.6329
Conversion factor× 33.4009

Facility rate, Delaware$789.36

Facility: (15.09 × 1.005 + 6.25 × 0.988 + 2.55 × 0.899) × $33.4009 = $789.36

Open 57110 in the RVU calculator

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

How 57110 has changed in Delaware

57110 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$789.36RVU26D
2026-07-01Not available in this setting$789.36RVU26C
2026-04-01Not available in this setting$789.36RVU26B
2026-01-01Not available in this setting$789.36RVU26A
2025-10-01Not available in this setting$876.57RVU25D
2025-07-01Not available in this setting$876.57RVU25C
2025-04-01Not available in this setting$876.57RVU25B
2025-01-01Not available in this setting$876.57RVU25A
2024-10-01Not available in this setting$903.98RVU24D
2024-07-01Not available in this setting$903.98RVU24C
2024-04-01Not available in this setting$903.98RVU24B
2024-03-09Not available in this setting$903.98RVU24AR
2024-01-01Not available in this setting$889.22RVU24A
2023-10-01Not available in this setting$919.66RVU23D
2023-07-01Not available in this setting$919.66RVU23C
2023-04-01Not available in this setting$919.66RVU23B
2023-01-01Not available in this setting$919.66RVU23A
2022-10-01Not available in this setting$935.22RVU22D
2022-07-01Not available in this setting$935.22RVU22C
2022-04-01Not available in this setting$935.22RVU22B
2022-01-01Not available in this setting$935.22RVU22A
2021-10-01Not available in this setting$934.61RVU21D
2021-07-01Not available in this setting$934.61RVU21C
2021-04-01Not available in this setting$934.61RVU21B
2021-01-01Not available in this setting$934.61RVU21A
2020-10-01Not available in this setting$954.98RVU20D
2020-07-01Not available in this setting$954.98RVU20C
2020-04-01Not available in this setting$954.98RVU20B
2020-01-01Not available in this setting$954.98RVU20A
2019-10-01Not available in this setting$932.28RVU19D
2019-07-01Not available in this setting$932.28RVU19C
2019-04-01Not available in this setting$932.28RVU19B
2019-01-01Not available in this setting$932.28RVU19A
2018-10-01Not available in this setting$925.39RVU18D
2018-07-01Not available in this setting$925.39RVU18C
2018-04-01Not available in this setting$925.39RVU18B
2018-01-01Not available in this setting$925.39RVU18AR1
2017-10-01Not available in this setting$931.05RVU17D
2017-07-01Not available in this setting$931.05RVU17C
2017-04-01Not available in this setting$931.05RVU17B
2017-01-01Not available in this setting$931.05RVU17A
2016-10-01Not available in this setting$927.95RVU16D
2016-07-01Not available in this setting$927.95RVU16C
2016-04-01Not available in this setting$927.95RVU16B
2016-01-01Not available in this setting$927.95RVU16A
2015-10-01Not available in this setting$935.17RVU15D
2015-07-01Not available in this setting$935.17RVU15C
2015-04-01Not available in this setting$930.52RVU15B
2015-01-01Not available in this setting$930.52RVU15A
2014-10-01Not available in this setting$938.90RVU14D
2014-07-01Not available in this setting$938.90RVU14C
2014-04-01Not available in this setting$938.90RVU14B
2014-01-01Not available in this setting$938.90RVU14A
2013-10-01Not available in this setting$903.72RVU13D
2013-07-01Not available in this setting$903.72RVU13C
2013-04-01Not available in this setting$903.72RVU13B
2013-01-01Not available in this setting$903.72RVU13AR

Price 57110 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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