CPT code 57111: Vaginectomy, complete, with paravaginal tissue2026 Medicare rate & RVUs in Texas
Reports complete removal of the vagina with excision of paravaginal tissue, typically for extensive vaginal disease requiring major operative treatment.
CMS doesn’t publish an office rate for 57111 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 57111 covers
This operation removes the vagina in its entirety along with adjacent paravaginal tissue. Gynecologic oncologists and other surgeons experienced in complex pelvic surgery may perform it, commonly in a hospital operating room for extensive vaginal malignancy or other serious disease requiring complete excision. The operative approach and structures removed depend on the disease and surgical plan; this code distinguishes removal of paravaginal tissue from complete vaginal removal alone.
Report the code when the operative documentation supports complete vaginectomy and removal of paravaginal tissue. The report should establish the extent of vaginal removal and identify the adjacent tissue excised; pathology findings can further describe the specimens. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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 multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. 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 57111 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 | $1,630.53 |
| Beaumont, TX | Unavailable | $1,566.02 |
| Brazoria, TX | Unavailable | $1,580.81 |
| Dallas, TX | Unavailable | $1,600.89 |
| Fort Worth, TX | Unavailable | $1,598.82 |
| Galveston, TX | Unavailable | $1,592.07 |
| Houston, TX | Unavailable | $1,709.58 |
| Rest of Texas | Unavailable | $1,579.39 |
How the 57111 rate is calculated
Each of 57111’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 · 57111
RVUs × geographic indexes × conversion factor
Work27.69
27.69 RVUs× 1.000 GPCI
Practice expense14.54
14.54 RVUs× 1.000 GPCI
Malpractice6.42
6.42 RVUs× 1.000 GPCI
Adjusted RVUs
48.6500
Conversion factor
$33.4009
Medicare rate
$1,624.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57111
57111 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57111
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) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 · 57111
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
57111 without 51 · national facility
$1,624.95
Vaginectomy, complete, with paravaginal tissue
57111-51 · Second procedure: 50%
$812.48
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%).
57111 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57110VaginectomyComplete vaginal wall removal
- Choose 57111 when paravaginal tissue is also removed with the complete vaginectomy. 57110 represents complete vaginal removal without that added tissue excision.
- 57107VaginectomyComplete, with paravaginal tissue
- 57107 describes partial vaginectomy with paravaginal tissue removal. 57111 is for complete removal of the vagina with that tissue.
- 57109Radical vaginectomyBilateral pelvic lymphadenectomy included
- 57109 identifies complete vaginectomy with bilateral pelvic lymphadenectomy. 57111 identifies removal of paravaginal tissue; distinguish the services by the procedure documented.
57111 billing questions
How does this differ from 57110?
57111 includes removal of paravaginal tissue along with complete vaginectomy. 57110 describes complete removal of the vaginal wall without that additional tissue removal.
When would 57107 be more appropriate?
57107 is the partial vaginectomy option with removal of paravaginal tissue. Use 57111 when the operative service removes the vagina completely.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment. Follow applicable claim instructions for any other modifier circumstances.
What documentation supports reporting 57111?
The operative report should describe complete removal of the vagina and excision of paravaginal tissue. Include the operative extent and specimen details when documented.
How are other same-session procedures paid?
Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures performed in the same session are subject to a 50% reduction.
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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