CPT code 57135: Vaginal lesion excision, cyst or tumor2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $232.96 for 57135 in the office and $158.14 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 57135 nationwide

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

What 57135 covers

Code 57135 describes surgical removal of a cyst or tumor arising in the vagina, rather than a tissue sample taken only for diagnosis. A gynecologist typically performs the excision, removing the lesion from the vaginal wall and managing the resulting tissue defect. A symptomatic Gartner duct cyst or vaginal inclusion cyst is a familiar example. The procedure may take place in an office or an outpatient facility, depending on the lesion and the planned approach.

Choose this code when the documented service removes the vaginal cyst or tumor; document its site, clinical indication, extent of removal, and specimen findings when available. Related postoperative visits for 10 days are included in the minor-procedure global period. If other 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. Report the service once; modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon or team-surgery reporting 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 South Dakota compares for 57135

Across 109 of 109 payment localities, the office rate for 57135 runs from $215.97 in Arkansas to $307.55 in San Benito County, CA. South Dakota pays $232.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57135 rates by state

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

See 57135 in every payment locality

How the 57135 rate is calculated

Each of 57135’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.

Payment rules and modifiers for 57135

57135 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 57135

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

How 57135 has changed in South Dakota

Price 57135 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates