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CPT code 57135: Vaginal lesion excision, cyst or tumor2026 Medicare rate & RVUs in Fort Worth, TX

Excision of a vaginal cyst or tumor, such as a symptomatic Gartner duct cyst, when the lesion is removed rather than sampled.

CMS RVU26DEffective Oct 1, 2026One payment locality898 Medicare services in 2024

In Fort Worth, TX, Medicare pays $240.01 for 57135 in the office and $166.24 when it’s performed in a hospital or facility.

$240.01Office (non-facility)
$166.24Hospital or facility
−1.3%vs the national office rate ($243.16)

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.

We’ll open 57135 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 57135 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 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 Fort Worth, TX 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. Fort Worth, TX pays $240.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

57135 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$240.01
  2. Austin, TX · Texas$249.70+$9.69
  3. Beaumont, TX · Texas$229.47−$10.54
  4. Brazoria, TX · Texas$239.22−$0.79
  5. Dallas, TX · Texas$241.21+$1.20
  6. Galveston, TX · Texas$240.24+$0.23
  7. Houston, TX · Texas$248.66+$8.65

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

Every other payment area

57135 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$234.53$163.53
Los Angeles, CACalifornia$267.21$178.70
Washington, DC areaDistrict of Columbia$274.55$186.41
Miami, FLFlorida$272.39$194.50
Chicago, ILIllinois$264.37$189.18
Manhattan, NYNew York$280.46$193.52
AlaskaAlaska$289.28$209.60
AlabamaAlabama$219.00$153.53

57135 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

$215.97

$289.28

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
57135 office rate range by state
State / territoryOffice rate rangeLocalities
AK$289.281
AL$219.001
AR$215.971
AZ$236.611
CA$250.96–$307.5529
CO$249.801
CT$258.921
DC$274.551
DE$240.371
FL$244.73–$272.393
GA$230.99–$248.752
GU$255.861
HI$255.861
IA$222.001
ID$223.871
IL$239.63–$264.374
IN$225.041
KS$222.101
KY$226.321
LA$226.42–$236.992
MA$248.86–$272.222
MD$244.46–$274.553
ME$226.15–$236.232
MI$232.96–$248.802
MN$236.401
MO$223.45–$236.473
MS$219.701
MT$243.131
NC$228.241
ND$234.031
NE$222.831
NH$246.981
NJ$261.04–$272.132
NM$234.631
NV$240.731
NY$231.60–$288.405
OH$231.111
OK$224.761
OR$238.04–$256.172
PA$230.84–$253.442
PR$244.471
RI$247.791
SC$230.221
SD$232.961
TN$223.311
TX$229.47–$249.708
UT$233.191
VA$236.26–$274.552
VI$244.471
VT$234.171
WA$248.05–$276.512
WI$226.651
WV$231.451
WY$239.161

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.

How the rate is built · 57135

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.63

2.63 RVUs× 1.000 GPCI

Practice expense4.19

4.19 RVUs× 1.000 GPCI

Malpractice0.46

0.46 RVUs× 1.000 GPCI

Adjusted RVUs

7.2800

Conversion factor

$33.4009

Medicare rate

$243.16

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

The exact Fort Worth, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,444

Code
57135
Physician work
2.63
Practice expense
4.19
Malpractice
0.46

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 57135 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work2.63× 1.0092.6537
Practice expense4.19× 0.9864.1313
Malpractice0.46× 0.8710.4007
Total RVUs7.1857
Conversion factor× 33.4009

Office rate, Fort Worth, TX$240.01

Office: (2.63 × 1.009 + 4.19 × 0.986 + 0.46 × 0.871) × $33.4009 = $240.01

Facility: (2.63 × 1.009 + 1.95 × 0.986 + 0.46 × 0.871) × $33.4009 = $166.24

Open 57135 in the RVU calculator

Payment rules and modifiers for 57135

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

CMS payment indicators · 57135

Vaginal lesion excision, cyst or tumor

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57135

Vaginal lesion excision, cyst or tumor

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57135 without 51 · national office

$243.16

Vaginal lesion excision, cyst or tumor

57135-51 · Second procedure: 50%

$121.58

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

Codes related to 57135

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

Codes related to 57135
CodeHow it relatesOffice range, Fort Worth, TX
Used instead
57100Vaginal biopsy, simple mucosal samplingSimple vaginal mucosal biopsy is for sampling rather than complete removal of a cyst or tumor.$103.79
57105Vaginal biopsy, extensive mucosal samplingExtensive vaginal mucosal biopsy is for tissue sampling when the lesion is not excised.$172.94
57106Vaginectomy, partial wall removalRepresents partial vaginal wall removal when the service involves broader wall excision.No office rate
57110Vaginectomy, complete vaginal wall removalRepresents complete vaginal wall removal, a more extensive service than isolated lesion excision.No office rate

How 57135 has changed in Fort Worth, TX

57135 · Office / nonfacility

$240.01

Effective 2026-10-01

The base rate is $0.80 higher than on 2025-10-01, moving from $239.21 to $240.01 (0.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $239.21changed to$240.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.70 changed to 2.63
    • Practice expense RVU 4.25 changed to 4.19
    • Malpractice RVU 0.47 changed to 0.46
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $248.59changed to$239.21

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.35 changed to 4.25
    • Malpractice RVU 0.44 changed to 0.47

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $244.53changed to$248.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $250.59changed to$244.53

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.36 changed to 4.35
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $252.21changed to$250.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.34 changed to 4.36
    • Malpractice RVU 0.42 changed to 0.44
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $241.29changed to$252.21

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.96 changed to 4.34
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $224.85changed to$241.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.26 changed to 3.96
    • Malpractice RVU 0.42 changed to 0.43
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $205.04changed to$224.85

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.74 changed to 3.26
    • Malpractice RVU 0.36 changed to 0.42
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $192.84changed to$205.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.41 changed to 2.74
    • Malpractice RVU 0.35 changed to 0.36

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $192.66changed to$192.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.40 changed to 2.41
    • Malpractice RVU 0.36 changed to 0.35
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $191.89changed to$192.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.38 changed to 2.40
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $192.94changed to$191.89

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.39 changed to 2.38

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $191.98changed to$192.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $192.73changed to$191.98

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.37 changed to 2.39
    • Malpractice RVU 0.42 changed to 0.36
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $190.83changed to$192.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.60 changed to 2.37
    • Malpractice RVU 0.44 changed to 0.42
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $190.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$240.01$166.24RVU26D
2026-07-01$240.01$166.24RVU26C
2026-04-01$240.01$166.24RVU26B
2026-01-01$240.01$166.24RVU26A
2025-10-01$239.21$183.36RVU25D
2025-07-01$239.21$183.36RVU25C
2025-04-01$239.21$183.36RVU25B
2025-01-01$239.21$183.36RVU25A
2024-10-01$248.59$188.79RVU24D
2024-07-01$248.59$188.79RVU24C
2024-04-01$248.59$188.79RVU24B
2024-03-09$248.59$188.79RVU24AR
2024-01-01$244.53$185.71RVU24A
2023-10-01$250.59$188.49RVU23D
2023-07-01$250.59$188.49RVU23C
2023-04-01$250.59$188.49RVU23B
2023-01-01$250.59$188.49RVU23A
2022-10-01$252.21$187.82RVU22D
2022-07-01$252.21$187.82RVU22C
2022-04-01$252.21$187.82RVU22B
2022-01-01$252.21$187.82RVU22A
2021-10-01$241.29$185.39RVU21D
2021-07-01$241.29$185.39RVU21C
2021-04-01$241.29$185.39RVU21B
2021-01-01$241.29$185.39RVU21A
2020-10-01$224.85$184.08RVU20D
2020-07-01$224.85$184.08RVU20C
2020-04-01$224.85$184.08RVU20B
2020-01-01$224.85$184.08RVU20A
2019-10-01$205.04$178.39RVU19D
2019-07-01$205.04$178.39RVU19C
2019-04-01$205.04$178.39RVU19B
2019-01-01$205.04$178.39RVU19A
2018-10-01$192.84$173.67RVU18D
2018-07-01$192.84$173.67RVU18C
2018-04-01$192.84$173.67RVU18B
2018-01-01$192.84$173.67RVU18AR1
2017-10-01$192.66$174.16RVU17D
2017-07-01$192.66$174.16RVU17C
2017-04-01$192.66$174.16RVU17B
2017-01-01$192.66$174.16RVU17A
2016-10-01$191.89$173.37RVU16D
2016-07-01$191.89$173.37RVU16C
2016-04-01$191.89$173.37RVU16B
2016-01-01$191.89$173.37RVU16A
2015-10-01$192.94$174.35RVU15D
2015-07-01$192.94$174.35RVU15C
2015-04-01$191.98$173.48RVU15B
2015-01-01$191.98$173.48RVU15A
2014-10-01$192.73$174.35RVU14D
2014-07-01$192.73$174.35RVU14C
2014-04-01$192.73$174.35RVU14B
2014-01-01$192.73$174.35RVU14A
2013-10-01$190.83$171.51RVU13D
2013-07-01$190.83$171.51RVU13C
2013-04-01$190.83$171.51RVU13B
2013-01-01$190.83$171.51RVU13AR

Price 57135 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

57135 billing questions

Can 57135 be used when the clinician only takes a biopsy?

No. Use 57135 when the cyst or tumor is excised; a diagnostic sample without removal is represented by a vaginal mucosal biopsy code, selected by the extent of sampling.

How does 57135 differ from vaginal wall removal codes?

57135 is for excision of a cyst or tumor. Codes for partial or complete vaginal wall removal describe more extensive removal of vaginal wall tissue, not removal of an isolated lesion.

Should modifier 50 be appended for lesions on both sides?

No. Modifier 50 is inappropriate for this service; report the excision once.

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the procedure.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery reporting are not permitted.

What happens if another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedures 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 57135PPRRVU2026_Oct_nonQPP.csv, line 6,444 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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