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CPT code 57180: Bleeding control, vaginal bleeding2026 Medicare rate & RVUs in Iowa

Reports treatment of active vaginal bleeding, commonly by placing a vaginal pack to apply pressure and help control the bleeding.

CMS RVU26DEffective Oct 1, 2026One payment locality324 Medicare services in 2024

In Iowa, Medicare pays $172.82 for 57180 in the office and $97.64 when it’s performed in a hospital or facility.

$172.82Office (non-facility)
$97.64Hospital or facility
−8.6%vs the national office rate ($189.05)

Check a contract rate as a % of Medicare · 57180 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 57180 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 57180 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 57180 covers

This service treats active bleeding from the vagina, commonly by placing gauze or another pack in the vaginal canal to apply pressure. A gynecologist or another clinician managing gynecologic bleeding may perform it in an office, emergency department, or hospital setting. The service is treatment rather than evaluation alone; a visit to identify the source without bleeding-control treatment is not this procedure.

Report 57180 when the record supports active vaginal bleeding and documents the treatment performed, such as placement of a vaginal pack. The code has a 10-day global period, so related postoperative visits during that period are included. 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. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for it; co-surgeons and team surgery are 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 Iowa compares for 57180

Across 109 of 109 payment localities, the office rate for 57180 runs from $166.78 in Arkansas to $246.81 in San Benito County, CA. Iowa pays $172.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

57180 in Iowa vs other payment areas
  1. Iowa · this page$172.82
  2. Los Angeles, CA · California$211.42+$38.60
  3. Washington, DC area · District of Columbia$215.53+$42.71
  4. Miami, FL · Florida$208.04+$35.22
  5. Chicago, IL · Illinois$201.73+$28.91
  6. Manhattan, NY · New York$218.29+$45.47
  7. Alaska · Alaska$219.80+$46.98

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

Every other payment area

57180 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$169.27$97.37
ArkansasArkansas$166.78$96.20
ArizonaArizona$183.82$104.20
Bakersfield, CACalifornia$198.72$108.66
Chico, CACalifornia$197.95$107.90
El Centro, CACalifornia$198.00$107.94
Fresno, CACalifornia$197.95$107.90
Hanford, CACalifornia$197.95$107.90

57180 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.

$166.78

$222.38

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

View every state and territory as a table
57180 office rate range by state
State / territoryOffice rate rangeLocalities
AK$219.801
AL$169.271
AR$166.781
AZ$183.821
CA$197.95–$246.8129
CO$195.831
CT$201.781
DC$215.531
DE$186.881
FL$188.00–$208.043
GA$177.07–$193.052
GU$202.641
HI$202.641
IA$172.821
ID$174.141
IL$183.08–$201.734
IN$175.151
KS$172.391
KY$174.191
LA$174.07–$182.792
MA$194.80–$214.862
MD$190.36–$215.533
ME$175.49–$184.582
MI$179.17–$190.792
MN$186.381
MO$171.30–$182.973
MS$169.051
MT$189.031
NC$177.291
ND$183.691
NE$173.671
NH$193.131
NJ$203.73–$213.322
NM$180.331
NV$187.671
NY$180.02–$224.175
OH$178.081
OK$173.461
OR$185.86–$201.682
PA$178.15–$196.952
PR$190.311
RI$193.271
SC$178.051
SD$183.061
TN$173.321
TX$176.99–$195.498
UT$180.511
VA$184.24–$215.532
VI$190.311
VT$183.321
WA$194.31–$218.872
WI$177.481
WV$176.311
WY$186.701

See 57180 in every payment locality

How the 57180 rate is calculated

Each of 57180’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 · 57180

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.59

1.59 RVUs× 1.000 GPCI

Practice expense3.80

3.80 RVUs× 1.000 GPCI

Malpractice0.27

0.27 RVUs× 1.000 GPCI

Adjusted RVUs

5.6600

Conversion factor

$33.4009

Medicare rate

$189.05

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,450

Code
57180
Physician work
1.59
Practice expense
3.80
Malpractice
0.27

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 57180 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.59× 1.0001.5900
Practice expense3.80× 0.9153.4770
Malpractice0.27× 0.3970.1072
Total RVUs5.1742
Conversion factor× 33.4009

Office rate, Iowa$172.82

Office: (1.59 × 1 + 3.8 × 0.915 + 0.27 × 0.397) × $33.4009 = $172.82

Facility: (1.59 × 1 + 1.34 × 0.915 + 0.27 × 0.397) × $33.4009 = $97.64

Open 57180 in the RVU calculator

Payment rules and modifiers for 57180

57180 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57180

Bleeding control, vaginal bleeding

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 · 57180

Bleeding control, vaginal bleeding

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

57180 without 51 · national office

$189.05

Bleeding control, vaginal bleeding

57180-51 · Second procedure: 50%

$94.53

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 57180

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

Codes related to 57180
CodeHow it relatesOffice range, Iowa
Often billed with
57100Vaginal biopsy, simple mucosal samplingA vaginal mucosal biopsy may be performed separately when a bleeding site also needs tissue sampling.$95.79
57105Vaginal biopsy, extensive mucosal samplingAn extensive vaginal mucosal biopsy may be separately performed when tissue sampling accompanies bleeding treatment.$159.57
57135Vaginal lesion excision, cyst or tumorA vaginal cyst or tumor may be excised separately when it is treated during the same encounter.$222.00

How 57180 has changed in Iowa

57180 · Office / nonfacility

$172.82

Effective 2026-10-01

The base rate is $1.29 lower than on 2025-10-01, moving from $174.11 to $172.82 (0.7%).

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

    $174.11changed to$172.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.63 changed to 1.59
    • Practice expense RVU 3.97 changed to 3.80
    • Malpractice RVU 0.28 changed to 0.27
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $182.82changed to$174.11

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.10 changed to 3.97
    • Malpractice RVU 0.26 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $179.84changed to$182.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $187.10changed to$179.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.15 changed to 4.10
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $190.97changed to$187.10

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.17 changed to 4.15
    • Malpractice RVU 0.25 changed to 0.26
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $181.48changed to$190.97

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.82 changed to 4.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $163.62changed to$181.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.08 changed to 3.82
    • Malpractice RVU 0.26 changed to 0.25
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $144.99changed to$163.62

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.55 changed to 3.08
    • Malpractice RVU 0.19 changed to 0.26
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $131.93changed to$144.99

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.15 changed to 2.55
    • Malpractice RVU 0.20 changed to 0.19

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $131.38changed to$131.93

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $130.54changed to$131.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.14 changed to 2.15
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $131.69changed to$130.54

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.15 changed to 2.14
    • Malpractice RVU 0.22 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $131.04changed to$131.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $130.56changed to$131.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.12 changed to 2.15
    • Malpractice RVU 0.26 changed to 0.22
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $130.57changed to$130.56

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.35 changed to 2.12
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $130.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$172.82$97.64RVU26D
2026-07-01$172.82$97.64RVU26C
2026-04-01$172.82$97.64RVU26B
2026-01-01$172.82$97.64RVU26A
2025-10-01$174.11$108.25RVU25D
2025-07-01$174.11$108.25RVU25C
2025-04-01$174.11$108.25RVU25B
2025-01-01$174.11$108.25RVU25A
2024-10-01$182.82$112.01RVU24D
2024-07-01$182.82$112.01RVU24C
2024-04-01$182.82$112.01RVU24B
2024-03-09$182.82$112.01RVU24AR
2024-01-01$179.84$110.18RVU24A
2023-10-01$187.10$113.70RVU23D
2023-07-01$187.10$113.70RVU23C
2023-04-01$187.10$113.70RVU23B
2023-01-01$187.10$113.70RVU23A
2022-10-01$190.97$115.01RVU22D
2022-07-01$190.97$115.01RVU22C
2022-04-01$190.97$115.01RVU22B
2022-01-01$190.97$115.01RVU22A
2021-10-01$181.48$112.80RVU21D
2021-07-01$181.48$112.80RVU21C
2021-04-01$181.48$112.80RVU21B
2021-01-01$181.48$112.80RVU21A
2020-10-01$163.62$109.61RVU20D
2020-07-01$163.62$109.61RVU20C
2020-04-01$163.62$109.61RVU20B
2020-01-01$163.62$109.61RVU20A
2019-10-01$144.99$103.81RVU19D
2019-07-01$144.99$103.81RVU19C
2019-04-01$144.99$103.81RVU19B
2019-01-01$144.99$103.81RVU19A
2018-10-01$131.93$99.27RVU18D
2018-07-01$131.93$99.27RVU18C
2018-04-01$131.93$99.27RVU18B
2018-01-01$131.93$99.27RVU18AR1
2017-10-01$131.38$99.66RVU17D
2017-07-01$131.38$99.66RVU17C
2017-04-01$131.38$99.66RVU17B
2017-01-01$131.38$99.66RVU17A
2016-10-01$130.54$99.10RVU16D
2016-07-01$130.54$99.10RVU16C
2016-04-01$130.54$99.10RVU16B
2016-01-01$130.54$99.10RVU16A
2015-10-01$131.69$100.14RVU15D
2015-07-01$131.69$100.14RVU15C
2015-04-01$131.04$99.64RVU15B
2015-01-01$131.04$99.64RVU15A
2014-10-01$130.56$99.88RVU14D
2014-07-01$130.56$99.88RVU14C
2014-04-01$130.56$99.88RVU14B
2014-01-01$130.56$99.88RVU14A
2013-10-01$130.57$97.67RVU13D
2013-07-01$130.57$97.67RVU13C
2013-04-01$130.57$97.67RVU13B
2013-01-01$130.57$97.67RVU13AR

Price 57180 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

57180 billing questions

When should 57180 be reported instead of a vaginal biopsy?

Use 57180 for treatment of active vaginal bleeding, such as control with packing. A biopsy code describes sampling vaginal tissue, not bleeding control.

Does placing a vaginal pack support 57180?

It can: vaginal packing is a typical method of treating vaginal bleeding under this code. Document the bleeding and the treatment performed.

Are related postoperative visits separately payable?

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

Should modifier 50 be added for bleeding from both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 57180, and co-surgeons and team surgery are not permitted.

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

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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 57180PPRRVU2026_Oct_nonQPP.csv, line 6,450 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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