CPT code 57520: Cervical cone, non-loop excision2026 Medicare rate & RVUs in South Dakota
Reports surgical excision of a cone-shaped portion of the cervix for diagnostic or therapeutic evaluation using a non-loop technique.
In South Dakota, Medicare pays $342.87 for 57520 in the office and $256.03 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 57520 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 57520 covers
This code describes removal of a cone-shaped section of cervical tissue by a non-loop excisional method, commonly cold-knife conization. A gynecologist may perform it in an operating room when cervical dysplasia, glandular abnormalities, or concern for an occult lesion calls for a larger, oriented specimen that includes the transformation zone and endocervical canal. The tissue is submitted for histopathologic examination to assess the lesion and margins.
Choose this code for a non-loop cone excision, not a loop-electrode excision. The operative report should support the indication, method, tissue removed, and any associated steps. Fulguration, dilation and curettage, and repair may be part of the coded service when performed with the cone. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this single cervical excision. Medicare does not pay an assistant at surgery for this code; 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 South Dakota compares for 57520
Across 109 of 109 payment localities, the office rate for 57520 runs from $319.39 in Arkansas to $451.32 in San Benito County, CA. South Dakota pays $342.87. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$342.87
- Los Angeles, CA · California$393.63+$50.76
- Washington, DC area · District of Columbia$406.22+$63.35
- Miami, FL · Florida$408.94+$66.07
- Chicago, IL · Illinois$396.50+$53.63
- Manhattan, NY · New York$416.84+$73.97
- Alaska · Alaska$428.52+$85.65
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $323.93 | $247.95 |
| ArkansasArkansas | $319.39 | $244.79 |
| ArizonaArizona | $350.39 | $266.24 |
| Bakersfield, CACalifornia | $371.83 | $276.65 |
| Chico, CACalifornia | $369.64 | $274.46 |
| El Centro, CACalifornia | $369.77 | $274.59 |
| Fresno, CACalifornia | $369.64 | $274.46 |
| Hanford, CACalifornia | $369.64 | $274.46 |
| Madera, CACalifornia | $369.64 | $274.46 |
| Merced, CACalifornia | $369.64 | $274.46 |
| Modesto, CACalifornia | $369.64 | $274.46 |
| Napa, CACalifornia | $419.47 | $305.02 |
| Oxnard, CACalifornia | $390.61 | $287.96 |
| Redding, CACalifornia | $369.64 | $274.46 |
| Rest of CaliforniaCalifornia | $369.64 | $274.46 |
| Riverside, CACalifornia | $378.13 | $282.96 |
| Sacramento, CACalifornia | $385.59 | $284.59 |
| Salinas, CACalifornia | $384.12 | $283.47 |
| San Diego, CACalifornia | $391.54 | $287.68 |
| Marin County, CACalifornia | $440.87 | $318.43 |
| San Francisco, CACalifornia | $439.98 | $317.53 |
| San Benito County, CACalifornia | $451.32 | $326.09 |
| Santa Clara County, CACalifornia | $447.65 | $322.42 |
| San Luis Obispo, CACalifornia | $378.24 | $279.33 |
| Santa Cruz, CACalifornia | $393.98 | $288.47 |
| Santa Maria, CACalifornia | $385.11 | $283.86 |
| Santa Rosa, CACalifornia | $397.79 | $291.14 |
| Stockton, CACalifornia | $369.64 | $274.46 |
| Vallejo, CACalifornia | $418.18 | $303.72 |
| Visalia, CACalifornia | $369.64 | $274.46 |
| Yuba City, CACalifornia | $369.64 | $274.46 |
| ColoradoColorado | $369.03 | $276.63 |
| ConnecticutConnecticut | $384.02 | $290.49 |
| DelawareDelaware | $356.00 | $270.20 |
| Fort Lauderdale, FLFlorida | $384.32 | $296.35 |
| Rest of FloridaFlorida | $364.87 | $281.84 |
| Atlanta, GAGeorgia | $369.30 | $281.07 |
| Rest of GeorgiaGeorgia | $343.85 | $266.39 |
| Hawaii, Guam, HIHawaii | $376.70 | $277.96 |
| IowaIowa | $327.48 | $248.02 |
| IdahoIdaho | $330.48 | $250.59 |
| East St. Louis, ILIllinois | $371.15 | $291.25 |
| Rest of IllinoisIllinois | $357.85 | $278.56 |
| Suburban Chicago, ILIllinois | $387.11 | $297.92 |
| IndianaIndiana | $332.23 | $251.72 |
| KansasKansas | $328.10 | $249.60 |
| KentuckyKentucky | $335.94 | $258.74 |
| New Orleans, LALouisiana | $352.18 | $270.46 |
| Rest of LouisianaLouisiana | $336.28 | $259.42 |
| Metropolitan Boston, MAMassachusetts | $401.80 | $298.11 |
| Rest of MassachusettsMassachusetts | $367.79 | $276.34 |
| Baltimore area, MDMaryland | $383.40 | $290.22 |
| Rest of MarylandMaryland | $361.97 | $274.09 |
| Rest of MaineMaine | $334.42 | $254.52 |
| Southern Maine, MEMaine | $348.86 | $262.80 |
| Detroit, MIMichigan | $371.49 | $287.69 |
| Rest of MichiganMichigan | $346.39 | $267.11 |
| MinnesotaMinnesota | $347.62 | $258.26 |
| Metropolitan Kansas City, MOMissouri | $347.58 | $266.04 |
| Metropolitan St. Louis, MOMissouri | $350.85 | $268.17 |
| Rest of MissouriMissouri | $332.10 | $257.24 |
| MississippiMississippi | $325.70 | $250.93 |
| MontanaMontana | $360.34 | $273.50 |
| North CarolinaNorth Carolina | $337.47 | $256.44 |
| North DakotaNorth Dakota | $344.72 | $257.88 |
| NebraskaNebraska | $328.58 | $248.42 |
| New HampshireNew Hampshire | $365.30 | $274.90 |
| Northern New JerseyNew Jersey | $402.64 | $301.90 |
| Rest of New JerseyNew Jersey | $386.72 | $291.89 |
| New MexicoNew Mexico | $349.09 | $269.46 |
| NevadaNevada | $356.19 | $269.26 |
| NYC suburbs and Long Island, NYNew York | $429.39 | $326.14 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $390.97 | $295.88 |
| Queens, NYNew York | $417.04 | $314.40 |
| Rest of New YorkNew York | $342.56 | $260.06 |
| OhioOhio | $343.20 | $263.91 |
| OklahomaOklahoma | $333.10 | $255.55 |
| Portland, OROregon | $377.99 | $281.51 |
| Rest of OregonOregon | $351.76 | $265.26 |
| Metropolitan Philadelphia, PAPennsylvania | $376.10 | $285.70 |
| Rest of PennsylvaniaPennsylvania | $342.54 | $262.82 |
| Puerto RicoPuerto Rico | $362.20 | $274.40 |
| Rhode IslandRhode Island | $366.69 | $276.98 |
| South CarolinaSouth Carolina | $341.23 | $260.99 |
| TennesseeTennessee | $329.97 | $251.03 |
| Austin, TXTexas | $369.26 | $277.38 |
| Beaumont, TXTexas | $340.52 | $261.49 |
| Brazoria, TXTexas | $353.86 | $267.80 |
| Dallas, TXTexas | $357.05 | $270.56 |
| Fort Worth, TXTexas | $355.40 | $269.77 |
| Galveston, TXTexas | $355.53 | $269.29 |
| Houston, TXTexas | $369.99 | $283.75 |
| Rest of TexasTexas | $347.63 | $265.22 |
| UtahUtah | $345.70 | $264.07 |
| VirginiaVirginia | $349.24 | $263.87 |
| Virgin Islands, VIUnited States Virgin Islands | $362.20 | $274.40 |
| VermontVermont | $345.36 | $259.39 |
| Rest of WashingtonWashington | $366.43 | $274.99 |
| King County, WAWashington | $407.68 | $301.12 |
| WisconsinWisconsin | $333.73 | $250.54 |
| West VirginiaWest Virginia | $345.56 | $270.09 |
| WyomingWyoming | $353.54 | $266.69 |
57520 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$319.39
$428.52
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $428.52 | 1 |
| AL | $323.93 | 1 |
| AR | $319.39 | 1 |
| AZ | $350.39 | 1 |
| CA | $369.64–$451.32 | 29 |
| CO | $369.03 | 1 |
| CT | $384.02 | 1 |
| DC | $406.22 | 1 |
| DE | $356.00 | 1 |
| FL | $364.87–$408.94 | 3 |
| GA | $343.85–$369.30 | 2 |
| GU | $376.70 | 1 |
| HI | $376.70 | 1 |
| IA | $327.48 | 1 |
| ID | $330.48 | 1 |
| IL | $357.85–$396.50 | 4 |
| IN | $332.23 | 1 |
| KS | $328.10 | 1 |
| KY | $335.94 | 1 |
| LA | $336.28–$352.18 | 2 |
| MA | $367.79–$401.80 | 2 |
| MD | $361.97–$406.22 | 3 |
| ME | $334.42–$348.86 | 2 |
| MI | $346.39–$371.49 | 2 |
| MN | $347.62 | 1 |
| MO | $332.10–$350.85 | 3 |
| MS | $325.70 | 1 |
| MT | $360.34 | 1 |
| NC | $337.47 | 1 |
| ND | $344.72 | 1 |
| NE | $328.58 | 1 |
| NH | $365.30 | 1 |
| NJ | $386.72–$402.64 | 2 |
| NM | $349.09 | 1 |
| NV | $356.19 | 1 |
| NY | $342.56–$429.39 | 5 |
| OH | $343.20 | 1 |
| OK | $333.10 | 1 |
| OR | $351.76–$377.99 | 2 |
| PA | $342.54–$376.10 | 2 |
| PR | $362.20 | 1 |
| RI | $366.69 | 1 |
| SC | $341.23 | 1 |
| SD | $342.87 | 1 |
| TN | $329.97 | 1 |
| TX | $340.52–$369.99 | 8 |
| UT | $345.70 | 1 |
| VA | $349.24–$406.22 | 2 |
| VI | $362.20 | 1 |
| VT | $345.36 | 1 |
| WA | $366.43–$407.68 | 2 |
| WI | $333.73 | 1 |
| WV | $345.56 | 1 |
| WY | $353.54 | 1 |
How the 57520 rate is calculated
Each of 57520’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 · 57520
RVUs × geographic indexes × conversion factor
Work4.01
4.01 RVUs× 1.000 GPCI
Practice expense5.99
5.99 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
10.7900
Conversion factor
$33.4009
Medicare rate
$360.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,503
- Code
- 57520
- Physician work
- 4.01
- Practice expense
- 5.99
- Malpractice
- 0.79
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.01 | × 1.000 | 4.0100 |
| Practice expense | 5.99 | × 1.000 | 5.9900 |
| Malpractice | 0.79 | × 0.336 | 0.2654 |
| Total RVUs | 10.2654 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$342.87
Office: (4.01 × 1 + 5.99 × 1 + 0.79 × 0.336) × $33.4009 = $342.87
Facility: (4.01 × 1 + 3.39 × 1 + 0.79 × 0.336) × $33.4009 = $256.03
Payment rules and modifiers for 57520
57520 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57520
Cervical cone, non-loop excision
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 57520
Cervical cone, non-loop excision
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
57520 without 51 · national office
$360.40
Cervical cone, non-loop excision
57520-51 · Second procedure: 50%
$180.20
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%).
How 57520 has changed in South Dakota
57520 · Office / nonfacility
$342.87
Effective 2026-10-01
The base rate is $13.14 higher than on 2025-10-01, moving from $329.73 to $342.87 (4.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$329.73changed to$342.87
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.11 changed to 4.01
- Practice expense RVU 5.82 changed to 5.99
- Malpractice RVU 0.69 changed to 0.79
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$342.44changed to$329.73
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.91 changed to 5.82
- Malpractice RVU 0.70 changed to 0.69
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$336.85changed to$342.44
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$346.80changed to$336.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.88 changed to 5.91
- Malpractice RVU 0.67 changed to 0.70
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$352.26changed to$346.80
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.84 changed to 5.88
- Malpractice RVU 0.66 changed to 0.67
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$344.47changed to$352.26
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.54 changed to 5.84
- Malpractice RVU 0.64 changed to 0.66
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$331.73changed to$344.47
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.85 changed to 5.54
- Malpractice RVU 0.63 changed to 0.64
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$316.91changed to$331.73
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.45 changed to 4.85
- Malpractice RVU 0.60 changed to 0.63
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$302.02changed to$316.91
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.05 changed to 4.45
- Malpractice RVU 0.59 changed to 0.60
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$301.00changed to$302.02
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.04 changed to 4.05
- Malpractice RVU 0.60 changed to 0.59
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$299.18changed to$301.00
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.01 changed to 4.04
- Malpractice RVU 0.59 changed to 0.60
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$299.83changed to$299.18
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.99 changed to 4.01
- Malpractice RVU 0.61 changed to 0.59
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$298.34changed to$299.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$299.85changed to$298.34
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.65 changed to 0.61
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$298.51changed to$299.85
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.37 changed to 3.99
- Malpractice RVU 0.68 changed to 0.65
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $298.51
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $342.87 | $256.03 | RVU26D |
| 2026-07-01 | $342.87 | $256.03 | RVU26C |
| 2026-04-01 | $342.87 | $256.03 | RVU26B |
| 2026-01-01 | $342.87 | $256.03 | RVU26A |
| 2025-10-01 | $329.73 | $277.00 | RVU25D |
| 2025-07-01 | $329.73 | $277.00 | RVU25C |
| 2025-04-01 | $329.73 | $277.00 | RVU25B |
| 2025-01-01 | $329.73 | $277.00 | RVU25A |
| 2024-10-01 | $342.44 | $285.19 | RVU24D |
| 2024-07-01 | $342.44 | $285.19 | RVU24C |
| 2024-04-01 | $342.44 | $285.19 | RVU24B |
| 2024-03-09 | $342.44 | $285.19 | RVU24AR |
| 2024-01-01 | $336.85 | $280.53 | RVU24A |
| 2023-10-01 | $346.80 | $287.83 | RVU23D |
| 2023-07-01 | $346.80 | $287.83 | RVU23C |
| 2023-04-01 | $346.80 | $287.83 | RVU23B |
| 2023-01-01 | $346.80 | $287.83 | RVU23A |
| 2022-10-01 | $352.26 | $290.31 | RVU22D |
| 2022-07-01 | $352.26 | $290.31 | RVU22C |
| 2022-04-01 | $352.26 | $290.31 | RVU22B |
| 2022-01-01 | $352.26 | $290.31 | RVU22A |
| 2021-10-01 | $344.47 | $286.54 | RVU21D |
| 2021-07-01 | $344.47 | $286.54 | RVU21C |
| 2021-04-01 | $344.47 | $286.54 | RVU21B |
| 2021-01-01 | $344.47 | $286.54 | RVU21A |
| 2020-10-01 | $331.73 | $282.65 | RVU20D |
| 2020-07-01 | $331.73 | $282.65 | RVU20C |
| 2020-04-01 | $331.73 | $282.65 | RVU20B |
| 2020-01-01 | $331.73 | $282.65 | RVU20A |
| 2019-10-01 | $316.91 | $275.82 | RVU19D |
| 2019-07-01 | $316.91 | $275.82 | RVU19C |
| 2019-04-01 | $316.91 | $275.82 | RVU19B |
| 2019-01-01 | $316.91 | $275.82 | RVU19A |
| 2018-10-01 | $302.02 | $269.26 | RVU18D |
| 2018-07-01 | $302.02 | $269.26 | RVU18C |
| 2018-04-01 | $302.02 | $269.26 | RVU18B |
| 2018-01-01 | $302.02 | $269.26 | RVU18AR1 |
| 2017-10-01 | $301.00 | $269.42 | RVU17D |
| 2017-07-01 | $301.00 | $269.42 | RVU17C |
| 2017-04-01 | $301.00 | $269.42 | RVU17B |
| 2017-01-01 | $301.00 | $269.42 | RVU17A |
| 2016-10-01 | $299.18 | $267.67 | RVU16D |
| 2016-07-01 | $299.18 | $267.67 | RVU16C |
| 2016-04-01 | $299.18 | $267.67 | RVU16B |
| 2016-01-01 | $299.18 | $267.67 | RVU16A |
| 2015-10-01 | $299.83 | $268.57 | RVU15D |
| 2015-07-01 | $299.83 | $268.57 | RVU15C |
| 2015-04-01 | $298.34 | $267.23 | RVU15B |
| 2015-01-01 | $298.34 | $267.23 | RVU15A |
| 2014-10-01 | $299.85 | $268.69 | RVU14D |
| 2014-07-01 | $299.85 | $268.69 | RVU14C |
| 2014-04-01 | $299.85 | $268.69 | RVU14B |
| 2014-01-01 | $299.85 | $268.69 | RVU14A |
| 2013-10-01 | $298.51 | $265.51 | RVU13D |
| 2013-07-01 | $298.51 | $265.51 | RVU13C |
| 2013-04-01 | $298.51 | $265.51 | RVU13B |
| 2013-01-01 | $298.51 | $265.51 | RVU13AR |
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
57520 billing questions
How does this differ from 57522?
Use 57520 for a non-loop cone excision, commonly performed with a cold knife. Code 57522 describes cone excision using a loop electrode.
Can endocervical curettage be billed separately?
Curettage performed as part of the cone service is included in the code’s scope. Do not separately report the same-session curettage as a distinct service merely because it is documented.
When is 57500 more appropriate?
Code 57500 describes a cervical biopsy rather than removal of a cone-shaped section. Choose 57520 when the surgeon performs the larger excisional cone.
What documentation supports 57520?
Document the clinical indication, non-loop excision method, tissue removed, and operative steps. The record should make clear that the service was a cone excision rather than a limited biopsy or loop procedure.
Does the procedure have a global period?
Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are 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
Show the CMS file lines behind this rate
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