CPT code 57531: Radical trachelectomy, vaginal approach2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,782.75 for 57531 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 57531 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 57531 covers

This operation removes the cervix along with surrounding parametrial tissue and a portion of the upper vagina through a vaginal approach. Gynecologic oncologists typically perform it in an operating room for selected patients with early cervical cancer when preserving the uterine body is part of the treatment plan. The operative report should establish the radical extent of the resection and the vaginal approach, rather than a simple cervical amputation or a limited excision for diagnosis or dysplasia.

Report the service when the documented procedure matches that radical vaginal operation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS pricing treats this code as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; 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.

How Washington, DC area compares for 57531

Across 109 of 109 payment localities, the facility rate for 57531 runs from $1,402.24 in Wisconsin to $2,125.98 in Miami, FL. Washington, DC area pays $1,782.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57531 rates by state

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

See 57531 in every payment locality

How the 57531 rate is calculated

Each of 57531’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 57531

57531 has a 90-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 57531

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

How 57531 has changed in Washington, DC area

Price 57531 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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