CPT code 57531: Radical trachelectomy, vaginal approach2026 Medicare rate & RVUs in Delaware
Radical vaginal trachelectomy removes the cervix with adjacent supporting tissue and upper vagina, typically to treat selected cervical cancers while preserving the uterine body.
In Delaware, Medicare pays $1,602.43 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.
On this page 11 sections
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 Delaware 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. Delaware pays $1,602.43. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,602.43
- Los Angeles, CA · California$1,631.28+$28.85
- Washington, DC area · District of Columbia$1,782.75+$180.32
- Miami, FL · Florida$2,125.98+$523.55
- Chicago, IL · Illinois$2,047.15+$444.72
- Manhattan, NY · New York$1,935.02+$332.59
- Alaska · Alaska$2,002.86+$400.43
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,454.35 |
| ArkansasArkansas | — | $1,432.87 |
| ArizonaArizona | — | $1,577.54 |
| Bakersfield, CACalifornia | — | $1,562.59 |
| Chico, CACalifornia | — | $1,537.79 |
| El Centro, CACalifornia | — | $1,539.36 |
| Fresno, CACalifornia | — | $1,537.79 |
| Hanford, CACalifornia | — | $1,537.79 |
| Madera, CACalifornia | — | $1,537.79 |
| Merced, CACalifornia | — | $1,537.79 |
| Modesto, CACalifornia | — | $1,537.79 |
| Napa, CACalifornia | — | $1,650.49 |
| Oxnard, CACalifornia | — | $1,605.42 |
| Redding, CACalifornia | — | $1,537.79 |
| Rest of CaliforniaCalifornia | — | $1,537.79 |
| Riverside, CACalifornia | — | $1,637.98 |
| Sacramento, CACalifornia | — | $1,579.44 |
| Salinas, CACalifornia | — | $1,573.18 |
| San Diego, CACalifornia | — | $1,586.85 |
| Marin County, CACalifornia | — | $1,698.11 |
| San Francisco, CACalifornia | — | $1,687.47 |
| San Benito County, CACalifornia | — | $1,747.88 |
| Santa Clara County, CACalifornia | — | $1,704.37 |
| San Luis Obispo, CACalifornia | — | $1,552.63 |
| Santa Cruz, CACalifornia | — | $1,582.75 |
| Santa Maria, CACalifornia | — | $1,572.67 |
| Santa Rosa, CACalifornia | — | $1,596.01 |
| Stockton, CACalifornia | — | $1,537.79 |
| Vallejo, CACalifornia | — | $1,635.15 |
| Visalia, CACalifornia | — | $1,537.79 |
| Yuba City, CACalifornia | — | $1,537.79 |
| ColoradoColorado | — | $1,598.55 |
| ConnecticutConnecticut | — | $1,745.10 |
| Fort Lauderdale, FLFlorida | — | $1,890.67 |
| Rest of FloridaFlorida | — | $1,775.54 |
| Atlanta, GAGeorgia | — | $1,704.66 |
| Rest of GeorgiaGeorgia | — | $1,656.13 |
| Hawaii, Guam, HIHawaii | — | $1,548.81 |
| IowaIowa | — | $1,415.26 |
| IdahoIdaho | — | $1,440.77 |
| East St. Louis, ILIllinois | — | $1,923.05 |
| Rest of IllinoisIllinois | — | $1,779.49 |
| Suburban Chicago, ILIllinois | — | $1,891.06 |
| IndianaIndiana | — | $1,447.25 |
| KansasKansas | — | $1,444.95 |
| KentuckyKentucky | — | $1,568.40 |
| New Orleans, LALouisiana | — | $1,655.51 |
| Rest of LouisianaLouisiana | — | $1,580.48 |
| Metropolitan Boston, MAMassachusetts | — | $1,705.80 |
| Rest of MassachusettsMassachusetts | — | $1,603.66 |
| Baltimore area, MDMaryland | — | $1,748.27 |
| Rest of MarylandMaryland | — | $1,621.53 |
| Rest of MaineMaine | — | $1,487.40 |
| Southern Maine, MEMaine | — | $1,514.71 |
| Detroit, MIMichigan | — | $1,835.92 |
| Rest of MichiganMichigan | — | $1,643.66 |
| MinnesotaMinnesota | — | $1,422.98 |
| Metropolitan Kansas City, MOMissouri | — | $1,605.06 |
| Metropolitan St. Louis, MOMissouri | — | $1,617.37 |
| Rest of MissouriMissouri | — | $1,577.55 |
| MississippiMississippi | — | $1,503.66 |
| MontanaMontana | — | $1,632.68 |
| North CarolinaNorth Carolina | — | $1,497.21 |
| North DakotaNorth Dakota | — | $1,447.40 |
| NebraskaNebraska | — | $1,412.07 |
| New HampshireNew Hampshire | — | $1,608.33 |
| Northern New JerseyNew Jersey | — | $1,771.24 |
| Rest of New JerseyNew Jersey | — | $1,734.42 |
| New MexicoNew Mexico | — | $1,667.57 |
| NevadaNevada | — | $1,581.38 |
| NYC suburbs and Long Island, NYNew York | — | $2,029.15 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,775.69 |
| Queens, NYNew York | — | $1,896.85 |
| Rest of New YorkNew York | — | $1,523.10 |
| OhioOhio | — | $1,605.79 |
| OklahomaOklahoma | — | $1,526.59 |
| Portland, OROregon | — | $1,607.09 |
| Rest of OregonOregon | — | $1,538.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,725.41 |
| Rest of PennsylvaniaPennsylvania | — | $1,587.80 |
| Puerto RicoPuerto Rico | — | $1,632.40 |
| Rhode IslandRhode Island | — | $1,629.42 |
| South CarolinaSouth Carolina | — | $1,560.14 |
| South DakotaSouth Dakota | — | $1,425.49 |
| TennesseeTennessee | — | $1,457.00 |
| Austin, TXTexas | — | $1,619.59 |
| Beaumont, TXTexas | — | $1,580.03 |
| Brazoria, TXTexas | — | $1,569.15 |
| Dallas, TXTexas | — | $1,596.26 |
| Fort Worth, TXTexas | — | $1,596.88 |
| Galveston, TXTexas | — | $1,584.86 |
| Houston, TXTexas | — | $1,756.37 |
| Rest of TexasTexas | — | $1,585.35 |
| UtahUtah | — | $1,580.68 |
| VirginiaVirginia | — | $1,535.43 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,632.40 |
| VermontVermont | — | $1,475.25 |
| Rest of WashingtonWashington | — | $1,589.47 |
| King County, WAWashington | — | $1,703.12 |
| WisconsinWisconsin | — | $1,402.24 |
| West VirginiaWest Virginia | — | $1,722.99 |
| WyomingWyoming | — | $1,551.93 |
57531 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
How the rate is built · 57531
RVUs × geographic indexes × conversion factor
Work29.20
29.20 RVUs× 1.000 GPCI
Practice expense10.33
10.33 RVUs× 1.000 GPCI
Malpractice9.37
9.37 RVUs× 1.000 GPCI
Adjusted RVUs
48.9000
Conversion factor
$33.4009
Medicare rate
$1,633.30
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,506
- Code
- 57531
- Physician work
- 29.20
- Practice expense
- 10.33
- Malpractice
- 9.37
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.20 | × 1.005 | 29.3460 |
| Practice expense | 10.33 | × 0.988 | 10.2060 |
| Malpractice | 9.37 | × 0.899 | 8.4236 |
| Total RVUs | 47.9757 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1602.43
Facility: (29.2 × 1.005 + 10.33 × 0.988 + 9.37 × 0.899) × $33.4009 = $1602.43
Payment rules and modifiers for 57531
57531 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57531
Radical trachelectomy, vaginal approach
| 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) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 57531
Radical trachelectomy, vaginal approach
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
57531 without 51 · national facility
$1,633.30
Radical trachelectomy, vaginal approach
57531-51 · Second procedure: 50%
$816.65
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 57531 has changed in Delaware
57531 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,602.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,602.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,602.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,602.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,770.59 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,770.59 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,770.59 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,770.59 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,827.54 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,827.54 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,827.54 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,827.54 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,797.71 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,853.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,853.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,853.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,853.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,874.53 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,874.53 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,874.53 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,874.53 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,872.17 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,872.17 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,872.17 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,872.17 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,934.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,934.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,934.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,934.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,757.67 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,757.67 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,757.67 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,757.67 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,746.39 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,746.39 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,746.39 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,746.39 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,950.78 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,950.78 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,950.78 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,950.78 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,930.58 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,930.58 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,930.58 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,930.58 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,960.19 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,960.19 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,950.43 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,950.43 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,840.01 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,840.01 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,840.01 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,840.01 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,753.23 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,753.23 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,753.23 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,753.23 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
57531 billing questions
How is this different from 57530?
57531 represents a radical vaginal operation that includes surrounding parametrial tissue and upper vagina. 57530 is a nonradical cervical amputation.
When would 57545 be used instead?
57545 describes radical trachelectomy by an abdominal approach. Choose between the codes based on the operative approach documented.
Does modifier 50 increase payment?
No. CMS pricing treats 57531 as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What operative documentation supports 57531?
Document the vaginal approach and the radical extent of resection, including removal of the cervix with adjacent parametrial tissue and upper vagina.
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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