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CPT code 57540: Cervical stump removal, abdominal approach2026 Medicare rate & RVUs

Reports abdominal removal of a residual cervical stump, typically after supracervical hysterectomy, when the remaining cervix requires surgical excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $699.75 for 57540 nationally in a facility.

Medicare rate · 57540

Cervical stump removal, abdominal approach

Office or facility?

Work RVUs
12.96
Total RVUs
20.95
Global days
090

National rate · 2026

$699.75

Facility setting, before claim adjustments.

See every locality for 57540 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 57540 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 57540 covers

CPT 57540 represents abdominal excision of a residual cervix, or cervical stump, most commonly after a prior supracervical hysterectomy. A gynecologic surgeon performs the operation when the remaining cervix requires removal; the approach is abdominal rather than vaginal. The operative report should establish that the tissue removed is residual cervix and describe the abdominal route and surgical work performed.

Select this code for abdominal removal of a cervical stump, not for removal through the vagina or for a limited cervical biopsy or excisional procedure. Document the prior anatomy, indication, approach, and extent of excision. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple 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. Modifier 50 is inappropriate. 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.

Where 57540 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

57540 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$642.96
AlaskaUnavailable$894.56
ArizonaUnavailable$682.91
ArkansasUnavailable$636.04
Atlanta, GAUnavailable$719.34
Austin, TXUnavailable$703.05
Bakersfield, CAUnavailable$696.67
Baltimore area, MDUnavailable$738.59
Beaumont, TXUnavailable$677.17
Brazoria, TXUnavailable$684.81

57540 rates by state

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

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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
57540 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 57540 rate is calculated

Each of 57540’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 · 57540

RVUs × geographic indexes × conversion factor

Office or facility?

Work12.96

12.96 RVUs× 1.000 GPCI

Practice expense5.72

5.72 RVUs× 1.000 GPCI

Malpractice2.27

2.27 RVUs× 1.000 GPCI

Adjusted RVUs

20.9500

Conversion factor

$33.4009

Medicare rate

$699.75

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

Payment rules and modifiers for 57540

57540 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57540

Cervical stump removal, abdominal approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57540

Cervical stump removal, abdominal 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57540 without 51 · national facility

$699.75

Cervical stump removal, abdominal approach

57540-51 · Second procedure: 50%

$349.88

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

57540 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 57540

    Cervical stump removal, abdominal approach12.96 wRVU

    Not priced

  • 57550

    Cervical stump removal, vaginal approach6.18 wRVU

    Not priced

  • 57530

    Cervix removal, simple trachelectomy5.14 wRVU

    Not priced

  • 57558

    D&C, cervical stump1.68 wRVU

    $149.64

How to choose

57550Cervical stump removalVaginal approach
Use 57540 when the residual cervix is removed abdominally; use 57550 when removal is performed vaginally.
57530Cervix removalSimple trachelectomy
57530 describes cervical amputation by a vaginal approach, while 57540 concerns abdominal removal of a residual cervical stump.
57558D&CCervical stump
57558 is for dilation and curettage of a cervical stump; 57540 reports surgical removal of the stump.

Codes related to 57540

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

Codes related to 57540
CodeHow it relatesNational office range
Same family
57550Cervical stump removal, vaginal approachRemoval of residual cervix through a vaginal rather than abdominal approach.No office rate
57555Cervical stump surgery, vaginal wall repairResidual-cervix removal code involving repair of the vagina.No office rate
57556Cervical stump surgery, with bowel repairResidual-cervix removal code involving bowel repair.No office rate
Used instead
57530Cervix removal, simple trachelectomyCervical amputation for a cervix that is not described as a residual stump.No office rate
57558D&C, cervical stumpCervical-stump dilation and curettage rather than removal of the stump.$133.12–$188.37

57540 billing questions

How does 57540 differ from 57550?

57540 is for abdominal removal of the residual cervix. 57550 is the corresponding removal through a vaginal approach.

Can 57540 be reported for a cervical biopsy or conization?

No. It describes removal of a residual cervical stump, rather than a biopsy or a limited excisional procedure such as conization.

What documentation supports 57540?

The operative report should identify the residual cervix, establish the abdominal approach, and describe its excision and the relevant prior anatomy.

Is modifier 50 appropriate for 57540?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

How are other procedures in the same session paid?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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
RVUs for 57540PPRRVU2026_Oct_nonQPP.csv, line 6,507 (RVU26D)

Open CMS sourceHow we calculate rates

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