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

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

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $699.13 for 57540 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$699.13Hospital or facility

Check a contract rate as a % of Medicare · 57540 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 57540 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 57540 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 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.

How New Mexico compares for 57540

Across 109 of 109 payment localities, the facility rate for 57540 runs from $636.04 in Arkansas to $894.56 in Alaska. New Mexico pays $699.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

57540 in New Mexico vs other payment areas
  1. New Mexico · this page$699.13
  2. Los Angeles, CA · California$726.98+$27.85
  3. Washington, DC area · District of Columbia$765.70+$66.57
  4. Miami, FL · Florida$823.51+$124.38
  5. Chicago, IL · Illinois$801.92+$102.79
  6. Manhattan, NY · New York$802.83+$103.70
  7. Alaska · Alaska$894.56+$195.43

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

Every other payment area

57540 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$642.96
ArkansasArkansas—$636.04
ArizonaArizona—$682.91
Bakersfield, CACalifornia—$696.67
Chico, CACalifornia—$690.27
El Centro, CACalifornia—$690.65
Fresno, CACalifornia—$690.27
Hanford, CACalifornia—$690.27

57540 rates by state

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

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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

See 57540 in every payment locality

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,507

Code
57540
Physician work
12.96
Practice expense
5.72
Malpractice
2.27

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 57540 in New Mexico
ComponentRVULocality factorAdjusted
Physician work12.96× 1.00012.9600
Practice expense5.72× 0.9175.2452
Malpractice2.27× 1.2012.7263
Total RVUs20.9315
Conversion factor× 33.4009

Facility rate, New Mexico$699.13

Facility: (12.96 × 1 + 5.72 × 0.917 + 2.27 × 1.201) × $33.4009 = $699.13

Open 57540 in the RVU calculator

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

How 57540 has changed in New Mexico

57540 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$699.13RVU26D
2026-07-01Not available in this setting$699.13RVU26C
2026-04-01Not available in this setting$699.13RVU26B
2026-01-01Not available in this setting$699.13RVU26A
2025-10-01Not available in this setting$758.58RVU25D
2025-07-01Not available in this setting$758.58RVU25C
2025-04-01Not available in this setting$758.58RVU25B
2025-01-01Not available in this setting$758.58RVU25A
2024-10-01Not available in this setting$781.86RVU24D
2024-07-01Not available in this setting$781.86RVU24C
2024-04-01Not available in this setting$781.86RVU24B
2024-03-09Not available in this setting$781.86RVU24AR
2024-01-01Not available in this setting$769.10RVU24A
2023-10-01Not available in this setting$791.12RVU23D
2023-07-01Not available in this setting$791.12RVU23C
2023-04-01Not available in this setting$791.12RVU23B
2023-01-01Not available in this setting$791.12RVU23A
2022-10-01Not available in this setting$800.19RVU22D
2022-07-01Not available in this setting$800.19RVU22C
2022-04-01Not available in this setting$800.19RVU22B
2022-01-01Not available in this setting$800.19RVU22A
2021-10-01Not available in this setting$798.75RVU21D
2021-07-01Not available in this setting$798.75RVU21C
2021-04-01Not available in this setting$798.75RVU21B
2021-01-01Not available in this setting$798.75RVU21A
2020-10-01Not available in this setting$815.02RVU20D
2020-07-01Not available in this setting$815.02RVU20C
2020-04-01Not available in this setting$815.02RVU20B
2020-01-01Not available in this setting$815.02RVU20A
2019-10-01Not available in this setting$789.26RVU19D
2019-07-01Not available in this setting$789.26RVU19C
2019-04-01Not available in this setting$784.32RVU19B
2019-01-01Not available in this setting$784.32RVU19A
2018-10-01Not available in this setting$782.31RVU18D
2018-07-01Not available in this setting$782.31RVU18C
2018-04-01Not available in this setting$782.31RVU18B
2018-01-01Not available in this setting$782.31RVU18AR1
2017-10-01Not available in this setting$861.99RVU17D
2017-07-01Not available in this setting$861.99RVU17C
2017-04-01Not available in this setting$861.99RVU17B
2017-01-01Not available in this setting$861.99RVU17A
2016-10-01Not available in this setting$784.09RVU16D
2016-07-01Not available in this setting$784.09RVU16C
2016-04-01Not available in this setting$784.09RVU16B
2016-01-01Not available in this setting$784.09RVU16A
2015-10-01Not available in this setting$807.60RVU15D
2015-07-01Not available in this setting$807.60RVU15C
2015-04-01Not available in this setting$803.58RVU15B
2015-01-01Not available in this setting$803.58RVU15A
2014-10-01Not available in this setting$794.53RVU14D
2014-07-01Not available in this setting$794.53RVU14C
2014-04-01Not available in this setting$794.53RVU14B
2014-01-01Not available in this setting$794.53RVU14A
2013-10-01Not available in this setting$771.52RVU13D
2013-07-01Not available in this setting$771.52RVU13C
2013-04-01Not available in this setting$771.52RVU13B
2013-01-01Not available in this setting$771.52RVU13AR

Price 57540 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

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)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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