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

In Puerto Rico, Medicare pays $700.71 for 57540 in a facility. There’s no office rate.

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.

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 Puerto Rico 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. Puerto Rico pays $700.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

57540 rates by state

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

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.

Payment rules and modifiers for 57540

57540 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 57540

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

How 57540 has changed in Puerto Rico

Price 57540 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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