CPT code 57545: Cervical removal, with pelvic repair2026 Medicare rate & RVUs

Medicare pays $736.49 for 57545 nationally in a facility.

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

What 57545 covers

This code describes an operation that removes the cervix and includes repair in the pelvis. The gynecologic surgeon documents the operative approach, the extent of cervical removal, and the pelvic repair performed. The specific indication and anatomy should be clear from the operative report; the code is not a substitute for a more limited cervical biopsy, cautery, or conization service.

Report the code when the documented operation matches cervical removal with pelvic repair, rather than removal alone or repair alone. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; 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 57545 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

57545 rates by state

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

How the 57545 rate is calculated

Each of 57545’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 57545

57545 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

57545 compared with similar codes

How to choose

57530Cervix removalSimple trachelectomy

This code includes pelvic repair with cervical removal. Code 57530 describes cervical removal without that combined pelvic repair.

57531Radical trachelectomyVaginal approach

Code 57531 describes radical cervical removal by a vaginal approach. Choose based on the documented extent and approach, not on the diagnosis alone.

57540Cervical stump removalAbdominal approach

Code 57540 describes abdominal cervical removal. This code is distinguished by the documented pelvic repair performed with the removal.

Codes related to 57545

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

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