CPT code 57545: Cervical removal, with pelvic repair2026 Medicare rate & RVUs in Guam
Reports removal of the cervix with pelvic repair during the same operation, supported by an operative record documenting the work performed.
CMS doesn’t publish an office rate for 57545 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
57545 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | $729.55 |
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.
How the rate is built · 57545
RVUs × geographic indexes × conversion factor
Work13.75
13.75 RVUs× 1.000 GPCI
Practice expense5.89
5.89 RVUs× 1.000 GPCI
Malpractice2.41
2.41 RVUs× 1.000 GPCI
Adjusted RVUs
22.0500
Conversion factor
$33.4009
Medicare rate
$736.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57545
57545 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57545
Cervical removal, with pelvic repair
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 57545
Cervical removal, with pelvic repair
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
57545 without 51 · national facility
$736.49
Cervical removal, with pelvic repair
57545-51 · Second procedure: 50%
$368.25
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%).
57545 compared with similar codes
Compare codes · National
4 codes, side by side
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.
57545 billing questions
How is this different from cervical removal without pelvic repair?
Use this code when the operative documentation supports cervical removal with pelvic repair. A removal-only service does not capture that combined work.
What documentation supports reporting this code?
The operative report should identify the cervical removal, the pelvic repair performed, and the surgical approach and extent. The documented work must support both parts of the service.
Can another procedure be reported during the same session?
Separately performed procedures may be reported when supported by the record. Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and others are reduced when performed in the same session.
Can modifier 50 be used?
No. The anatomy and descriptor make modifier 50 inappropriate for this service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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