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

Reports removal of the cervix with pelvic repair during the same operation, supported by an operative record documenting the work performed.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Idaho, Medicare pays $678.33 for 57545 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$678.33Hospital or facility

Check a contract rate as a % of Medicare · 57545 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 57545 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What 57545 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 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.

How Idaho compares for 57545

Across 109 of 109 payment localities, the facility rate for 57545 runs from $669.71 in Arkansas to $942.77 in Alaska. Idaho pays $678.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

57545 in Idaho vs other payment areas
  1. Idaho · this page$678.33
  2. Los Angeles, CA · California$764.27+$85.94
  3. Washington, DC area · District of Columbia$805.40+$127.07
  4. Miami, FL · Florida$867.63+$189.30
  5. Chicago, IL · Illinois$844.93+$166.60
  6. Manhattan, NY · New York$844.92+$166.59
  7. Alaska · Alaska$942.77+$264.44

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

Every other payment area

57545 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$676.96
ArkansasArkansas—$669.71
ArizonaArizona—$718.80
Bakersfield, CACalifornia—$732.63
Chico, CACalifornia—$725.83
El Centro, CACalifornia—$726.24
Fresno, CACalifornia—$725.83
Hanford, CACalifornia—$725.83

57545 rates by state

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

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
57545 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 57545 in every payment locality

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

Office or facility?

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.

The exact Idaho inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,508

Code
57545
Physician work
13.75
Practice expense
5.89
Malpractice
2.41

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Facility calculation for 57545 in Idaho
ComponentRVULocality factorAdjusted
Physician work13.75× 1.00013.7500
Practice expense5.89× 0.9205.4188
Malpractice2.41× 0.4731.1399
Total RVUs20.3087
Conversion factor× 33.4009

Facility rate, Idaho$678.33

Facility: (13.75 × 1 + 5.89 × 0.92 + 2.41 × 0.473) × $33.4009 = $678.33

Open 57545 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

How 57545 has changed in Idaho

57545 · 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$678.33RVU26D
2026-07-01Not available in this setting$678.33RVU26C
2026-04-01Not available in this setting$678.33RVU26B
2026-01-01Not available in this setting$678.33RVU26A
2025-10-01Not available in this setting$744.45RVU25D
2025-07-01Not available in this setting$744.45RVU25C
2025-04-01Not available in this setting$744.45RVU25B
2025-01-01Not available in this setting$744.45RVU25A
2024-10-01Not available in this setting$767.63RVU24D
2024-07-01Not available in this setting$767.63RVU24C
2024-04-01Not available in this setting$767.63RVU24B
2024-03-09Not available in this setting$767.63RVU24AR
2024-01-01Not available in this setting$755.10RVU24A
2023-10-01Not available in this setting$773.32RVU23D
2023-07-01Not available in this setting$773.32RVU23C
2023-04-01Not available in this setting$773.32RVU23B
2023-01-01Not available in this setting$773.32RVU23A
2022-10-01Not available in this setting$777.96RVU22D
2022-07-01Not available in this setting$777.96RVU22C
2022-04-01Not available in this setting$777.96RVU22B
2022-01-01Not available in this setting$777.96RVU22A
2021-10-01Not available in this setting$777.60RVU21D
2021-07-01Not available in this setting$777.60RVU21C
2021-04-01Not available in this setting$777.60RVU21B
2021-01-01Not available in this setting$777.60RVU21A
2020-10-01Not available in this setting$795.44RVU20D
2020-07-01Not available in this setting$795.44RVU20C
2020-04-01Not available in this setting$795.44RVU20B
2020-01-01Not available in this setting$795.44RVU20A
2019-10-01Not available in this setting$784.17RVU19D
2019-07-01Not available in this setting$784.17RVU19C
2019-04-01Not available in this setting$784.17RVU19B
2019-01-01Not available in this setting$784.17RVU19A
2018-10-01Not available in this setting$777.60RVU18D
2018-07-01Not available in this setting$777.60RVU18C
2018-04-01Not available in this setting$777.60RVU18B
2018-01-01Not available in this setting$777.60RVU18AR1
2017-10-01Not available in this setting$788.88RVU17D
2017-07-01Not available in this setting$788.88RVU17C
2017-04-01Not available in this setting$788.88RVU17B
2017-01-01Not available in this setting$788.88RVU17A
2016-10-01Not available in this setting$792.69RVU16D
2016-07-01Not available in this setting$792.69RVU16C
2016-04-01Not available in this setting$792.69RVU16B
2016-01-01Not available in this setting$792.69RVU16A
2015-10-01Not available in this setting$779.83RVU15D
2015-07-01Not available in this setting$779.83RVU15C
2015-04-01Not available in this setting$775.95RVU15B
2015-01-01Not available in this setting$775.95RVU15A
2014-10-01Not available in this setting$790.65RVU14D
2014-07-01Not available in this setting$790.65RVU14C
2014-04-01Not available in this setting$790.65RVU14B
2014-01-01Not available in this setting$790.65RVU14A
2013-10-01Not available in this setting$776.14RVU13D
2013-07-01Not available in this setting$776.14RVU13C
2013-04-01Not available in this setting$776.14RVU13B
2013-01-01Not available in this setting$776.14RVU13AR

Price 57545 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

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
RVUs for 57545PPRRVU2026_Oct_nonQPP.csv, line 6,508 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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