CPT code 57555: Cervical stump surgery, vaginal wall repair2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 57555 in California.

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

What 57555 covers

This operation removes a retained cervical stump, commonly after a prior supracervical hysterectomy, and includes repair of the vaginal wall. A gynecologic surgeon typically performs it in an operating room when excision of the stump and vaginal wall repair are both part of the operative treatment. It represents more than stump removal alone because the vaginal repair is included in the service.

Report the code when the operative documentation supports removal of the cervical stump and repair of the vaginal wall during the same procedure. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require 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 57555 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 57555 rate is calculated

Each of 57555’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 57555

57555 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

57555 compared with similar codes

How to choose

57550Cervical stump removalVaginal approach

Use 57550 for cervical stump removal without the vaginal wall repair described by 57555. The repair is the distinguishing service in 57555.

57556Cervical stump surgeryWith bowel repair

Both involve removal of a cervical stump, but 57556 includes intestinal repair rather than vaginal wall repair.

57545Cervical removalWith pelvic repair

57545 pairs cervical removal with pelvic floor repair. Choose 57555 when the documented repair is of the vaginal wall with cervical stump removal.

57530Cervix removalSimple trachelectomy

57530 describes radical vaginal removal of the cervix. 57555 is for removal of a cervical stump with vaginal wall repair, not the radical procedure.

Codes related to 57555

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