CPT code 57556: Cervical stump surgery, with bowel repair2026 Medicare rate & RVUs

Medicare pays $522.72 for 57556 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 57556 covers

Code 57556 represents vaginal removal of a remaining cervix, or cervical stump, usually after a prior supracervical hysterectomy, in an operation that also repairs bowel. A gynecologic surgeon performs the stump excision in an operating room; the gynecologic surgeon or another surgical specialist may perform the bowel repair, depending on the operative findings. This is distinct from office biopsy, cautery, or excisional treatment of a cervix that remains in place.

Report the code when the operative record supports both removal of the cervical stump and bowel repair, not for stump removal alone or bowel repair alone. Documentation should identify the prior anatomy, indication, vaginal approach, excised stump, bowel defect and repair, and each surgeon’s work when multiple surgeons participate. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. The anatomy makes modifier 50 inappropriate.

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 57556 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

57556 rates by state

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

How the 57556 rate is calculated

Each of 57556’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 57556

57556 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

57556 compared with similar codes

How to choose

57550Cervical stump removalVaginal approach

Use 57550 for cervical stump removal without the bowel repair included in 57556.

57555Cervical stump surgeryVaginal wall repair

57555 pairs cervical stump removal with vaginal repair; 57556 is for the operation with bowel repair.

57545Cervical removalWith pelvic repair

57545 describes cervix removal with pelvic-floor repair. Choose 57556 when the documented repair is of bowel.

57530Cervix removalSimple trachelectomy

57530 is vaginal removal of the cervix, rather than removal of a cervical stump with bowel repair.

Codes related to 57556

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