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CPT code 57558: D&C, cervical stump2026 Medicare rate & RVUs in Delaware

Report this procedure when a clinician dilates and curettes the retained cervical stump, commonly to obtain tissue for evaluation of bleeding after supracervical hysterectomy.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Delaware, Medicare pays $147.93 for 57558 in the office and $112.62 when it’s performed in a hospital or facility.

$147.93Office (non-facility)
$112.62Hospital or facility
−1.1%vs the national office rate ($149.64)

Check a contract rate as a % of Medicare · 57558 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 57558 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 57558 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 57558 covers

A gynecologist dilates the canal of the cervical stump—the cervix left in place after a supracervical hysterectomy—and curettes tissue from it. The procedure may be performed when bleeding or another finding calls for tissue sampling from the retained stump. The specimen can be submitted for pathologic examination. It is distinct from curettage of a uterine cavity, which is not present after removal of the uterine body.

Report 57558 when the operative documentation supports dilation and curettage of the cervical stump, rather than a limited cervical biopsy or endocervical curettage. Document the prior supracervical hysterectomy, indication, site, and work performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed 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; Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are 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 Delaware compares for 57558

Across 109 of 109 payment localities, the office rate for 57558 runs from $133.12 in Arkansas to $188.37 in San Benito County, CA. Delaware pays $147.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

57558 in Delaware vs other payment areas
  1. Delaware · this page$147.93
  2. Los Angeles, CA · California$164.02+$16.09
  3. Washington, DC area · District of Columbia$168.68+$20.75
  4. Miami, FL · Florida$167.88+$19.95
  5. Chicago, IL · Illinois$162.99+$15.06
  6. Manhattan, NY · New York$172.48+$24.55
  7. Alaska · Alaska$178.79+$30.86

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

Every other payment area

57558 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$134.95$103.68
ArkansasArkansas$133.12$102.42
ArizonaArizona$145.64$111.01
Bakersfield, CACalifornia$154.96$115.79
Chico, CACalifornia$154.14$114.97
El Centro, CACalifornia$154.19$115.02
Fresno, CACalifornia$154.14$114.97
Hanford, CACalifornia$154.14$114.97

57558 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$133.12

$178.79

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
57558 office rate range by state
State / territoryOffice rate rangeLocalities
AK$178.791
AL$134.951
AR$133.121
AZ$145.641
CA$154.14–$188.3729
CO$153.551
CT$159.251
DC$168.681
DE$147.931
FL$150.82–$167.883
GA$142.44–$153.092
GU$157.041
HI$157.041
IA$136.671
ID$137.821
IL$147.80–$162.994
IN$138.541
KS$136.781
KY$139.511
LA$139.59–$146.012
MA$153.01–$167.142
MD$150.41–$168.683
ME$139.27–$145.312
MI$143.59–$153.352
MN$145.251
MO$137.81–$145.633
MS$135.451
MT$149.621
NC$140.521
ND$143.881
NE$137.161
NH$151.861
NJ$160.53–$167.242
NM$144.621
NV$148.101
NY$142.57–$177.375
OH$142.421
OK$138.511
OR$146.42–$157.362
PA$142.23–$155.952
PR$150.411
RI$152.421
SC$141.811
SD$143.201
TN$137.521
TX$141.40–$153.518
UT$143.621
VA$145.36–$168.682
VI$150.411
VT$144.011
WA$152.49–$169.702
WI$139.411
WV$142.831
WY$147.121

See 57558 in every payment locality

How the 57558 rate is calculated

Each of 57558’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 · 57558

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.68

1.68 RVUs× 1.000 GPCI

Practice expense2.51

2.51 RVUs× 1.000 GPCI

Malpractice0.29

0.29 RVUs× 1.000 GPCI

Adjusted RVUs

4.4800

Conversion factor

$33.4009

Medicare rate

$149.64

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,512

Code
57558
Physician work
1.68
Practice expense
2.51
Malpractice
0.29

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 57558 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.68× 1.0051.6884
Practice expense2.51× 0.9882.4799
Malpractice0.29× 0.8990.2607
Total RVUs4.4290
Conversion factor× 33.4009

Office rate, Delaware$147.93

Office: (1.68 × 1.005 + 2.51 × 0.988 + 0.29 × 0.899) × $33.4009 = $147.93

Facility: (1.68 × 1.005 + 1.44 × 0.988 + 0.29 × 0.899) × $33.4009 = $112.62

Open 57558 in the RVU calculator

Payment rules and modifiers for 57558

57558 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57558

D&C, cervical stump

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57558

D&C, cervical stump

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57558 without 51 · national office

$149.64

D&C, cervical stump

57558-51 · Second procedure: 50%

$74.82

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

Codes related to 57558

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

Codes related to 57558
CodeHow it relatesOffice range, Delaware
Used instead
57505Cervical sampling, endocervical canalEndocervical curettage is a different sampling service when stump D&C is not performed.$147.21
57500Cervical biopsy, tissue sampling or lesion excisionCervical biopsy samples a localized area rather than curetting the cervical stump.$149.53
57520Cervical cone, non-loop excisionCervical conization removes a cone-shaped portion of tissue rather than curetting the stump.$356.00
57540Cervical stump removal, abdominal approachRemoval of residual cervix is a more definitive procedure than stump curettage.No office rate
57550Cervical stump removal, vaginal approachVaginal removal of residual cervix differs from curettage when stump excision is performed.No office rate

How 57558 has changed in Delaware

57558 · Office / nonfacility

$147.93

Effective 2026-10-01

The base rate is $4.40 lower than on 2025-10-01, moving from $152.33 to $147.93 (2.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $152.33changed to$147.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.72 changed to 1.68
    • Practice expense RVU 2.73 changed to 2.51
    • Malpractice RVU 0.28 changed to 0.29
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $159.06changed to$152.33

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.79 changed to 2.73
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $156.46changed to$159.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $162.48changed to$156.46

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.27 changed to 0.29
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $166.45changed to$162.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.77 changed to 2.79
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $159.66changed to$166.45

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.55 changed to 2.77
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $151.64changed to$159.66

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.15 changed to 2.55
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $139.53changed to$151.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.88 changed to 2.15
    • Malpractice RVU 0.20 changed to 0.27
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $128.74changed to$139.53

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.59 changed to 1.88

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $129.11changed to$128.74

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.60 changed to 1.59
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $129.14changed to$129.11

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $130.76changed to$129.14

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.61 changed to 1.60
    • Malpractice RVU 0.22 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $130.10changed to$130.76

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $130.66changed to$130.10

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.60 changed to 1.61
    • Malpractice RVU 0.28 changed to 0.22
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $128.01changed to$130.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.75 changed to 1.60
    • Malpractice RVU 0.29 changed to 0.28
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $128.01

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$147.93$112.62RVU26D
2026-07-01$147.93$112.62RVU26C
2026-04-01$147.93$112.62RVU26B
2026-01-01$147.93$112.62RVU26A
2025-10-01$152.33$124.74RVU25D
2025-07-01$152.33$124.74RVU25C
2025-04-01$152.33$124.74RVU25B
2025-01-01$152.33$124.74RVU25A
2024-10-01$159.06$129.67RVU24D
2024-07-01$159.06$129.67RVU24C
2024-04-01$159.06$129.67RVU24B
2024-03-09$159.06$129.67RVU24AR
2024-01-01$156.46$127.55RVU24A
2023-10-01$162.48$131.77RVU23D
2023-07-01$162.48$131.77RVU23C
2023-04-01$162.48$131.77RVU23B
2023-01-01$162.48$131.77RVU23A
2022-10-01$166.45$134.27RVU22D
2022-07-01$166.45$134.27RVU22C
2022-04-01$166.45$134.27RVU22B
2022-01-01$166.45$134.27RVU22A
2021-10-01$159.66$131.13RVU21D
2021-07-01$159.66$131.13RVU21C
2021-04-01$159.66$131.13RVU21B
2021-01-01$159.66$131.13RVU21A
2020-10-01$151.64$129.16RVU20D
2020-07-01$151.64$129.16RVU20C
2020-04-01$151.64$129.16RVU20B
2020-01-01$151.64$129.16RVU20A
2019-10-01$139.53$122.27RVU19D
2019-07-01$139.53$122.27RVU19C
2019-04-01$139.53$122.27RVU19B
2019-01-01$139.53$122.27RVU19A
2018-10-01$128.74$117.36RVU18D
2018-07-01$128.74$117.36RVU18C
2018-04-01$128.74$117.36RVU18B
2018-01-01$128.74$117.36RVU18AR1
2017-10-01$129.11$118.07RVU17D
2017-07-01$129.11$118.07RVU17C
2017-04-01$129.11$118.07RVU17B
2017-01-01$129.11$118.07RVU17A
2016-10-01$129.14$117.70RVU16D
2016-07-01$129.14$117.70RVU16C
2016-04-01$129.14$117.70RVU16B
2016-01-01$129.14$117.70RVU16A
2015-10-01$130.76$118.90RVU15D
2015-07-01$130.76$118.90RVU15C
2015-04-01$130.10$118.31RVU15B
2015-01-01$130.10$118.31RVU15A
2014-10-01$130.66$119.13RVU14D
2014-07-01$130.66$119.13RVU14C
2014-04-01$130.66$119.13RVU14B
2014-01-01$130.66$119.13RVU14A
2013-10-01$128.01$115.94RVU13D
2013-07-01$128.01$115.94RVU13C
2013-04-01$128.01$115.94RVU13B
2013-01-01$128.01$115.94RVU13AR

Price 57558 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

57558 billing questions

When should 57558 be chosen over endocervical curettage?

Use 57558 when the clinician dilates and curettes the cervical stump. Endocervical curettage, 57505, describes sampling the endocervical canal without the stump D&C service.

How is 57558 different from a cervical biopsy?

A cervical biopsy, such as 57500, samples a localized area. Report 57558 when the documented procedure is dilation and curettage of the retained cervical stump.

Are related postoperative visits separately reportable?

Related postoperative visits during the 10-day global period are included in 57558.

Can modifier 50 be used for this procedure?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this anatomy and service.

Can an assistant or co-surgeon be billed with 57558?

Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing are not permitted.

What documentation supports reporting 57558?

Document the prior supracervical hysterectomy and retained cervical stump, the reason for sampling, and the dilation and curettage actually 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

Show the CMS file lines behind this rate
RVUs for 57558PPRRVU2026_Oct_nonQPP.csv, line 6,512 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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