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

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 Mississippi, Medicare pays $135.45 for 57558 in the office and $104.68 when it’s performed in a hospital or facility.

$135.45Office (non-facility)
$104.68Hospital or facility
−9.5%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 Mississippi
  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 Mississippi 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. Mississippi pays $135.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

57558 in Mississippi vs other payment areas
  1. Mississippi · this page$135.45
  2. Los Angeles, CA · California$164.02+$28.57
  3. Washington, DC area · District of Columbia$168.68+$33.23
  4. Miami, FL · Florida$167.88+$32.43
  5. Chicago, IL · Illinois$162.99+$27.54
  6. Manhattan, NY · New York$172.48+$37.03
  7. Alaska · Alaska$178.79+$43.34

Other areas in Mississippi 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.

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 Mississippi 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

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 57558 in Mississippi
ComponentRVULocality factorAdjusted
Physician work1.68× 1.0001.6800
Practice expense2.51× 0.8612.1611
Malpractice0.29× 0.7390.2143
Total RVUs4.0554
Conversion factor× 33.4009

Office rate, Mississippi$135.45

Office: (1.68 × 1 + 2.51 × 0.861 + 0.29 × 0.739) × $33.4009 = $135.45

Facility: (1.68 × 1 + 1.44 × 0.861 + 0.29 × 0.739) × $33.4009 = $104.68

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

How 57558 has changed in Mississippi

57558 · Office / nonfacility

$135.45

Effective 2026-10-01

The base rate is $2.38 lower than on 2025-10-01, moving from $137.83 to $135.45 (1.7%).

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

    $137.83changed to$135.45

    • 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
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $143.80changed to$137.83

    • 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

    $141.45changed to$143.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $144.95changed to$141.45

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.27 changed to 0.29
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $146.51changed to$144.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.77 changed to 2.79
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $141.02changed to$146.51

    • 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

    $133.57changed to$141.02

    • 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
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $123.60changed to$133.57

    • 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
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $114.38changed to$123.60

    • 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

    $115.04changed to$114.38

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.60 changed to 1.59
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $115.47changed to$115.04

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $116.64changed to$115.47

    • 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

    $116.06changed to$116.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $118.08changed to$116.06

    • 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 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $117.59changed to$118.08

    • 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 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $117.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$135.45$104.68RVU26D
2026-07-01$135.45$104.68RVU26C
2026-04-01$135.45$104.68RVU26B
2026-01-01$135.45$104.68RVU26A
2025-10-01$137.83$114.13RVU25D
2025-07-01$137.83$114.13RVU25C
2025-04-01$137.83$114.13RVU25B
2025-01-01$137.83$114.13RVU25A
2024-10-01$143.80$118.55RVU24D
2024-07-01$143.80$118.55RVU24C
2024-04-01$143.80$118.55RVU24B
2024-03-09$143.80$118.55RVU24AR
2024-01-01$141.45$116.62RVU24A
2023-10-01$144.95$119.12RVU23D
2023-07-01$144.95$119.12RVU23C
2023-04-01$144.95$119.12RVU23B
2023-01-01$144.95$119.12RVU23A
2022-10-01$146.51$119.99RVU22D
2022-07-01$146.51$119.99RVU22C
2022-04-01$146.51$119.99RVU22B
2022-01-01$146.51$119.99RVU22A
2021-10-01$141.02$117.52RVU21D
2021-07-01$141.02$117.52RVU21C
2021-04-01$141.02$117.52RVU21B
2021-01-01$141.02$117.52RVU21A
2020-10-01$133.57$114.73RVU20D
2020-07-01$133.57$114.73RVU20C
2020-04-01$133.57$114.73RVU20B
2020-01-01$133.57$114.73RVU20A
2019-10-01$123.60$108.86RVU19D
2019-07-01$123.60$108.86RVU19C
2019-04-01$123.60$108.86RVU19B
2019-01-01$123.60$108.86RVU19A
2018-10-01$114.38$104.67RVU18D
2018-07-01$114.38$104.67RVU18C
2018-04-01$114.38$104.67RVU18B
2018-01-01$114.38$104.67RVU18AR1
2017-10-01$115.04$105.71RVU17D
2017-07-01$115.04$105.71RVU17C
2017-04-01$115.04$105.71RVU17B
2017-01-01$115.04$105.71RVU17A
2016-10-01$115.47$105.88RVU16D
2016-07-01$115.47$105.88RVU16C
2016-04-01$115.47$105.88RVU16B
2016-01-01$115.47$105.88RVU16A
2015-10-01$116.64$106.70RVU15D
2015-07-01$116.64$106.70RVU15C
2015-04-01$116.06$106.17RVU15B
2015-01-01$116.06$106.17RVU15A
2014-10-01$118.08$108.48RVU14D
2014-07-01$118.08$108.48RVU14C
2014-04-01$118.08$108.48RVU14B
2014-01-01$118.08$108.48RVU14A
2013-10-01$117.59$107.57RVU13D
2013-07-01$117.59$107.57RVU13C
2013-04-01$117.59$107.57RVU13B
2013-01-01$117.59$107.57RVU13AR

Price 57558 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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 MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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