Billing code 57061: Vaginal lesion destructionMedicare rate & RVUs

Medicare pays $163.00 for 57061 nationally in the office and $105.55 in a hospital or facility. Local office rates run $143.47–$214.30.

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

What 57061 covers

This procedure destroys lesions on the vaginal lining rather than excising them for pathology. A gynecologist may use electrosurgery, cryotherapy, or another destructive technique to treat limited vaginal condyloma or abnormal vaginal tissue in an office or outpatient facility. The operative note should identify the vaginal location, the area treated, and the method used. Lesions on the vulva or cervix are not vaginal lesions for this code.

Choose 57061 for simple treatment; use 57065 when the vaginal lesion destruction is extensive. The code covers the treated vaginal lesion or lesions as a service, rather than assigning a unit to every spot. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for vaginal anatomy. CMS does not pay an assistant at surgery for this code and does not permit co-surgeons or team surgery.

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 57061 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

57061 rates by state

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

How the 57061 rate is calculated

Each of 57061’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 57061

57061 has a 10-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

57061 compared with similar codes

How to choose

57065Vaginal lesion destruction

Both codes cover destruction of vaginal lesions. Choose 57061 for simple treatment and 57065 when the documented treatment is extensive.

57100Vaginal biopsy

Choose 57100 when the service is a vaginal biopsy to obtain tissue for examination. Choose 57061 when the service destroys vaginal lesions.

57421Colposcopy

Code 57421 covers vaginal colposcopy with biopsy for diagnostic evaluation. Code 57061 covers therapeutic destruction of vaginal lesions.

Codes related to 57061

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