Billing code 57065: Vaginal lesion destructionMedicare rate & RVUs

Medicare pays $241.82 for 57065 nationally in the office and $166.00 in a hospital or facility. Local office rates run $214.75–$306.37.

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

What 57065 covers

billing code 57065 describes destruction of extensive lesions on the vaginal mucosa. A gynecologist typically performs the treatment using an ablative technique for lesions such as vaginal condylomata or dysplastic lesions. The procedure may take place in an office procedure room or operating room, depending on the lesion burden and planned anesthesia. Lesions on the vulva are coded separately from lesions within the vagina.

Choose this code when the documented extent supports the extensive-lesion service rather than the simple-lesion service; the operative note should identify the treated vaginal sites, extent, and treatment performed. This minor procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery 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.

Where 57065 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

57065 rates by state

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

How the 57065 rate is calculated

Each of 57065’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 57065

57065 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

57065 compared with similar codes

How to choose

57061Vaginal lesion destruction

Both codes describe vaginal lesion destruction. Choose 57065 for extensive lesions and 57061 for simple lesions, based on the documented extent.

56515Vulvar lesion destruction

This is the extensive-lesion destruction code for the vulva. Use 57065 for lesions on the vaginal mucosa.

56501Vulvar lesion destruction

This describes simple destruction of vulvar lesions. It differs from 57065 in both the treated site and the extent represented.

57100Vaginal biopsy

This code represents biopsy of vaginal mucosa for tissue sampling; 57065 represents destruction of extensive vaginal lesions.

Codes related to 57065

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