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Billing code 57106: VaginectomyMedicare rate & RVUs

Reports surgical removal of part of the vaginal wall, commonly for a localized vaginal lesion when treatment requires resection rather than biopsy.

CMS RVU26DEffective Oct 1, 2026109 payment localities943 Medicare services in 2024

Medicare pays $492.33 for 57106 nationally in a facility.

Medicare rate · 57106

Vaginectomy

Swap in your local Medicare rate.

Work RVUs
7.31
Total RVUs
14.74
Global days
090

National rate · 2026

$492.33

Facility setting, before claim adjustments.

See every locality for 57106 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 57106 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 57106 covers

A partial vaginectomy removes a portion of the vaginal wall while leaving other vaginal wall in place. Gynecologic surgeons, including gynecologic oncologists, typically perform it in an operating room when a lesion requires surgical excision, such as a localized vaginal malignancy or other disease for which limited wall resection is planned. The removed tissue is submitted for pathologic examination.

Report 57106 when the operative record supports partial removal of vaginal wall, not a diagnostic mucosal biopsy or complete wall removal. Documentation should identify the site and extent resected and the clinical reason for surgery. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For other procedures performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Do not use modifier 50. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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 57106 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

57106 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$447.37
Alaska*Unavailable$607.36
ArizonaUnavailable$479.54
ArkansasUnavailable$441.83
AtlantaUnavailable$505.37
AustinUnavailable$499.46
BakersfieldUnavailable$498.83
Baltimore/Surr. CntysUnavailable$521.75
BeaumontUnavailable$470.85
BrazoriaUnavailable$482.53

57106 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
57106 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 57106 rate is calculated

Each of 57106’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 · 57106

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.31Practice expense 6.08Malpractice 1.35

14.7400 adjusted RVUs×$33.4009 conversion factor=$492.33

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 57106

57106 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57106

Vaginectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57106

Vaginectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57106 without 51 · national facility

$492.33

Vaginectomy

57106-51 · Second procedure: 50%

$246.17

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

57106 compared with similar codes

Compare codes

57106 vs 57110 vs 57105 vs 57100 vs 57135: national Medicare rates

Swap in your local Medicare rate.

  • 57106
    Vaginectomy · 7.31 wRVU
    —
  • 57110
    Vaginectomy · 15.09 wRVU
    —
  • 57105
    Vaginal biopsy · 1.7 wRVU
    $175.35
  • 57100
    Vaginal biopsy · 1.17 wRVU
    $105.21
  • 57135
    Vaginal lesion excision · 2.63 wRVU
    $243.16

How to choose

57110Vaginectomy
Use 57106 when only part of the vaginal wall is removed. 57110 describes complete vaginal-wall removal.
57105Vaginal biopsy
57105 is an extensive mucosal biopsy for diagnosis; 57106 reports surgical removal of a portion of the wall.
57100Vaginal biopsy
57100 is for a simple vaginal mucosal biopsy. It does not describe partial vaginal-wall resection.
57135Vaginal lesion excision
57135 is for excision of a vaginal cyst or tumor. Use 57106 when the documented operation is partial removal of the vaginal wall.

Codes related to 57106

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

Codes related to 57106
CodeHow it relatesNational office range
Same family
57110VaginectomyComplete vaginal-wall removal, rather than the partial resection reported with 57106.No office rate
57109Radical vaginectomyA more extensive vaginectomy service that includes bilateral pelvic lymphadenectomy.No office rate
Used instead
57135Vaginal lesion excisionUsed for excision of a vaginal cyst or tumor when that localized lesion service fits the operation.$215.97–$307.55
57105Vaginal biopsyExtensive vaginal mucosal biopsy for tissue diagnosis, rather than resection of part of the vaginal wall.$154.84–$224.02

57106 billing questions

How does 57106 differ from 57110?

57106 is for removal of part of the vaginal wall. Use 57110 when the operative service removes the complete vaginal wall.

Can a vaginal biopsy be reported as 57106?

No. A biopsy samples mucosa for diagnosis; 57106 describes surgical removal of a portion of the vaginal wall.

What documentation supports 57106?

The operative report should describe the vaginal site, the portion of wall removed, and the indication for resection. The record should make clear that the service was partial wall removal rather than biopsy or complete removal.

Does modifier 50 apply to this procedure?

No. CMS bilateral adjustment is not used for this code, and modifier 50 is inappropriate.

How are assistant and co-surgeon services handled?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 57106PPRRVU2026_Oct_nonQPP.csv, line 6,437 (RVU26D)

Open CMS sourceHow we calculate rates

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