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Billing code 57111: VaginectomyMedicare rate & RVUs

Reports complete removal of the vagina with excision of paravaginal tissue, typically for extensive vaginal disease requiring major operative treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities20 Medicare services in 2024

Medicare pays $1,624.95 for 57111 nationally in a facility.

Medicare rate · 57111

Vaginectomy

Swap in your local Medicare rate.

Work RVUs
27.69
Total RVUs
48.65
Global days
090

National rate · 2026

$1,624.95

Facility setting, before claim adjustments.

See every locality for 57111 → · 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 57111 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 57111 covers

This operation removes the vagina in its entirety along with adjacent paravaginal tissue. Gynecologic oncologists and other surgeons experienced in complex pelvic surgery may perform it, commonly in a hospital operating room for extensive vaginal malignancy or other serious disease requiring complete excision. The operative approach and structures removed depend on the disease and surgical plan; this code distinguishes removal of paravaginal tissue from complete vaginal removal alone.

Report the code when the operative documentation supports complete vaginectomy and removal of paravaginal tissue. The report should establish the extent of vaginal removal and identify the adjacent tissue excised; pathology findings can further describe the specimens. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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 multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 57111 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

57111 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,471.18
Alaska*Unavailable$2,022.68
ArizonaUnavailable$1,579.02
ArkansasUnavailable$1,452.48
AtlantaUnavailable$1,678.60
AustinUnavailable$1,630.53
BakersfieldUnavailable$1,605.31
Baltimore/Surr. CntysUnavailable$1,726.02
BeaumontUnavailable$1,566.02
BrazoriaUnavailable$1,580.81

57111 rates by state

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

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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
57111 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 57111 rate is calculated

Each of 57111’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 · 57111

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 27.69Practice expense 14.54Malpractice 6.42

48.6500 adjusted RVUs×$33.4009 conversion factor=$1,624.95

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

Payment rules and modifiers for 57111

57111 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57111

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)2Already bilateral by definition: paid once at 100%.
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 · 57111

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

57111 without 51 · national facility

$1,624.95

Vaginectomy

57111-51 · Second procedure: 50%

$812.48

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

57111 compared with similar codes

Compare codes

57111 vs 57110 vs 57107 vs 57109: national Medicare rates

Swap in your local Medicare rate.

  • 57111
    Vaginectomy · 27.69 wRVU
    —
  • 57110
    Vaginectomy · 15.09 wRVU
    —
  • 57107
    Vaginectomy · 23.95 wRVU
    —
  • 57109
    Radical vaginectomy · 27.69 wRVU
    —

How to choose

57110Vaginectomy
Choose 57111 when paravaginal tissue is also removed with the complete vaginectomy. 57110 represents complete vaginal removal without that added tissue excision.
57107Vaginectomy
57107 describes partial vaginectomy with paravaginal tissue removal. 57111 is for complete removal of the vagina with that tissue.
57109Radical vaginectomy
57109 identifies complete vaginectomy with bilateral pelvic lymphadenectomy. 57111 identifies removal of paravaginal tissue; distinguish the services by the procedure documented.

Codes related to 57111

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

Codes related to 57111
CodeHow it relatesNational office range
Same family
57110VaginectomyComplete vaginectomy without the paravaginal tissue removal specified for 57111.No office rate
57107VaginectomyPartial vaginectomy with paravaginal tissue removal rather than complete removal.No office rate
57106VaginectomyPartial removal of vaginal wall, without the complete extent of 57111.No office rate
57109Radical vaginectomyComplete vaginectomy with bilateral pelvic lymphadenectomy.No office rate

57111 billing questions

How does this differ from 57110?

57111 includes removal of paravaginal tissue along with complete vaginectomy. 57110 describes complete removal of the vaginal wall without that additional tissue removal.

When would 57107 be more appropriate?

57107 is the partial vaginectomy option with removal of paravaginal tissue. Use 57111 when the operative service removes the vagina completely.

Should modifier 50 be appended?

The code is already priced as bilateral, and modifier 50 does not increase payment. Follow applicable claim instructions for any other modifier circumstances.

What documentation supports reporting 57111?

The operative report should describe complete removal of the vagina and excision of paravaginal tissue. Include the operative extent and specimen details when documented.

How are other same-session procedures paid?

Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures performed in the same session are subject to a 50% reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 57111PPRRVU2026_Oct_nonQPP.csv, line 6,441 (RVU26D)

Open CMS sourceHow we calculate rates

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