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Billing code 57531: Radical trachelectomyMedicare rate & RVUs

Radical vaginal trachelectomy removes the cervix with adjacent supporting tissue and upper vagina, typically to treat selected cervical cancers while preserving the uterine body.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,633.30 for 57531 nationally in a facility.

Medicare rate · 57531

Radical trachelectomy

Swap in your local Medicare rate.

Work RVUs
29.2
Total RVUs
48.90
Global days
090

National rate · 2026

$1,633.30

Facility setting, before claim adjustments.

See every locality for 57531 → · 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 57531 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 57531 covers

This operation removes the cervix along with surrounding parametrial tissue and a portion of the upper vagina through a vaginal approach. Gynecologic oncologists typically perform it in an operating room for selected patients with early cervical cancer when preserving the uterine body is part of the treatment plan. The operative report should establish the radical extent of the resection and the vaginal approach, rather than a simple cervical amputation or a limited excision for diagnosis or dysplasia.

Report the service when the documented procedure matches that radical vaginal operation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS pricing treats this code as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; 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 57531 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

57531 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,454.35
Alaska*Unavailable$2,002.86
ArizonaUnavailable$1,577.54
ArkansasUnavailable$1,432.87
AtlantaUnavailable$1,704.66
AustinUnavailable$1,619.59
BakersfieldUnavailable$1,562.59
Baltimore/Surr. CntysUnavailable$1,748.27
BeaumontUnavailable$1,580.03
BrazoriaUnavailable$1,569.15

57531 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
57531 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 57531 rate is calculated

Each of 57531’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 · 57531

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 29.20Practice expense 10.33Malpractice 9.37

48.9000 adjusted RVUs×$33.4009 conversion factor=$1,633.30

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

Payment rules and modifiers for 57531

57531 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57531

Radical trachelectomy

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 · 57531

Radical trachelectomy

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

57531 without 51 · national facility

$1,633.30

Radical trachelectomy

57531-51 · Second procedure: 50%

$816.65

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

57531 compared with similar codes

Compare codes

57531 vs 57530 vs 57545 vs 57520: national Medicare rates

Swap in your local Medicare rate.

  • 57531
    Radical trachelectomy · 29.2 wRVU
    —
  • 57530
    Cervix removal · 5.14 wRVU
    —
  • 57545
    Cervical removal · 13.75 wRVU
    —
  • 57520
    Cervical cone · 4.01 wRVU
    $360.40

How to choose

57530Cervix removal
Use 57530 for nonradical cervical amputation. 57531 describes radical vaginal resection that includes adjacent supporting tissue and upper vagina.
57545Cervical removal
Both are radical trachelectomy procedures; distinguish them by the documented approach: vaginal for 57531 and abdominal for 57545.
57520Cervical cone
57520 is a cervical conization, a limited excision rather than removal of the cervix with parametrial tissue and upper vagina.

Codes related to 57531

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

Codes related to 57531
CodeHow it relatesNational office range
Used instead
57530Cervix removalNonradical cervical amputation when surrounding parametrial tissue and upper vagina are not removed.No office rate
57545Cervical removalRadical trachelectomy using an abdominal rather than vaginal approach.No office rate
57520Cervical coneCervical conization is a more limited excision used in different clinical circumstances.$319.39–$451.32

57531 billing questions

How is this different from 57530?

57531 represents a radical vaginal operation that includes surrounding parametrial tissue and upper vagina. 57530 is a nonradical cervical amputation.

When would 57545 be used instead?

57545 describes radical trachelectomy by an abdominal approach. Choose between the codes based on the operative approach documented.

Does modifier 50 increase payment?

No. CMS pricing treats 57531 as bilateral, and modifier 50 does not increase payment.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be reported?

CMS permits assistant-at-surgery payment. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What operative documentation supports 57531?

Document the vaginal approach and the radical extent of resection, including removal of the cervix with adjacent parametrial tissue and upper vagina.

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 57531PPRRVU2026_Oct_nonQPP.csv, line 6,506 (RVU26D)

Open CMS sourceHow we calculate rates

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