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Billing code 57550: Cervical stump removalMedicare rate & RVUs

Removal of a residual cervix through a vaginal approach, commonly after supracervical hysterectomy when the cervical stump requires surgical removal.

CMS RVU26DEffective Oct 1, 2026109 payment localities24 Medicare services in 2024

Medicare pays $386.11 for 57550 nationally in a facility.

Medicare rate · 57550

Cervical stump removal

Swap in your local Medicare rate.

Work RVUs
6.18
Total RVUs
11.56
Global days
090

National rate · 2026

$386.11

Facility setting, before claim adjustments.

See every locality for 57550 → · 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 57550 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 57550 covers

This procedure removes the remaining cervix through the vagina, typically in a patient who previously had a supracervical hysterectomy and still has a cervical stump. A gynecologic surgeon may perform it for a documented problem involving that remnant, such as persistent bleeding or cervical disease. The operative report should make clear that the target is residual cervix and that the vaginal route was used.

Report 57550 for vaginal removal of the cervical stump; an abdominal approach is represented by a different code. Documentation should identify the prior surgery, the indication, the anatomy removed, and the operative approach. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this single midline structure. An assistant at surgery may be paid; 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 57550 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

57550 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$352.40
Alaska*Unavailable$482.29
ArizonaUnavailable$376.43
ArkansasUnavailable$348.25
AtlantaUnavailable$396.34
AustinUnavailable$390.69
BakersfieldUnavailable$389.56
Baltimore/Surr. CntysUnavailable$408.51
BeaumontUnavailable$370.63
BrazoriaUnavailable$378.47

57550 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
57550 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 57550 rate is calculated

Each of 57550’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 · 57550

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.18Practice expense 4.29Malpractice 1.09

11.5600 adjusted RVUs×$33.4009 conversion factor=$386.11

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

Payment rules and modifiers for 57550

57550 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57550

Cervical stump removal

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 · 57550

Cervical stump removal

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

57550 without 51 · national facility

$386.11

Cervical stump removal

57550-51 · Second procedure: 50%

$193.06

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

57550 compared with similar codes

Compare codes

57550 vs 57540 vs 57520 vs 57558: national Medicare rates

Swap in your local Medicare rate.

  • 57550
    Cervical stump removal · 6.18 wRVU
    —
  • 57540
    Cervical stump removal · 12.96 wRVU
    —
  • 57520
    Cervical cone · 4.01 wRVU
    $360.40
  • 57558
    D&C · 1.68 wRVU
    $149.64

How to choose

57540Cervical stump removal
Both concern removal of a residual cervix, but 57540 is the abdominal approach; 57550 is the vaginal approach.
57520Cervical cone
57520 describes cervical conization, an excision of cervical tissue. It is not removal of a residual cervical stump.
57558D&C
57558 describes dilation and curettage of a cervical stump; 57550 removes the stump itself through the vagina.

Codes related to 57550

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

Codes related to 57550
CodeHow it relatesNational office range
Used instead
57540Cervical stump removalRemoval of a residual cervical stump by an abdominal approach.No office rate
57545Cervical removalCervical stump removal with an added pelvic repair service.No office rate
57555Cervical stump surgeryVaginal cervical stump removal with an added vaginal repair.No office rate
57556Cervical stump surgeryCervical stump removal with an added bowel repair service.No office rate

57550 billing questions

When should 57550 be chosen over 57540?

Use 57550 when the residual cervix is removed through a vaginal approach. Code 57540 describes removal of the cervical stump through an abdominal approach.

Is 57550 used for a cervical conization?

No. It represents removal of a residual cervical stump, not an excision of cervical tissue for conization. A conization code such as 57520 or 57522 describes that different service.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code because the anatomy and service do not support bilateral reporting.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90-day period.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

What documentation supports assistant or co-surgeon billing?

The operative record should support the assistant's role. 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 57550PPRRVU2026_Oct_nonQPP.csv, line 6,509 (RVU26D)

Open CMS sourceHow we calculate rates

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