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Billing code 57555: Cervical stump surgeryMedicare rate & RVUs

Removal of a retained cervical stump with vaginal wall repair, reported when both steps are performed as part of the same operation.

CMS RVU26DEffective Oct 1, 2026109 payment localities13 Medicare services in 2024

Medicare pays $549.78 for 57555 nationally in a facility.

Medicare rate · 57555

Cervical stump surgery

Swap in your local Medicare rate.

Work RVUs
9.69
Total RVUs
16.46
Global days
090

National rate · 2026

$549.78

Facility setting, before claim adjustments.

See every locality for 57555 → · 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 57555 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 57555 covers

This operation removes a retained cervical stump, commonly after a prior supracervical hysterectomy, and includes repair of the vaginal wall. A gynecologic surgeon typically performs it in an operating room when excision of the stump and vaginal wall repair are both part of the operative treatment. It represents more than stump removal alone because the vaginal repair is included in the service.

Report the code when the operative documentation supports removal of the cervical stump and repair of the vaginal wall during the same procedure. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. 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 57555 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

57555 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$503.97
Alaska*Unavailable$697.12
ArizonaUnavailable$536.35
ArkansasUnavailable$498.36
AtlantaUnavailable$564.87
AustinUnavailable$553.77
BakersfieldUnavailable$549.98
Baltimore/Surr. CntysUnavailable$580.78
BeaumontUnavailable$530.51
BrazoriaUnavailable$538.35

57555 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
57555 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 57555 rate is calculated

Each of 57555’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 · 57555

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.69Practice expense 5.07Malpractice 1.70

16.4600 adjusted RVUs×$33.4009 conversion factor=$549.78

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

Payment rules and modifiers for 57555

57555 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57555

Cervical stump surgery

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 · 57555

Cervical stump surgery

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

57555 without 51 · national facility

$549.78

Cervical stump surgery

57555-51 · Second procedure: 50%

$274.89

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

57555 compared with similar codes

Compare codes

57555 vs 57550 vs 57556 vs 57545 vs 57530: national Medicare rates

Swap in your local Medicare rate.

  • 57555
    Cervical stump surgery · 9.69 wRVU
    —
  • 57550
    Cervical stump removal · 6.18 wRVU
    —
  • 57556
    Cervical stump surgery · 9.13 wRVU
    —
  • 57545
    Cervical removal · 13.75 wRVU
    —
  • 57530
    Cervix removal · 5.14 wRVU
    —

How to choose

57550Cervical stump removal
Use 57550 for cervical stump removal without the vaginal wall repair described by 57555. The repair is the distinguishing service in 57555.
57556Cervical stump surgery
Both involve removal of a cervical stump, but 57556 includes intestinal repair rather than vaginal wall repair.
57545Cervical removal
57545 pairs cervical removal with pelvic floor repair. Choose 57555 when the documented repair is of the vaginal wall with cervical stump removal.
57530Cervix removal
57530 describes radical vaginal removal of the cervix. 57555 is for removal of a cervical stump with vaginal wall repair, not the radical procedure.

Codes related to 57555

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

Codes related to 57555
CodeHow it relatesNational office range
Same family
57550Cervical stump removalCervical stump removal without the vaginal wall repair included in 57555.No office rate
57556Cervical stump surgeryCervical stump removal with repair of the intestine.No office rate
57545Cervical removalCervical removal paired with pelvic floor repair rather than vaginal wall repair.No office rate
57530Cervix removalRadical vaginal removal of the cervix, a different operative extent.No office rate
57531Radical trachelectomyRadical abdominal removal of the cervix, rather than stump removal with vaginal repair.No office rate

57555 billing questions

When should I report this instead of stump removal alone?

Report 57555 when the surgeon removes the cervical stump and repairs the vaginal wall during the operation. Use a stump-removal code without this repair when the vaginal wall is not repaired.

Can the vaginal wall repair be billed separately?

The repair is included in this combined service. Do not report a separate vaginal repair code for the same work.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports 57555?

The operative report should establish that a cervical stump was removed and that the vaginal wall was repaired during the procedure.

How does the global period affect postoperative visits?

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

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 57555PPRRVU2026_Oct_nonQPP.csv, line 6,510 (RVU26D)

Open CMS sourceHow we calculate rates

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