Billing code 57558: D&CMedicare rate & RVUs
Report this procedure when a clinician dilates and curettes the retained cervical stump, commonly to obtain tissue for evaluation of bleeding after supracervical hysterectomy.
Medicare pays $149.64 for 57558 nationally in the office and $113.90 in a hospital or facility. Local office rates run $133.12–$188.37.
Medicare rate · 57558
D&C
Swap in your local Medicare rate.
- Work RVUs
- 1.68
- Total RVUs
- 4.48
- Global days
- 010
National rate · 2026
$149.64
Office setting, before claim adjustments.
See every locality for 57558 → · 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
What 57558 covers
A gynecologist dilates the canal of the cervical stump—the cervix left in place after a supracervical hysterectomy—and curettes tissue from it. The procedure may be performed when bleeding or another finding calls for tissue sampling from the retained stump. The specimen can be submitted for pathologic examination. It is distinct from curettage of a uterine cavity, which is not present after removal of the uterine body.
Report 57558 when the operative documentation supports dilation and curettage of the cervical stump, rather than a limited cervical biopsy or endocervical curettage. Document the prior supracervical hysterectomy, indication, site, and work performed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed 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; Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are 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 57558 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$133.12 to $188.37
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $134.95 | $103.68 |
| Alaska* | $178.79 | $140.73 |
| Arizona | $145.64 | $111.01 |
| Arkansas | $133.12 | $102.42 |
| Atlanta | $153.09 | $116.78 |
| Austin | $153.51 | $115.69 |
| Bakersfield | $154.96 | $115.79 |
| Baltimore/Surr. Cntys | $158.95 | $120.60 |
| Beaumont | $141.40 | $108.88 |
| Brazoria | $147.20 | $111.78 |
| Chicago | $162.99 | $127.07 |
| Chico | $154.14 | $114.97 |
| Colorado | $153.55 | $115.53 |
| Connecticut | $159.25 | $120.76 |
| Dallas | $148.43 | $112.83 |
| Dc + Md/Va Suburbs | $168.68 | $126.58 |
| Delaware | $147.93 | $112.62 |
| Detroit | $153.35 | $118.86 |
| East St. Louis | $152.75 | $119.87 |
| El Centro | $154.19 | $115.02 |
| Fort Lauderdale | $158.55 | $122.35 |
| Fort Worth | $147.72 | $112.48 |
| Fresno | $154.14 | $114.97 |
| Galveston | $147.83 | $112.34 |
| Hanford-Corcoran | $154.14 | $114.97 |
| Hawaii, Guam | $157.04 | $116.41 |
| Houston | $153.14 | $117.65 |
| Idaho | $137.82 | $104.94 |
| Indiana | $138.54 | $105.41 |
| Iowa | $136.67 | $103.97 |
| Kansas | $136.78 | $104.48 |
| Kentucky | $139.51 | $107.73 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $164.02 | $121.74 |
| Madera | $154.14 | $114.97 |
| Manhattan | $172.48 | $130.96 |
| Merced | $154.14 | $114.97 |
| Metropolitan Boston | $167.14 | $124.46 |
| Metropolitan Kansas City | $144.30 | $110.74 |
| Metropolitan Philadelphia | $155.95 | $118.75 |
| Metropolitan St. Louis | $145.63 | $111.61 |
| Miami | $167.88 | $130.68 |
| Minnesota | $145.25 | $108.47 |
| Mississippi | $135.45 | $104.68 |
| Modesto | $154.14 | $114.97 |
| Montana** | $149.62 | $113.88 |
| Napa | $175.07 | $127.96 |
| Nebraska | $137.16 | $104.17 |
| Nevada** | $148.10 | $112.33 |
| New Hampshire | $151.86 | $114.66 |
| New Mexico | $144.62 | $111.85 |
| New Orleans | $146.01 | $112.38 |
| North Carolina | $140.52 | $107.18 |
| North Dakota** | $143.88 | $108.14 |
| Northern Nj | $167.24 | $125.79 |
| Nyc Suburbs/Long Island | $177.37 | $134.88 |
| Ohio | $142.42 | $109.79 |
| Oklahoma | $138.51 | $106.59 |
| Oxnard-Thousand Oaks-Ventura | $162.81 | $120.57 |
| Portland | $157.36 | $117.65 |
| Poughkpsie/N Nyc Suburbs | $162.16 | $123.03 |
| Puerto Rico | $150.41 | $114.28 |
| Queens | $172.77 | $130.52 |
| Redding | $154.14 | $114.97 |
| Rest Of California | $154.14 | $114.97 |
| Rest Of Florida | $150.82 | $116.65 |
| Rest Of Georgia | $142.44 | $110.56 |
| Rest Of Illinois | $147.80 | $115.17 |
| Rest Of Louisiana | $139.59 | $107.96 |
| Rest Of Maine | $139.27 | $106.39 |
| Rest Of Maryland | $150.41 | $114.24 |
| Rest Of Massachusetts | $153.01 | $115.38 |
| Rest Of Michigan | $143.59 | $110.96 |
| Rest Of Missouri | $137.81 | $107.01 |
| Rest Of New Jersey | $160.53 | $121.51 |
| Rest Of New York | $142.57 | $108.62 |
| Rest Of Oregon | $146.42 | $110.83 |
| Rest Of Pennsylvania | $142.23 | $109.42 |
| Rest Of Texas | $144.42 | $110.50 |
| Rest Of Washington | $152.49 | $114.86 |
| Rhode Island | $152.42 | $115.50 |
| Riverside-San Bernardino-Ontario | $157.27 | $118.10 |
| Sacramento-Roseville-Folsom | $160.83 | $119.26 |
| Salinas | $160.21 | $118.79 |
| San Diego-Chula Vista-Carlsbad | $163.32 | $120.57 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $184.10 | $133.71 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $183.77 | $133.38 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $188.37 | $136.83 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $187.02 | $135.49 |
| San Luis Obispo-Paso Robles | $157.75 | $117.04 |
| Santa Cruz-Watsonville | $164.34 | $120.92 |
| Santa Maria-Santa Barbara | $160.63 | $118.96 |
| Santa Rosa-Petaluma | $165.94 | $122.05 |
| Seattle (King Cnty) | $169.70 | $125.85 |
| South Carolina | $141.81 | $108.79 |
| South Dakota** | $143.20 | $107.47 |
| Southern Maine | $145.31 | $109.89 |
| Stockton | $154.14 | $114.97 |
| Suburban Chicago | $159.77 | $123.07 |
| Tennessee | $137.52 | $105.04 |
| Utah | $143.62 | $110.02 |
| Vallejo | $174.59 | $127.49 |
| Vermont | $144.01 | $108.63 |
| Virgin Islands | $150.41 | $114.28 |
| Virginia | $145.36 | $110.23 |
| Visalia | $154.14 | $114.97 |
| West Virginia | $142.83 | $111.77 |
| Wisconsin | $139.41 | $105.17 |
| Wyoming** | $147.12 | $111.38 |
| Yuba City | $154.14 | $114.97 |
57558 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$133.12
$178.79
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $178.79 | 1 |
| AL | $134.95 | 1 |
| AR | $133.12 | 1 |
| AZ | $145.64 | 1 |
| CA | $154.14–$188.37 | 29 |
| CO | $153.55 | 1 |
| CT | $159.25 | 1 |
| DC | $168.68 | 1 |
| DE | $147.93 | 1 |
| FL | $150.82–$167.88 | 3 |
| GA | $142.44–$153.09 | 2 |
| GU | $157.04 | 1 |
| HI | $157.04 | 1 |
| IA | $136.67 | 1 |
| ID | $137.82 | 1 |
| IL | $147.80–$162.99 | 4 |
| IN | $138.54 | 1 |
| KS | $136.78 | 1 |
| KY | $139.51 | 1 |
| LA | $139.59–$146.01 | 2 |
| MA | $153.01–$167.14 | 2 |
| MD | $150.41–$168.68 | 3 |
| ME | $139.27–$145.31 | 2 |
| MI | $143.59–$153.35 | 2 |
| MN | $145.25 | 1 |
| MO | $137.81–$145.63 | 3 |
| MS | $135.45 | 1 |
| MT | $149.62 | 1 |
| NC | $140.52 | 1 |
| ND | $143.88 | 1 |
| NE | $137.16 | 1 |
| NH | $151.86 | 1 |
| NJ | $160.53–$167.24 | 2 |
| NM | $144.62 | 1 |
| NV | $148.10 | 1 |
| NY | $142.57–$177.37 | 5 |
| OH | $142.42 | 1 |
| OK | $138.51 | 1 |
| OR | $146.42–$157.36 | 2 |
| PA | $142.23–$155.95 | 2 |
| PR | $150.41 | 1 |
| RI | $152.42 | 1 |
| SC | $141.81 | 1 |
| SD | $143.20 | 1 |
| TN | $137.52 | 1 |
| TX | $141.40–$153.51 | 8 |
| UT | $143.62 | 1 |
| VA | $145.36–$168.68 | 2 |
| VI | $150.41 | 1 |
| VT | $144.01 | 1 |
| WA | $152.49–$169.70 | 2 |
| WI | $139.41 | 1 |
| WV | $142.83 | 1 |
| WY | $147.12 | 1 |
How the 57558 rate is calculated
Each of 57558’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 · 57558
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.68Practice expense 2.51Malpractice 0.29
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57558
57558 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57558
D&C
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57558
D&C
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57558 without 51 · national office
$149.64
D&C
57558-51 · Second procedure: 50%
$74.82
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%).
57558 compared with similar codes
Compare codes
57558 vs 57505 vs 57500 vs 57520 vs 57540: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57505Cervical sampling
- Choose 57505 for endocervical curettage without the documented dilation and curettage of a cervical stump required for 57558.
- 57500Cervical biopsy
- Code 57500 represents a localized cervical biopsy; 57558 describes dilation and curettage of the retained stump.
- 57520Cervical cone
- Conization removes a cone-shaped portion of cervical tissue. Use 57558 for curettage of the cervical stump, not excision of a cone.
- 57540Cervical stump removal
- Code 57540 is for removal of residual cervix, rather than sampling the cervical stump by dilation and curettage.
57558 billing questions
When should 57558 be chosen over endocervical curettage?
Use 57558 when the clinician dilates and curettes the cervical stump. Endocervical curettage, 57505, describes sampling the endocervical canal without the stump D&C service.
How is 57558 different from a cervical biopsy?
A cervical biopsy, such as 57500, samples a localized area. Report 57558 when the documented procedure is dilation and curettage of the retained cervical stump.
Are related postoperative visits separately reportable?
Related postoperative visits during the 10-day global period are included in 57558.
Can modifier 50 be used for this procedure?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this anatomy and service.
Can an assistant or co-surgeon be billed with 57558?
Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing are not permitted.
What documentation supports reporting 57558?
Document the prior supracervical hysterectomy and retained cervical stump, the reason for sampling, and the dilation and curettage actually performed.
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
Fee sheets
Put 57558 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →