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Billing code 57720: Cervical repairMedicare rate & RVUs

Vaginal cervical reconstruction repairs an acquired cervical laceration or deformity when the operation restores cervical tissue rather than treating a lesion or supporting pregnancy.

CMS RVU26DEffective Oct 1, 2026109 payment localities16 Medicare services in 2024

Medicare pays $299.27 for 57720 nationally in a facility.

Medicare rate · 57720

Cervical repair

Swap in your local Medicare rate.

Work RVUs
4.49
Total RVUs
8.96
Global days
090

National rate · 2026

$299.27

Facility setting, before claim adjustments.

See every locality for 57720 → · 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 57720 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 57720 covers

A gynecologist performs this operation through the vagina to repair or reconstruct the cervix, commonly for an acquired defect such as a cervical laceration with resulting distortion. The surgeon may reshape and suture cervical tissue to restore its anatomy. The service is typically performed in an operating room; documentation should identify the cervical defect and describe the repair performed.

Report the service when the operative work is cervical reconstruction, not placement of a cerclage or removal of cervical tissue for a lesion. The operative report should support the indication, vaginal approach, and extent of repair. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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. An assistant at surgery may be paid; co-surgeons and team surgery 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 57720 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

57720 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$272.46
Alaska*Unavailable$370.40
ArizonaUnavailable$291.66
ArkansasUnavailable$269.14
AtlantaUnavailable$306.99
AustinUnavailable$303.69
BakersfieldUnavailable$303.60
Baltimore/Surr. CntysUnavailable$316.90
BeaumontUnavailable$286.34
BrazoriaUnavailable$293.56

57720 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
57720 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 57720 rate is calculated

Each of 57720’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 · 57720

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 4.49Practice expense 3.68Malpractice 0.79

8.9600 adjusted RVUs×$33.4009 conversion factor=$299.27

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

Payment rules and modifiers for 57720

57720 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57720

Cervical repair

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)0Not permitted.
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 · 57720

Cervical repair

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

57720 without 51 · national facility

$299.27

Cervical repair

57720-51 · Second procedure: 50%

$149.64

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

57720 compared with similar codes

Compare codes

57720 vs 57700 vs 57520 vs 57522: national Medicare rates

Swap in your local Medicare rate.

  • 57720
    Cervical repair · 4.49 wRVU
    —
  • 57700
    Cervical revision · 4.24 wRVU
    —
  • 57520
    Cervical cone · 4.01 wRVU
    $360.40
  • 57522
    LEEP conization · 3.58 wRVU
    $300.61

How to choose

57700Cervical revision
57700 is cervical cerclage during pregnancy. Choose 57720 for repair or reconstruction of cervical tissue, not for cervical support.
57520Cervical cone
57520 removes a cone-shaped portion of cervical tissue. 57720 describes reconstruction of a cervical defect rather than excision for diagnosis or treatment.
57522LEEP conization
57522 uses a loop electrode to excise cervical tissue. 57720 is appropriate when the operative work repairs or reshapes the cervix instead.

Codes related to 57720

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

Codes related to 57720
CodeHow it relatesNational office range
Used instead
57700Cervical revisionCerclage supports the cervix during pregnancy; it is not repair of an acquired cervical defect.No office rate
57520Cervical coneCervical conization removes tissue for a different operative purpose than reconstructing a cervical defect.$319.39–$451.32
57522LEEP conizationLEEP removes cervical tissue; use it for excision rather than cervical reconstruction.$267.73–$374.41

57720 billing questions

How does this differ from 57700?

57720 repairs or reconstructs cervical tissue, such as an acquired defect. 57700 is for cervical cerclage during pregnancy, which provides cervical support.

Can a cervical biopsy or excision be reported with the repair?

The repair code represents reconstructive work, not diagnostic sampling or lesion removal. Separately report another service only when it was distinct, performed, and supported by the operative documentation.

What documentation supports reporting 57720?

Document the cervical defect or injury, why repair was needed, the vaginal approach, and the tissue-repair steps performed.

Does the 90-day global include postoperative visits?

Related postoperative care for 90 days is included, along with the day-before preoperative visit.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.

Should modifier 50 be used?

No. Modifier 50 is inappropriate for this cervical repair.

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 57720PPRRVU2026_Oct_nonQPP.csv, line 6,514 (RVU26D)

Open CMS sourceHow we calculate rates

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