$154.50
Choose 57505 for endocervical curettage without the documented dilation and curettage of a cervical stump required for 57558.
On this page
CMS RVU26D · Effective 2026-10-01
57558 D&C Medicare reimbursement rates in Colorado
Report this procedure when a clinician dilates and curettes the retained cervical stump, commonly to obtain tissue for evaluation of bleeding after supracervical hysterectomy. Compare 57558 office and facility rates across CMS payment localities in Colorado.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 57558 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$153.55
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$115.53
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecologic procedure
About 57558: Curettage of cervical stump
Report this procedure when a clinician dilates and curettes the retained cervical stump, commonly to obtain tissue for evaluation of bleeding after supracervical hysterectomy.
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.
CMS billing rules for 57558
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.68 · 38%
- Practice expense (office) RVU2.51 · 56%
- Malpractice RVU0.29 · 6%
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.
57558 compared with similar codes
Office rates for Colorado, from the same CMS release.
$156.97
Code 57500 represents a localized cervical biopsy; 57558 describes dilation and curettage of the retained stump.
$369.03
Conization removes a cone-shaped portion of cervical tissue. Use 57558 for curettage of the cervical stump, not excision of a cone.
No office rate
Code 57540 is for removal of residual cervix, rather than sampling the cervical stump by dilation and curettage.
Compare 57558 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$153.55
Facility
$115.53
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57558 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,512
- Code
- 57558
- Physician work
- 1.68
- Practice expense
- 2.51
- Malpractice
- 0.29
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.68 | × 1.012 | 1.7002 |
| Practice expense | 2.51 | × 1.064 | 2.6706 |
| Malpractice | 0.29 | × 0.781 | 0.2265 |
| Total RVUs | 4.5973 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$153.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.68 | 1.012 |
| Practice expense | 2.51 | 1.064 |
| Malpractice | 0.29 | 0.781 |
(1.68 × 1.012 + 2.51 × 1.064 + 0.29 × 0.781) × $33.4009 = $153.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.68 | 1.012 |
| Practice expense | 1.44 | 1.064 |
| Malpractice | 0.29 | 0.781 |
(1.68 × 1.012 + 1.44 × 1.064 + 0.29 × 0.781) × $33.4009 = $115.53
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,50957550,,Removal of residual cervix,A,,6.18,4.29,NA,4.29,,1.09,11.56,11.56,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51057555,,Remove cervix/repair vagina,A,,9.69,5.07,NA,5.07,,1.70,16.46,16.46,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51157556,,Remove cervix repair bowel,A,,9.13,4.91,NA,4.91,,1.61,15.65,15.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51257558,,D&c of cervical stump,A,,1.68,2.51,,1.44,,0.29,4.48,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51357700,,Revision of cervix,A,,4.24,4.55,NA,4.55,,0.75,9.54,9.54,0,090,0.12,0.74,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51457720,,Revision of cervix,A,,4.49,3.68,NA,3.68,,0.79,8.96,8.96,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51557800,,Dilation of cervical canal,A,,0.75,1.33,,0.41,,0.14,2.22,1.30,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899