Billing code 57720: Cervical repairMedicare rate & RVUs in Connecticut
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 doesn’t publish an office rate for 57720 in Connecticut.
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 9 sections
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.
57720 in Connecticut
| Payment locality | Office | Facility |
|---|---|---|
| Connecticut | Unavailable | $317.28 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 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) | 2 | Paid. |
| 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) | 0.12/0.74/0.14 | Share 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.
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%).
57720 compared with similar codes
Compare codes
57720 vs 57700 vs 57520 vs 57522: national Medicare rates
Swap in your local Medicare rate.
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.
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
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