$317.46
This code describes nonobstetric dilation and curettage. Do not separately report 57800 when cervical dilation is performed to access the uterus for the D&C.
On this page
CMS RVU26D · Effective 2026-10-01
57800 Cervical dilation Medicare reimbursement rates in Connecticut
Report cervical canal dilation when a clinician performs a distinct procedure to open a narrowed or stenotic cervix, rather than merely gaining access for another service. Compare 57800 office and facility rates across CMS payment localities in Connecticut.
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 57800 in Connecticut?
Connecticut 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
$79.05
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$45.96
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Gynecology procedure
About 57800: Cervical canal dilation
Report cervical canal dilation when a clinician performs a distinct procedure to open a narrowed or stenotic cervix, rather than merely gaining access for another service.
A clinician, typically a gynecologist, uses graduated dilators or another appropriate technique to open the cervical canal. The service may address cervical stenosis or provide access when the dilation itself is a distinct clinical objective. It is performed in settings such as an office procedure room, ambulatory surgery center, or operating room. Dilation performed only to pass instruments for a more extensive procedure is generally part of that procedure, not a separate service.
Report 57800 when the record supports a distinct cervical dilation, including the indication and the work performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same 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-surgeons and team surgery are not permitted.
CMS billing rules for 57800
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.75 · 34%
- Practice expense (office) RVU1.33 · 60%
- Malpractice RVU0.14 · 6%
192
Medicare services in 2024 · #4357 by national volume
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.
57800 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$350.34
58555 describes diagnostic hysteroscopy. Choose it when the service includes endoscopic uterine examination; dilation solely to pass the hysteroscope is not a separate 57800 service.
$1,363.13
58558 applies when hysteroscopy includes biopsy or polypectomy. It describes the operative hysteroscopy, not an independent access dilation.
Compare 57800 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
Connecticut →
Office / nonfacility
$79.05
Facility
$45.96
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 57800 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,515
- Code
- 57800
- Physician work
- 0.75
- Practice expense
- 1.33
- Malpractice
- 0.14
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.75 | × 1.020 | 0.7650 |
| Practice expense | 1.33 | × 1.077 | 1.4324 |
| Malpractice | 0.14 | × 1.210 | 0.1694 |
| Total RVUs | 2.3668 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$79.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.75 | 1.02 |
| Practice expense | 1.33 | 1.077 |
| Malpractice | 0.14 | 1.21 |
(0.75 × 1.02 + 1.33 × 1.077 + 0.14 × 1.21) × $33.4009 = $79.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.75 | 1.02 |
| Practice expense | 0.41 | 1.077 |
| Malpractice | 0.14 | 1.21 |
(0.75 × 1.02 + 0.41 × 1.077 + 0.14 × 1.21) × $33.4009 = $45.96
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.
57800 billing questions
When should 57800 be reported instead of a hysteroscopy code?
Use 57800 for a distinct cervical dilation. When dilation is performed only to permit hysteroscope access, report the hysteroscopy service rather than separately reporting the access step.
Can cervical dilation be billed with a D&C?
Dilation performed to access the uterus for a dilation and curettage is generally integral to the D&C. Do not separately report 57800 for that access step.
What documentation supports 57800?
Document the reason for dilation, such as cervical stenosis, and describe the dilation performed. The note should make clear when it was a distinct service rather than access for another procedure.
Should modifier 50 be appended for dilation of both sides?
No. Modifier 50 is inappropriate for this code.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for 57800. Co-surgeons and team surgery are not permitted.
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.
6,51257558,,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
6,51658100,,Biopsy of uterus lining,A,,1.18,1.55,,0.26,,0.21,2.94,1.65,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51758110,,Bx done w/colposcopy add-on,A,,0.75,0.64,,0.17,,0.14,1.53,1.06,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51858120,,Dilation and curettage,A,,3.50,4.78,,2.13,,0.65,8.93,6.28,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808