Billing code 57110: VaginectomyMedicare rate & RVUs in Florida
Reports complete removal of the vaginal wall, typically for extensive vaginal disease when treatment requires removal beyond a localized lesion.
CMS doesn’t publish an office rate for 57110 in Florida.
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 57110 covers
A gynecologic surgeon removes the vaginal wall throughout rather than excising a limited area. The operation may be performed for extensive vaginal malignancy or other disease requiring removal of the full vaginal wall, usually in a hospital or other surgical facility. The operative report should make clear that removal was complete and describe the extent of tissue removed.
Report 57110 when the procedure removes the vaginal wall completely; a partial removal or a procedure that also removes paravaginal tissue may point to a different code. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Bilateral adjustment is not appropriate for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is 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 57110 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $869.48 |
| Miami | Unavailable | $936.73 |
| Rest Of Florida | Unavailable | $831.60 |
How the 57110 rate is calculated
Each of 57110’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 · 57110
RVUs × geographic indexes × conversion factor
Work15.09
15.09 RVUs× 1.000 GPCI
Practice expense6.25
6.25 RVUs× 1.000 GPCI
Malpractice2.55
2.55 RVUs× 1.000 GPCI
Adjusted RVUs
23.8900
Conversion factor
$33.4009
Medicare rate
$797.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57110
57110 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57110
Vaginectomy
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 57110
Vaginectomy
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
57110 without 51 · national facility
$797.95
Vaginectomy
57110-51 · Second procedure: 50%
$398.98
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%).
57110 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57106Vaginectomy
- Use 57106 for partial vaginal wall removal. 57110 is for removal of the vaginal wall completely.
- 57111Vaginectomy
- 57111 includes removal of paravaginal tissue along with complete vaginal wall removal; 57110 describes complete wall removal without that added extent.
- 57109Radical vaginectomy
- 57109 describes radical vaginectomy with bilateral pelvic lymphadenectomy. 57110 represents complete vaginal wall removal without that specified lymphadenectomy.
- 57135Vaginal lesion excision
- 57135 is for excision of a vaginal cyst or tumor. It is not the complete vaginal wall removal reported with 57110.
57110 billing questions
How does 57110 differ from partial vaginectomy 57106?
57110 describes complete removal of the vaginal wall. Use 57106 when the operative report supports only partial removal.
When would 57111 be a closer fit?
57111 includes removal of paravaginal tissue with the complete vaginal wall removal. The operative report should support that additional tissue removal.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used to report bilateral performance.
Is an assistant at surgery payable for 57110?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 57110 affected when other procedures occur in the same session?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction.
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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