Billing code 57180: Bleeding controlMedicare rate & RVUs in Florida
Reports treatment of active vaginal bleeding, commonly by placing a vaginal pack to apply pressure and help control the bleeding.
Medicare pays $188.00–$208.04 for 57180 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 57180 covers
This service treats active bleeding from the vagina, commonly by placing gauze or another pack in the vaginal canal to apply pressure. A gynecologist or another clinician managing gynecologic bleeding may perform it in an office, emergency department, or hospital setting. The service is treatment rather than evaluation alone; a visit to identify the source without bleeding-control treatment is not this procedure.
Report 57180 when the record supports active vaginal bleeding and documents the treatment performed, such as placement of a vaginal pack. The code has a 10-day global period, so related postoperative visits during that period are included. 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. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for it; 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 57180 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.
3 payment localities
$188.00 to $208.04
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $197.99 | $114.75 |
| Miami | $208.04 | $122.51 |
| Rest Of Florida | $188.00 | $109.45 |
How the 57180 rate is calculated
Each of 57180’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 · 57180
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.59Practice expense 3.80Malpractice 0.27
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57180
57180 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57180
Bleeding control
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 1 | Not paid (statutory restriction). |
| 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57180
Bleeding control
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57180 without 51 · national office
$189.05
Bleeding control
57180-51 · Second procedure: 50%
$94.53
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%).
57180 compared with similar codes
Compare codes
57180 vs 57100 vs 57150 vs 57160: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57100Vaginal biopsy
- 57100 describes a simple biopsy of vaginal mucosa. Choose 57180 when the service treats active vaginal bleeding rather than sampling tissue.
- 57150Vaginal infection treatment
- 57150 treats vaginal infection. It is not the bleeding-control service described by 57180.
- 57160Pessary fitting
- 57160 concerns fitting and insertion of a pessary or another intravaginal support device, not placement of packing to control bleeding.
57180 billing questions
When should 57180 be reported instead of a vaginal biopsy?
Use 57180 for treatment of active vaginal bleeding, such as control with packing. A biopsy code describes sampling vaginal tissue, not bleeding control.
Does placing a vaginal pack support 57180?
It can: vaginal packing is a typical method of treating vaginal bleeding under this code. Document the bleeding and the treatment performed.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be added for bleeding from both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 57180, and co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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