Billing code 57415: Vaginal foreign body removalMedicare rate & RVUs in Florida
Removal of an impacted object from the vagina under anesthesia, reported when extraction requires more than a straightforward office removal.
CMS doesn’t publish an office rate for 57415 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 57415 covers
This service covers removing a vaginal object that is impacted or otherwise cannot be extracted during a simple office encounter. A gynecologist or other qualified clinician performs the removal under anesthesia, often in an operating room or procedure setting. The operative note should identify the object and its location, explain why it was impacted or difficult to remove, and document the method of extraction and anesthesia setting. A retained tampon or other object may prompt evaluation, but report this service when the removal itself meets the impacted-foreign-body circumstances.
Report one service for the removal rather than separately counting the examination needed to locate or remove the object. Related postoperative visits for 10 days are included in the global period. 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 for this service. Assistant-at-surgery payment requires documentation of medical necessity; 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 57415 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 | $168.18 |
| Miami | Unavailable | $179.77 |
| Rest Of Florida | Unavailable | $160.50 |
How the 57415 rate is calculated
Each of 57415’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 · 57415
RVUs × geographic indexes × conversion factor
Work2.43
2.43 RVUs× 1.000 GPCI
Practice expense1.84
1.84 RVUs× 1.000 GPCI
Malpractice0.41
0.41 RVUs× 1.000 GPCI
Adjusted RVUs
4.6800
Conversion factor
$33.4009
Medicare rate
$156.32
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57415
57415 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57415
Vaginal foreign body removal
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 57415
Vaginal foreign body removal
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
57415 without 51 · national facility
$156.32
Vaginal foreign body removal
57415-51 · Second procedure: 50%
$78.16
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%).
57415 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57410Pelvic examination
- Use 57410 for a pelvic examination under anesthesia without removal of an impacted object. Use 57415 when the object is actually removed.
- 57420Vaginal colposcopy
- 57420 is for examining the vagina with a colposcope. It does not describe removal of an impacted foreign body.
- 57421Colposcopy
- 57421 includes vaginal colposcopy with biopsy. Choose 57415 for impacted-object removal, not for tissue sampling.
57415 billing questions
When should this be reported instead of a pelvic examination under anesthesia?
Report this code when an impacted vaginal object is removed under anesthesia. A pelvic examination code describes an examination without that removal.
Can the examination needed for removal be billed separately?
The examination needed to locate and remove the object is part of the removal service. Do not separately count that integral work as another examination.
Does this code have a global period?
Yes. Related postoperative visits for 10 days are included in the minor-procedure global period.
Should modifier 50 be used for an object on one side of the vagina?
No. Bilateral adjustment is inappropriate for this service.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is limited to cases with documented medical necessity. 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 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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