Billing code 57555: Cervical stump surgeryMedicare rate & RVUs in Florida

Removal of a retained cervical stump with vaginal wall repair, reported when both steps are performed as part of the same operation.

CMS RVU26DEffective Oct 1, 20263 payment localities13 Medicare services in 2024

CMS doesn’t publish an office rate for 57555 in Florida.

—Office (non-facility)
$570.89–$643.54Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 57555 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 57555 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 57555 covers

This operation removes a retained cervical stump, commonly after a prior supracervical hysterectomy, and includes repair of the vaginal wall. A gynecologic surgeon typically performs it in an operating room when excision of the stump and vaginal wall repair are both part of the operative treatment. It represents more than stump removal alone because the vaginal repair is included in the service.

Report the code when the operative documentation supports removal of the cervical stump and repair of the vaginal wall during the same procedure. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require 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 57555 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.

57555 office and facility rates by payment locality
Payment localityOfficeFacility
Fort LauderdaleUnavailable$597.86
MiamiUnavailable$643.54
Rest Of FloridaUnavailable$570.89

How the 57555 rate is calculated

Each of 57555’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 · 57555

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.69Practice expense 5.07Malpractice 1.70

16.4600 adjusted RVUs×$33.4009 conversion factor=$549.78

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 57555

57555 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57555

Cervical stump surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57555

Cervical stump surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57555 without 51 · national facility

$549.78

Cervical stump surgery

57555-51 · Second procedure: 50%

$274.89

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%).

When to use modifier 51

57555 compared with similar codes

Compare codes

57555 vs 57550 vs 57556 vs 57545 vs 57530: national Medicare rates

Swap in your local Medicare rate.

  • 57555
    Cervical stump surgery · 9.69 wRVU
    —
  • 57550
    Cervical stump removal · 6.18 wRVU
    —
  • 57556
    Cervical stump surgery · 9.13 wRVU
    —
  • 57545
    Cervical removal · 13.75 wRVU
    —
  • 57530
    Cervix removal · 5.14 wRVU
    —

How to choose

57550Cervical stump removal
Use 57550 for cervical stump removal without the vaginal wall repair described by 57555. The repair is the distinguishing service in 57555.
57556Cervical stump surgery
Both involve removal of a cervical stump, but 57556 includes intestinal repair rather than vaginal wall repair.
57545Cervical removal
57545 pairs cervical removal with pelvic floor repair. Choose 57555 when the documented repair is of the vaginal wall with cervical stump removal.
57530Cervix removal
57530 describes radical vaginal removal of the cervix. 57555 is for removal of a cervical stump with vaginal wall repair, not the radical procedure.

57555 billing questions

When should I report this instead of stump removal alone?

Report 57555 when the surgeon removes the cervical stump and repairs the vaginal wall during the operation. Use a stump-removal code without this repair when the vaginal wall is not repaired.

Can the vaginal wall repair be billed separately?

The repair is included in this combined service. Do not report a separate vaginal repair code for the same work.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports 57555?

The operative report should establish that a cervical stump was removed and that the vaginal wall was repaired during the procedure.

How does the global period affect postoperative visits?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

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
RVUs for 57555PPRRVU2026_Oct_nonQPP.csv, line 6,510 (RVU26D)

Open CMS sourceHow we calculate rates

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