57556 Cervical stump surgery Medicare reimbursement rates in Florida

Code 57556 represents vaginal removal of a remaining cervix, or cervical stump, usually after a prior supracervical hysterectomy, in an operation that also repairs bowel. A gynecologic surgeon performs the stump excision in an operating room; the gynecologic surgeon or another surgical specialist may perform the bowel repair, depending on the operative findings. This is distinct from office biopsy, cautery, or excisional treatment of a cervix that remains in place.

Report the code when the operative record supports both removal of the cervical stump and bowel repair, not for stump removal alone or bowel repair alone. Documentation should identify the prior anatomy, indication, vaginal approach, excised stump, bowel defect and repair, and each surgeon’s work when multiple surgeons participate. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. The anatomy makes modifier 50 inappropriate.