Billing code 57556: Cervical stump surgeryMedicare rate & RVUs in Georgia
Reports vaginal excision of a retained cervical stump when the operation also includes repair of bowel, rather than stump removal alone.
CMS doesn’t publish an office rate for 57556 in Georgia.
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 57556 covers
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.
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 57556 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $537.07 |
| Rest Of Georgia | Unavailable | $515.34 |
How the 57556 rate is calculated
Each of 57556’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 · 57556
RVUs × geographic indexes × conversion factor
Work9.13
9.13 RVUs× 1.000 GPCI
Practice expense4.91
4.91 RVUs× 1.000 GPCI
Malpractice1.61
1.61 RVUs× 1.000 GPCI
Adjusted RVUs
15.6500
Conversion factor
$33.4009
Medicare rate
$522.72
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57556
57556 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57556
Cervical stump surgery
| 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 · 57556
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57556 without 51 · national facility
$522.72
Cervical stump surgery
57556-51 · Second procedure: 50%
$261.36
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%).
57556 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57550Cervical stump removal
- Use 57550 for cervical stump removal without the bowel repair included in 57556.
- 57555Cervical stump surgery
- 57555 pairs cervical stump removal with vaginal repair; 57556 is for the operation with bowel repair.
- 57545Cervical removal
- 57545 describes cervix removal with pelvic-floor repair. Choose 57556 when the documented repair is of bowel.
- 57530Cervix removal
- 57530 is vaginal removal of the cervix, rather than removal of a cervical stump with bowel repair.
57556 billing questions
When should 57556 be chosen over 57550?
Use 57556 when vaginal removal of the cervical stump is performed with bowel repair. 57550 describes stump removal without that specified repair.
Is the bowel repair included in this service?
The code represents stump removal together with bowel repair. Do not separately report the same repair as an unrelated service.
Can modifier 50 be used?
No. The anatomy and service described make bilateral reporting with modifier 50 inappropriate.
What global period applies?
CMS assigns a 90-day major-surgery global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What happens if other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
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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