$171.28
Report 57513 for laser treatment. Report 57510 when the documented cervical treatment is cauterization by a different method.
On this page
CMS RVU26D · Effective 2026-10-01
57513 Cervical laser Medicare reimbursement rates in Hawaii
Report cervical laser surgery when a gynecologist uses laser energy to ablate targeted abnormal cervical tissue, commonly for cervical dysplasia. Compare 57513 office and facility rates across CMS payment localities in Hawaii.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 57513 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$208.27
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$133.84
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecology procedure
About 57513: Laser ablation of cervical tissue
Report cervical laser surgery when a gynecologist uses laser energy to ablate targeted abnormal cervical tissue, commonly for cervical dysplasia.
A gynecologist typically performs this procedure in an office or outpatient setting to destroy a visible area of abnormal cervical tissue with laser energy. A common clinical situation is treatment of cervical dysplasia after diagnostic evaluation. Because the laser ablates tissue rather than removing a cone-shaped specimen, this approach differs from excisional treatment when tissue is needed for examination.
Select this code when the documented treatment is laser surgery of the cervix, not cautery or cryocautery. The record should identify the cervical finding, treatment method, and area treated. Medicare includes related postoperative visits for 10 days in the procedure’s 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 multiple procedure reduction. Modifier 50 is inappropriate for this cervical procedure. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 57513
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.90 · 32%
- Practice expense (office) RVU3.64 · 62%
- Malpractice RVU0.34 · 6%
57
Medicare services in 2024 · #5274 by national volume
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.
57513 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$201.06
Report 57513 when laser energy is used; report 57511 when cervical tissue is treated by cryocautery.
$376.70
Laser ablation destroys targeted tissue, whereas 57520 removes a cervical cone specimen for examination.
$313.48
Use 57513 for laser ablation and 57522 for cervical conization using a loop electrode excision technique.
Compare 57513 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$208.27
Facility
$133.84
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57513 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,502
- Code
- 57513
- Physician work
- 1.90
- Practice expense
- 3.64
- Malpractice
- 0.34
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.90 | × 1.000 | 1.9000 |
| Practice expense | 3.64 | × 1.137 | 4.1387 |
| Malpractice | 0.34 | × 0.579 | 0.1969 |
| Total RVUs | 6.2355 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$208.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1 |
| Practice expense | 3.64 | 1.137 |
| Malpractice | 0.34 | 0.579 |
(1.9 × 1 + 3.64 × 1.137 + 0.34 × 0.579) × $33.4009 = $208.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1 |
| Practice expense | 1.68 | 1.137 |
| Malpractice | 0.34 | 0.579 |
(1.9 × 1 + 1.68 × 1.137 + 0.34 × 0.579) × $33.4009 = $133.84
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
57513 billing questions
How does this differ from cervical cauterization or cryocautery?
Use 57513 when laser energy is the documented treatment method. Cervical cauterization and cryocautery are reported with their respective codes when those methods are used.
When would conization be a better fit?
Conization removes a cone-shaped tissue specimen, while laser ablation destroys targeted tissue. Choose the service that matches the procedure actually performed and documented.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in this procedure.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this cervical procedure.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple procedure reduction. Medicare does not pay an assistant at surgery, and 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,49957505,,Endocervical curettage,A,,1.16,3.09,,1.61,,0.21,4.46,2.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50057510,,Cauterization of cervix,A,,1.85,2.71,,0.87,,0.34,4.90,3.06,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50157511,,Cryocautery of cervix,A,,1.90,3.45,,1.70,,0.34,5.69,3.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50257513,,Laser surgery of cervix,A,,1.90,3.64,,1.68,,0.34,5.88,3.92,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50357520,,Conization of cervix,A,,4.01,5.99,,3.39,,0.79,10.79,8.19,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50457522,,Conization of cervix,A,,3.58,4.78,,2.71,,0.64,9.00,6.93,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50557530,,Removal of cervix,A,,5.14,4.08,NA,4.08,,0.95,10.17,10.17,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014