No office rate
Use 57106 for partial vaginal wall removal. 57110 is for removal of the vaginal wall completely.
On this page
CMS RVU26D · Effective 2026-10-01
57110 Vaginectomy Medicare reimbursement rates in Iowa
Reports complete removal of the vaginal wall, typically for extensive vaginal disease when treatment requires removal beyond a localized lesion. Compare 57110 office and facility rates across CMS payment localities in Iowa.
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 57110 in Iowa?
Iowa 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
No supported rate
Facility setting
$728.84
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Gynecologic surgery
About 57110: Complete vaginal wall removal
Reports complete removal of the vaginal wall, typically for extensive vaginal disease when treatment requires removal beyond a localized lesion.
A gynecologic surgeon removes the vaginal wall throughout rather than excising a limited area. The operation may be performed for extensive vaginal malignancy or other disease requiring removal of the full vaginal wall, usually in a hospital or other surgical facility. The operative report should make clear that removal was complete and describe the extent of tissue removed.
Report 57110 when the procedure removes the vaginal wall completely; a partial removal or a procedure that also removes paravaginal tissue may point to a different code. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Bilateral adjustment is not appropriate for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57110
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.09 · 63%
- Practice expense (office) RVU6.25 · 26%
- Malpractice RVU2.55 · 11%
1.2K
Medicare services in 2024 · #2869 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.
57110 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
57111 includes removal of paravaginal tissue along with complete vaginal wall removal; 57110 describes complete wall removal without that added extent.
No office rate
57109 describes radical vaginectomy with bilateral pelvic lymphadenectomy. 57110 represents complete vaginal wall removal without that specified lymphadenectomy.
$222.00
57135 is for excision of a vaginal cyst or tumor. It is not the complete vaginal wall removal reported with 57110.
Compare 57110 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
Iowa →
Office / nonfacility
Unavailable
Facility
$728.84
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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 57110 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,440
- Code
- 57110
- Physician work
- 15.09
- Practice expense
- 6.25
- Malpractice
- 2.55
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.09 | × 1.000 | 15.0900 |
| Practice expense | 6.25 | × 0.915 | 5.7188 |
| Malpractice | 2.55 | × 0.397 | 1.0124 |
| Total RVUs | 21.8211 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$728.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.09 | 1 |
| Practice expense | 6.25 | 0.915 |
| Malpractice | 2.55 | 0.397 |
(15.09 × 1 + 6.25 × 0.915 + 2.55 × 0.397) × $33.4009 = $728.84
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.
57110 billing questions
How does 57110 differ from partial vaginectomy 57106?
57110 describes complete removal of the vaginal wall. Use 57106 when the operative report supports only partial removal.
When would 57111 be a closer fit?
57111 includes removal of paravaginal tissue with the complete vaginal wall removal. The operative report should support that additional tissue removal.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not used to report bilateral performance.
Is an assistant at surgery payable for 57110?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is 57110 affected when other procedures occur in the same session?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction.
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.
6,43757106,,Vagnc prtl rmvl vag wall,A,,7.31,6.08,NA,6.08,,1.35,14.74,14.74,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43857107,,Vagnc compl rmvl paravag tis,A,,23.95,10.91,NA,10.91,,4.69,39.55,39.55,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43957109,,Vagnc bi total pel lymphadec,A,,27.69,14.54,NA,14.54,,6.42,48.65,48.65,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44057110,,Vagnc compl rmvl vag wall,A,,15.09,6.25,NA,6.25,,2.55,23.89,23.89,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44157111,,Vagnc compl rmvl paravag tis,A,,27.69,14.54,NA,14.54,,6.42,48.65,48.65,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44257120,,Colpocleisis le fort type,A,,8.07,4.78,NA,4.78,,1.33,14.18,14.18,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44357130,,Excision vaginal septum,A,,2.40,3.83,,1.79,,0.42,6.65,4.61,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136