$95.79
57100 describes a simple biopsy of vaginal mucosa. Choose 57180 when the service treats active vaginal bleeding rather than sampling tissue.
On this page
CMS RVU26D · Effective 2026-10-01
57180 Bleeding control Medicare reimbursement rates in Iowa
Reports treatment of active vaginal bleeding, commonly by placing a vaginal pack to apply pressure and help control the bleeding. Compare 57180 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 57180 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
$172.82
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$97.64
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.
Gynecology procedure
About 57180: Vaginal bleeding control with packing
Reports treatment of active vaginal bleeding, commonly by placing a vaginal pack to apply pressure and help control the bleeding.
This service treats active bleeding from the vagina, commonly by placing gauze or another pack in the vaginal canal to apply pressure. A gynecologist or another clinician managing gynecologic bleeding may perform it in an office, emergency department, or hospital setting. The service is treatment rather than evaluation alone; a visit to identify the source without bleeding-control treatment is not this procedure.
Report 57180 when the record supports active vaginal bleeding and documents the treatment performed, such as placement of a vaginal pack. The code has a 10-day global period, so related postoperative visits during that period are included. 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. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for it; co-surgeons and team surgery are not permitted.
CMS billing rules for 57180
- 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 RVU1.59 · 28%
- Practice expense (office) RVU3.80 · 67%
- Malpractice RVU0.27 · 5%
324
Medicare services in 2024 · #3936 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.
57180 compared with similar codes
Office rates for Iowa, from the same CMS release.
$48.77
57150 treats vaginal infection. It is not the bleeding-control service described by 57180.
$64.36
57160 concerns fitting and insertion of a pessary or another intravaginal support device, not placement of packing to control bleeding.
Compare 57180 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
$172.82
Facility
$97.64
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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 57180 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,450
- Code
- 57180
- Physician work
- 1.59
- Practice expense
- 3.80
- Malpractice
- 0.27
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.59 | × 1.000 | 1.5900 |
| Practice expense | 3.80 | × 0.915 | 3.4770 |
| Malpractice | 0.27 | × 0.397 | 0.1072 |
| Total RVUs | 5.1742 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$172.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 3.8 | 0.915 |
| Malpractice | 0.27 | 0.397 |
(1.59 × 1 + 3.8 × 0.915 + 0.27 × 0.397) × $33.4009 = $172.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 1.34 | 0.915 |
| Malpractice | 0.27 | 0.397 |
(1.59 × 1 + 1.34 × 0.915 + 0.27 × 0.397) × $33.4009 = $97.64
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.
57180 billing questions
When should 57180 be reported instead of a vaginal biopsy?
Use 57180 for treatment of active vaginal bleeding, such as control with packing. A biopsy code describes sampling vaginal tissue, not bleeding control.
Does placing a vaginal pack support 57180?
It can: vaginal packing is a typical method of treating vaginal bleeding under this code. Document the bleeding and the treatment performed.
Are related postoperative visits separately payable?
Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be added for bleeding from both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 57180, and co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
6,44757156,,Ins vag brachytx device,A,,2.62,3.87,,0.97,,0.21,6.70,3.80,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44857160,,Insert pessary/other device,A,,0.87,1.09,,0.19,,0.15,2.11,1.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44957170,,Fitting of diaphragm/cap,A,,0.89,1.13,,0.19,,0.16,2.18,1.24,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45057180,,Treat vaginal bleeding,A,,1.59,3.80,,1.34,,0.27,5.66,3.20,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45157200,,Repair of vagina,A,,4.31,4.01,NA,4.01,,0.80,9.12,9.12,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45257210,,Repair vagina/perineum,A,,5.57,4.05,NA,4.05,,1.01,10.63,10.63,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,45357220,,Revision of urethra,A,,4.73,3.79,NA,3.79,,0.81,9.33,9.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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