$220.90
Both codes cover destruction of vaginal lesions. Choose 57061 for simple treatment and 57065 when the documented treatment is extensive.
On this page
CMS RVU26D · Effective 2026-10-01
57061 Vaginal lesion destruction Medicare reimbursement rates in Kansas
Report simple destruction of vaginal lesions when a clinician treats limited vaginal growths or abnormal tissue without removing a specimen. Compare 57061 office and facility rates across CMS payment localities in Kansas.
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 57061 in Kansas?
Kansas 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
$148.48
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$96.55
1 of 1 localities have a supported rate.
Payment area: Kansas
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 57061: Simple destruction of vaginal lesions
Report simple destruction of vaginal lesions when a clinician treats limited vaginal growths or abnormal tissue without removing a specimen.
This procedure destroys lesions on the vaginal lining rather than excising them for pathology. A gynecologist may use electrosurgery, cryotherapy, or another destructive technique to treat limited vaginal condyloma or abnormal vaginal tissue in an office or outpatient facility. The operative note should identify the vaginal location, the area treated, and the method used. Lesions on the vulva or cervix are not vaginal lesions for this code.
Choose 57061 for simple treatment; use 57065 when the vaginal lesion destruction is extensive. The code covers the treated vaginal lesion or lesions as a service, rather than assigning a unit to every spot. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for vaginal anatomy. CMS does not pay an assistant at surgery for this code and does not permit co-surgeons or team surgery.
CMS billing rules for 57061
- 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 RVU1.27 · 26%
- Practice expense (office) RVU3.39 · 69%
- Malpractice RVU0.22 · 5%
930
Medicare services in 2024 · #3024 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.
57061 compared with similar codes
Office rates for Kansas, from the same CMS release.
$95.92
Choose 57100 when the service is a vaginal biopsy to obtain tissue for examination. Choose 57061 when the service destroys vaginal lesions.
$165.84
Code 57421 covers vaginal colposcopy with biopsy for diagnostic evaluation. Code 57061 covers therapeutic destruction of vaginal lesions.
Compare 57061 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
Kansas →
Office / nonfacility
$148.48
Facility
$96.55
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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 57061 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,433
- Code
- 57061
- Physician work
- 1.27
- Practice expense
- 3.39
- Malpractice
- 0.22
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.27 | × 1.000 | 1.2700 |
| Practice expense | 3.39 | × 0.904 | 3.0646 |
| Malpractice | 0.22 | × 0.504 | 0.1109 |
| Total RVUs | 4.4454 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$148.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 3.39 | 0.904 |
| Malpractice | 0.22 | 0.504 |
(1.27 × 1 + 3.39 × 0.904 + 0.22 × 0.504) × $33.4009 = $148.48
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1 |
| Practice expense | 1.67 | 0.904 |
| Malpractice | 0.22 | 0.504 |
(1.27 × 1 + 1.67 × 0.904 + 0.22 × 0.504) × $33.4009 = $96.55
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.
57061 billing questions
When should 57065 be used instead of 57061?
Use 57065 for extensive vaginal lesion destruction. Document the distribution and extent of treatment to support the choice between extensive and simple destruction.
Is 57061 reported once for each vaginal lesion?
No. The code describes simple destruction of vaginal lesion or lesions; do not assign a separate unit to every treated spot.
How does 57061 differ from a vaginal biopsy?
Code 57061 treats tissue by destroying it. Code 57100 describes a diagnostic vaginal biopsy that obtains tissue for examination.
Is a related postoperative visit separately payable?
Related postoperative visits during the 10-day global period are included in payment for 57061.
Can modifier 50 be used for lesions on opposite sides of the vagina?
No. CMS does not apply a bilateral adjustment to 57061; modifier 50 is inappropriate for this anatomy.
How does CMS handle 57061 when another procedure is performed in the same session?
The standard multiple procedure reduction applies: CMS pays the highest-valued procedure in full and the other procedures at 50%. CMS does not pay an assistant at surgery or permit co-surgeons or team surgery for 57061.
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.
6,43057020,,Colpocentesis sep px,A,,1.46,1.87,,0.35,,0.25,3.58,2.06,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43157022,,I&d vaginal hematoma ob/pp,A,,2.66,1.66,NA,1.66,,0.46,4.78,4.78,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43257023,,I&d vaginal hematoma non-ob,A,,5.05,2.54,NA,2.54,,0.89,8.48,8.48,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43357061,,Destruction vag lesions smpl,A,,1.27,3.39,,1.67,,0.22,4.88,3.16,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43457065,,Destruction vag lesion xtnsv,A,,2.59,4.20,,1.93,,0.45,7.24,4.97,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43557100,,Biopsy vaginal mucosa simple,A,,1.17,1.76,,0.36,,0.22,3.15,1.75,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,43657105,,Biopsy vaginal mucosa xtnsv,A,,1.70,3.22,,2.03,,0.33,5.25,4.06,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958