No office rate
Use 57106 when only part of the vaginal wall is removed. 57110 describes complete vaginal-wall removal.
On this page
CMS RVU26D · Effective 2026-10-01
57106 Vaginectomy Medicare reimbursement rates in Kansas
Reports surgical removal of part of the vaginal wall, commonly for a localized vaginal lesion when treatment requires resection rather than biopsy. Compare 57106 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 57106 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
No supported rate
Facility setting
$450.47
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.
Gynecologic surgery
About 57106: Partial vaginal wall resection
Reports surgical removal of part of the vaginal wall, commonly for a localized vaginal lesion when treatment requires resection rather than biopsy.
A partial vaginectomy removes a portion of the vaginal wall while leaving other vaginal wall in place. Gynecologic surgeons, including gynecologic oncologists, typically perform it in an operating room when a lesion requires surgical excision, such as a localized vaginal malignancy or other disease for which limited wall resection is planned. The removed tissue is submitted for pathologic examination.
Report 57106 when the operative record supports partial removal of vaginal wall, not a diagnostic mucosal biopsy or complete wall removal. Documentation should identify the site and extent resected and the clinical reason for surgery. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For other procedures performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Do not use modifier 50. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 57106
- 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 RVU7.31 · 50%
- Practice expense (office) RVU6.08 · 41%
- Malpractice RVU1.35 · 9%
943
Medicare services in 2024 · #3016 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.
57106 compared with similar codes
Office rates for Kansas, from the same CMS release.
$159.56
57105 is an extensive mucosal biopsy for diagnosis; 57106 reports surgical removal of a portion of the wall.
$95.92
57100 is for a simple vaginal mucosal biopsy. It does not describe partial vaginal-wall resection.
$222.10
57135 is for excision of a vaginal cyst or tumor. Use 57106 when the documented operation is partial removal of the vaginal wall.
Compare 57106 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
Unavailable
Facility
$450.47
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 57106 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,437
- Code
- 57106
- Physician work
- 7.31
- Practice expense
- 6.08
- Malpractice
- 1.35
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.000 | 7.3100 |
| Practice expense | 6.08 | × 0.904 | 5.4963 |
| Malpractice | 1.35 | × 0.504 | 0.6804 |
| Total RVUs | 13.4867 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$450.47
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1 |
| Practice expense | 6.08 | 0.904 |
| Malpractice | 1.35 | 0.504 |
(7.31 × 1 + 6.08 × 0.904 + 1.35 × 0.504) × $33.4009 = $450.47
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.
57106 billing questions
How does 57106 differ from 57110?
57106 is for removal of part of the vaginal wall. Use 57110 when the operative service removes the complete vaginal wall.
Can a vaginal biopsy be reported as 57106?
No. A biopsy samples mucosa for diagnosis; 57106 describes surgical removal of a portion of the vaginal wall.
What documentation supports 57106?
The operative report should describe the vaginal site, the portion of wall removed, and the indication for resection. The record should make clear that the service was partial wall removal rather than biopsy or complete removal.
Does modifier 50 apply to this procedure?
No. CMS bilateral adjustment is not used for this code, and modifier 50 is inappropriate.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures 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.
6,43457065,,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
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
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