No office rate
Use 57540 when the residual cervix is removed abdominally; use 57550 when removal is performed vaginally.
On this page
CMS RVU26D · Effective 2026-10-01
57540 Cervical stump removal Medicare reimbursement rates in Kentucky
Reports abdominal removal of a residual cervical stump, typically after supracervical hysterectomy, when the remaining cervix requires surgical excision. Compare 57540 office and facility rates across CMS payment localities in Kentucky.
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 57540 in Kentucky?
Kentucky 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
$672.10
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 57540: Abdominal removal of cervical stump
Reports abdominal removal of a residual cervical stump, typically after supracervical hysterectomy, when the remaining cervix requires surgical excision.
CPT 57540 represents abdominal excision of a residual cervix, or cervical stump, most commonly after a prior supracervical hysterectomy. A gynecologic surgeon performs the operation when the remaining cervix requires removal; the approach is abdominal rather than vaginal. The operative report should establish that the tissue removed is residual cervix and describe the abdominal route and surgical work performed.
Select this code for abdominal removal of a cervical stump, not for removal through the vagina or for a limited cervical biopsy or excisional procedure. Document the prior anatomy, indication, approach, and extent of excision. CMS assigns 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57540
- 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 RVU12.96 · 62%
- Practice expense (office) RVU5.72 · 27%
- Malpractice RVU2.27 · 11%
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.
57540 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
57530 describes cervical amputation by a vaginal approach, while 57540 concerns abdominal removal of a residual cervical stump.
$139.51
57558 is for dilation and curettage of a cervical stump; 57540 reports surgical removal of the stump.
Compare 57540 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$672.10
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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 57540 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,507
- Code
- 57540
- Physician work
- 12.96
- Practice expense
- 5.72
- Malpractice
- 2.27
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.96 | × 1.000 | 12.9600 |
| Practice expense | 5.72 | × 0.889 | 5.0851 |
| Malpractice | 2.27 | × 0.915 | 2.0771 |
| Total RVUs | 20.1221 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$672.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.96 | 1 |
| Practice expense | 5.72 | 0.889 |
| Malpractice | 2.27 | 0.915 |
(12.96 × 1 + 5.72 × 0.889 + 2.27 × 0.915) × $33.4009 = $672.10
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.
57540 billing questions
How does 57540 differ from 57550?
57540 is for abdominal removal of the residual cervix. 57550 is the corresponding removal through a vaginal approach.
Can 57540 be reported for a cervical biopsy or conization?
No. It describes removal of a residual cervical stump, rather than a biopsy or a limited excisional procedure such as conization.
What documentation supports 57540?
The operative report should identify the residual cervix, establish the abdominal approach, and describe its excision and the relevant prior anatomy.
Is modifier 50 appropriate for 57540?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is 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.
6,50457522,,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
6,50657531,,Removal of cervix radical,A,,29.20,10.33,NA,10.33,,9.37,48.90,48.90,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50757540,,Removal of residual cervix,A,,12.96,5.72,NA,5.72,,2.27,20.95,20.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50857545,,Remove cervix/repair pelvis,A,,13.75,5.89,NA,5.89,,2.41,22.05,22.05,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50957550,,Removal of residual cervix,A,,6.18,4.29,NA,4.29,,1.09,11.56,11.56,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51057555,,Remove cervix/repair vagina,A,,9.69,5.07,NA,5.07,,1.70,16.46,16.46,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631