No office rate
Choose 57000 when the documented service includes pelvic exploration through a colpotomy; choose 57010 when the colpotomy is performed to drain a pelvic abscess.
On this page
CMS RVU26D · Effective 2026-10-01
57000 Colpotomy Medicare reimbursement rates in Maine
A surgeon opens the vaginal wall to explore the pelvic space reached through the incision, reporting the service when direct surgical assessment is performed. Compare 57000 office and facility rates across CMS payment localities in Maine.
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 57000 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$166.97–$171.63
2 of 2 localities have a supported rate.
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 57000: Vaginal incision with pelvic exploration
A surgeon opens the vaginal wall to explore the pelvic space reached through the incision, reporting the service when direct surgical assessment is performed.
Code 57000 represents a vaginal surgical approach in which the surgeon makes an opening through the vaginal wall and explores the pelvic space reached through that incision. A gynecologic surgeon may perform it in an operating room when direct assessment through a vaginal route is needed; the service involves exploration, not simply making an incision or aspirating a collection.
Report the code when the operative note documents both the colpotomy and the exploration, including the access route, area examined, findings, and reason for the procedure. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 57000
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.94 · 55%
- Practice expense (office) RVU1.90 · 36%
- Malpractice RVU0.50 · 9%
32
Medicare services in 2024 · #5627 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.
57000 compared with similar codes
Office rates for Maine, from the same CMS release.
$111.42–$115.93
57020 is for needle aspiration by a vaginal route. It does not describe the incision and exploration required for 57000.
No office rate
57022 describes incision and drainage of a vaginal hematoma in an obstetric or postpartum setting, rather than colpotomy with exploration.
No office rate
57023 describes incision and drainage of a vaginal hematoma outside an obstetric or postpartum setting, rather than colpotomy with exploration.
Compare 57000 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$166.97
Southern Maine →
Office / nonfacility
Unavailable
Facility
$171.63
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57000 billing questions
How does 57000 differ from 57010?
57000 describes a colpotomy with exploration. When the purpose is to drain a pelvic abscess through a colpotomy, 57010 describes that drainage service.
When would 57020 be used instead?
57020 describes colpocentesis, a needle-based vaginal approach to aspirate a collection. It is distinct from the incision and exploration reported with 57000.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code based on its descriptor or anatomy.
When is assistant-at-surgery payment allowed?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are 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.
6,42556810,,Perineoplasty rpr per nonob,A,,4.18,2.33,NA,2.33,,0.71,7.22,7.22,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42656820,,Colposcopy vulva,A,,1.46,2.10,,0.53,,0.27,3.83,2.26,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42756821,,Colposcopy vulva w/biopsy,A,,2.00,2.74,,0.65,,0.38,5.12,3.03,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42857000,,Colpotomy w/exploration,A,,2.94,1.90,NA,1.90,,0.50,5.34,5.34,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42957010,,Colpotomy drg pel abscess,A,,6.67,4.39,NA,4.39,,1.17,12.23,12.23,0,090,0.12,0.74,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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