No office rate
Use 57530 for nonradical cervical amputation. 57531 describes radical vaginal resection that includes adjacent supporting tissue and upper vagina.
On this page
CMS RVU26D · Effective 2026-10-01
57531 Radical trachelectomy Medicare reimbursement rates in Maine
Radical vaginal trachelectomy removes the cervix with adjacent supporting tissue and upper vagina, typically to treat selected cervical cancers while preserving the uterine body. Compare 57531 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 57531 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
$1487.40–$1514.71
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 57531: Radical vaginal cervix removal
Radical vaginal trachelectomy removes the cervix with adjacent supporting tissue and upper vagina, typically to treat selected cervical cancers while preserving the uterine body.
This operation removes the cervix along with surrounding parametrial tissue and a portion of the upper vagina through a vaginal approach. Gynecologic oncologists typically perform it in an operating room for selected patients with early cervical cancer when preserving the uterine body is part of the treatment plan. The operative report should establish the radical extent of the resection and the vaginal approach, rather than a simple cervical amputation or a limited excision for diagnosis or dysplasia.
Report the service when the documented procedure matches that radical vaginal operation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS pricing treats this code as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57531
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU29.20 · 60%
- Practice expense (office) RVU10.33 · 21%
- Malpractice RVU9.37 · 19%
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.
57531 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
Both are radical trachelectomy procedures; distinguish them by the documented approach: vaginal for 57531 and abdominal for 57545.
$334.42–$348.86
57520 is a cervical conization, a limited excision rather than removal of the cervix with parametrial tissue and upper vagina.
Compare 57531 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
$1487.40
Southern Maine →
Office / nonfacility
Unavailable
Facility
$1514.71
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57531 billing questions
How is this different from 57530?
57531 represents a radical vaginal operation that includes surrounding parametrial tissue and upper vagina. 57530 is a nonradical cervical amputation.
When would 57545 be used instead?
57545 describes radical trachelectomy by an abdominal approach. Choose between the codes based on the operative approach documented.
Does modifier 50 increase payment?
No. CMS pricing treats 57531 as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What operative documentation supports 57531?
Document the vaginal approach and the radical extent of resection, including removal of the cervix with adjacent parametrial tissue and upper vagina.
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.
6,50357520,,Conization of cervix,A,,4.01,5.99,,3.39,,0.79,10.79,8.19,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50457522,,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