No office rate
Choose 57010 when the vaginal incision is used to drain a pelvic abscess. Choose 57000 when the documented service is colpotomy with exploration.
On this page
CMS RVU26D · Effective 2026-10-01
57010 Abscess drainage Medicare reimbursement rates in Michigan
Reports surgical drainage of an accessible pelvic abscess through a vaginal incision, typically performed by a gynecologist in an operating room. Compare 57010 office and facility rates across CMS payment localities in Michigan.
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 57010 in Michigan?
Michigan 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
$400.78–$430.17
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 57010: Vaginal drainage of pelvic abscess
Reports surgical drainage of an accessible pelvic abscess through a vaginal incision, typically performed by a gynecologist in an operating room.
A gynecologist uses a vaginal incision to reach and drain a pelvic abscess, often one accessible through the cul-de-sac. The procedure is generally performed in an operating room when the collection is suitable for vaginal access and requires surgical drainage. The operative report should establish the abscess location, the colpotomy route, and the drainage performed.
Choose this code for therapeutic drainage of a pelvic abscess through the vaginal wall, not for exploration alone or needle aspiration. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 57010
- 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 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 RVU6.67 · 55%
- Practice expense (office) RVU4.39 · 36%
- Malpractice RVU1.17 · 10%
48
Medicare services in 2024 · #5381 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.
57010 compared with similar codes
Office rates for Michigan, from the same CMS release.
$115.22–$123.12
57020 describes aspiration by vaginal puncture; 57010 is for surgical drainage through a vaginal incision.
No office rate
57022 is for incision and drainage of an obstetric or postpartum vaginal hematoma, not a pelvic abscess.
No office rate
57023 is for incision and drainage of a non-obstetric vaginal hematoma. Use 57010 for drainage of a pelvic abscess through colpotomy.
Compare 57010 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
Detroit →
Office / nonfacility
Unavailable
Facility
$430.17
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$400.78
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.
57010 billing questions
How does this differ from 57000?
Code 57010 is for therapeutic drainage of a pelvic abscess through a vaginal incision. Code 57000 describes vaginal-incision exploration, rather than abscess drainage as the defining service.
When would 57020 be considered instead?
Use 57020 for needle puncture and aspiration by the vaginal route. Code 57010 represents surgical drainage through a colpotomy.
What documentation supports reporting 57010?
Document the pelvic abscess and its location, the vaginal route and incision used to access it, and the drainage performed.
Is modifier 50 appropriate for bilateral drainage?
No. CMS identifies bilateral adjustment as inapplicable to this code, so modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.
6,42656820,,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
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