No office rate
57106 describes partial vaginal-wall removal. Choose 57107 when the operative report supports complete resection with paravaginal tissue removal.
On this page
CMS RVU26D · Effective 2026-10-01
57107 Vaginectomy Medicare reimbursement rates in Michigan
Reports complete removal of vaginal tissue with adjacent paravaginal tissue, typically for extensive vaginal disease requiring definitive surgical treatment. Compare 57107 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 57107 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
$1309.51–$1415.71
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 57107: Complete vaginectomy with paravaginal tissue removal
Reports complete removal of vaginal tissue with adjacent paravaginal tissue, typically for extensive vaginal disease requiring definitive surgical treatment.
This operation removes the vaginal tissue and adjacent paravaginal tissue as a complete resection. It may be performed for extensive vaginal malignancy or other disease requiring removal beyond the vaginal wall alone. A gynecologic oncologist or other surgeon with appropriate pelvic surgical expertise typically performs it in a hospital operating room. The operative report should identify the extent of vaginal tissue removed and document removal of paravaginal tissue.
Report the code for the documented complete resection with paravaginal tissue removal, rather than a partial vaginectomy or a biopsy. It has a 90-day global period, which includes 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. The service is reported for its defined operative extent; modifier 50 is not appropriate. Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57107
- 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 RVU23.95 · 61%
- Practice expense (office) RVU10.91 · 28%
- Malpractice RVU4.69 · 12%
184
Medicare services in 2024 · #4398 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.
57107 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
57110 describes complete vaginal-wall removal. This code is distinguished by documented removal of paravaginal tissue.
$167.42–$179.15
57105 is for extensive vaginal mucosal biopsy. It does not describe complete resection with removal of paravaginal tissue.
$232.96–$248.80
57135 addresses excision of a vaginal cyst or tumor. This code describes a complete resection with paravaginal tissue removal, not excision of a localized lesion.
Compare 57107 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
$1415.71
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$1309.51
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.
57107 billing questions
How does this differ from a partial vaginectomy?
This code describes a complete resection with paravaginal tissue removal. A partial vaginectomy is a better match when the operative report documents only partial removal of the vaginal wall.
When should a biopsy code be reported instead?
Use a vaginal biopsy code when tissue is sampled for diagnosis rather than removed as a complete resection with paravaginal tissue.
Is modifier 50 appropriate?
No. Report the operation for its defined operative extent; modifier 50 is not appropriate for this code.
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 may be available. 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.
6,43557100,,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
6,44157111,,Vagnc compl rmvl paravag tis,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