No office rate
57700 is cervical cerclage during pregnancy. Choose 57720 for repair or reconstruction of cervical tissue, not for cervical support.
On this page
CMS RVU26D · Effective 2026-10-01
57720 Cervical repair Medicare reimbursement rates in Nebraska
Vaginal cervical reconstruction repairs an acquired cervical laceration or deformity when the operation restores cervical tissue rather than treating a lesion or supporting pregnancy. Compare 57720 office and facility rates across CMS payment localities in Nebraska.
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 57720 in Nebraska?
Nebraska 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
$273.40
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 57720: Vaginal repair of cervical injury
Vaginal cervical reconstruction repairs an acquired cervical laceration or deformity when the operation restores cervical tissue rather than treating a lesion or supporting pregnancy.
A gynecologist performs this operation through the vagina to repair or reconstruct the cervix, commonly for an acquired defect such as a cervical laceration with resulting distortion. The surgeon may reshape and suture cervical tissue to restore its anatomy. The service is typically performed in an operating room; documentation should identify the cervical defect and describe the repair performed.
Report the service when the operative work is cervical reconstruction, not placement of a cerclage or removal of cervical tissue for a lesion. The operative report should support the indication, vaginal approach, and extent of repair. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 57720
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.49 · 50%
- Practice expense (office) RVU3.68 · 41%
- Malpractice RVU0.79 · 9%
16
Medicare services in 2024 · #6042 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.
57720 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$328.58
57520 removes a cone-shaped portion of cervical tissue. 57720 describes reconstruction of a cervical defect rather than excision for diagnosis or treatment.
$275.02
57522 uses a loop electrode to excise cervical tissue. 57720 is appropriate when the operative work repairs or reshapes the cervix instead.
Compare 57720 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$273.40
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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 57720 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,514
- Code
- 57720
- Physician work
- 4.49
- Practice expense
- 3.68
- Malpractice
- 0.79
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.000 | 4.4900 |
| Practice expense | 3.68 | × 0.923 | 3.3966 |
| Malpractice | 0.79 | × 0.378 | 0.2986 |
| Total RVUs | 8.1853 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$273.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.49 | 1 |
| Practice expense | 3.68 | 0.923 |
| Malpractice | 0.79 | 0.378 |
(4.49 × 1 + 3.68 × 0.923 + 0.79 × 0.378) × $33.4009 = $273.40
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.
57720 billing questions
How does this differ from 57700?
57720 repairs or reconstructs cervical tissue, such as an acquired defect. 57700 is for cervical cerclage during pregnancy, which provides cervical support.
Can a cervical biopsy or excision be reported with the repair?
The repair code represents reconstructive work, not diagnostic sampling or lesion removal. Separately report another service only when it was distinct, performed, and supported by the operative documentation.
What documentation supports reporting 57720?
Document the cervical defect or injury, why repair was needed, the vaginal approach, and the tissue-repair steps performed.
Does the 90-day global include postoperative visits?
Related postoperative care for 90 days is included, along with the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.
Should modifier 50 be used?
No. Modifier 50 is inappropriate for this cervical repair.
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.
6,51157556,,Remove cervix repair bowel,A,,9.13,4.91,NA,4.91,,1.61,15.65,15.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51257558,,D&c of cervical stump,A,,1.68,2.51,,1.44,,0.29,4.48,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51357700,,Revision of cervix,A,,4.24,4.55,NA,4.55,,0.75,9.54,9.54,0,090,0.12,0.74,0.14,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51457720,,Revision of cervix,A,,4.49,3.68,NA,3.68,,0.79,8.96,8.96,0,090,0.12,0.74,0.14,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51557800,,Dilation of cervical canal,A,,0.75,1.33,,0.41,,0.14,2.22,1.30,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51658100,,Biopsy of uterus lining,A,,1.18,1.55,,0.26,,0.21,2.94,1.65,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51758110,,Bx done w/colposcopy add-on,A,,0.75,0.64,,0.17,,0.14,1.53,1.06,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068