Billing code 57700: Cervical revisionMedicare rate & RVUs in Nevada
Reports operative revision of the cervix, commonly to address cervical stenosis or incompetence when surgical correction is performed.
CMS doesn’t publish an office rate for 57700 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 57700 covers
A gynecologic surgeon revises the cervix to address a structural problem such as stenosis or incompetence. The service involves operative correction rather than simply examining the cervix or obtaining tissue for pathology. It is generally performed in a surgical setting when the clinician determines that cervical revision is needed; the specific technique depends on the abnormality being treated.
Select this code when the documented procedure is a revision of the cervix, not cervical canal dilation alone or excision for a separate indication such as dysplasia. The operative report should identify the cervical problem and describe the revision performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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.
57700 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $314.61 |
How the 57700 rate is calculated
Each of 57700’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57700
RVUs × geographic indexes × conversion factor
Work4.24
4.24 RVUs× 1.000 GPCI
Practice expense4.55
4.55 RVUs× 1.000 GPCI
Malpractice0.75
0.75 RVUs× 1.000 GPCI
Adjusted RVUs
9.5400
Conversion factor
$33.4009
Medicare rate
$318.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57700
57700 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57700
Cervical revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57700
Cervical revision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57700 without 51 · national facility
$318.64
Cervical revision
57700-51 · Second procedure: 50%
$159.32
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57700 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57800Cervical dilation
- 57800 is for dilation of the cervical canal. Use 57700 when the service is an operative revision of the cervix, rather than dilation alone.
- 57720Cervical repair
- 57720 is for repair of a cervical laceration by the vaginal approach. 57700 concerns revision for a problem such as stenosis or incompetence.
- 59320Cervical cerclage
- 59320 is vaginal cerclage during pregnancy for cervical insufficiency. It is not the code for operative revision of the cervix described by 57700.
57700 billing questions
When should 57700 be reported instead of cervical dilation?
Report 57700 for operative revision of the cervix, such as correction of stenosis or incompetence. Cervical canal dilation alone is represented by 57800.
How does 57700 differ from 57720?
57700 describes revision for a cervical problem such as stenosis or incompetence. 57720 is used for repair of a cervical laceration by the vaginal approach.
What documentation supports 57700?
Document the cervical abnormality prompting surgery and the revision performed. The operative report should make clear that the service was a revision, rather than dilation alone or a procedure for another indication.
Can modifier 50 be reported with 57700?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
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 another surgeon be reported?
Assistant-at-surgery payment 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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