$74.57
57800 is for dilation of the cervical canal. Use 57700 when the service is an operative revision of the cervix, rather than dilation alone.
On this page
CMS RVU26D · Effective 2026-10-01
57700 Cervical revision Medicare reimbursement rates in Puerto Rico
Reports operative revision of the cervix, commonly to address cervical stenosis or incompetence when surgical correction is performed. Compare 57700 office and facility rates across CMS payment localities in Puerto Rico.
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 57700 in Puerto Rico?
Puerto Rico 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
$319.94
1 of 1 localities have a supported rate.
Payment area: Puerto Rico
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 57700: Operative revision of the cervix
Reports operative revision of the cervix, commonly to address cervical stenosis or incompetence when surgical correction is performed.
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.
CMS billing rules for 57700
- 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 RVU4.24 · 44%
- Practice expense (office) RVU4.55 · 48%
- Malpractice RVU0.75 · 8%
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 compared with similar codes
Office rates for Puerto Rico, from the same CMS release.
No office rate
57720 is for repair of a cervical laceration by the vaginal approach. 57700 concerns revision for a problem such as stenosis or incompetence.
No office rate
59320 is vaginal cerclage during pregnancy for cervical insufficiency. It is not the code for operative revision of the cervix described by 57700.
Compare 57700 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
Puerto Rico →
Office / nonfacility
Unavailable
Facility
$319.94
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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 57700 in Puerto Rico.
PPRRVU2026_Oct_nonQPP.csv
6,513
- Code
- 57700
- Physician work
- 4.24
- Practice expense
- 4.55
- Malpractice
- 0.75
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.24 | × 1.000 | 4.2400 |
| Practice expense | 4.55 | × 1.011 | 4.6000 |
| Malpractice | 0.75 | × 0.985 | 0.7388 |
| Total RVUs | 9.5788 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$319.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.24 | 1 |
| Practice expense | 4.55 | 1.011 |
| Malpractice | 0.75 | 0.985 |
(4.24 × 1 + 4.55 × 1.011 + 0.75 × 0.985) × $33.4009 = $319.94
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.
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 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.
6,51057555,,Remove cervix/repair vagina,A,,9.69,5.07,NA,5.07,,1.70,16.46,16.46,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51157556,,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
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336