No office rate
Choose 57111 when paravaginal tissue is also removed with the complete vaginectomy. 57110 represents complete vaginal removal without that added tissue excision.
On this page
CMS RVU26D · Effective 2026-10-01
57111 Vaginectomy Medicare reimbursement rates in Texas
Reports complete removal of the vagina with excision of paravaginal tissue, typically for extensive vaginal disease requiring major operative treatment. Compare 57111 office and facility rates across CMS payment localities in Texas.
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 57111 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 57111 pays more and less in Texas
Gynecologic surgery
About 57111: Complete vaginectomy with paravaginal tissue removal
Reports complete removal of the vagina with excision of paravaginal tissue, typically for extensive vaginal disease requiring major operative treatment.
This operation removes the vagina in its entirety along with adjacent paravaginal tissue. Gynecologic oncologists and other surgeons experienced in complex pelvic surgery may perform it, commonly in a hospital operating room for extensive vaginal malignancy or other serious disease requiring complete excision. The operative approach and structures removed depend on the disease and surgical plan; this code distinguishes removal of paravaginal tissue from complete vaginal removal alone.
Report the code when the operative documentation supports complete vaginectomy and removal of paravaginal tissue. The report should establish the extent of vaginal removal and identify the adjacent tissue excised; pathology findings can further describe the specimens. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. 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 multiple-procedure reduction. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57111
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU27.69 · 57%
- Practice expense (office) RVU14.54 · 30%
- Malpractice RVU6.42 · 13%
20
Medicare services in 2024 · #5928 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.
57111 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
57107 describes partial vaginectomy with paravaginal tissue removal. 57111 is for complete removal of the vagina with that tissue.
No office rate
57109 identifies complete vaginectomy with bilateral pelvic lymphadenectomy. 57111 identifies removal of paravaginal tissue; distinguish the services by the procedure documented.
Compare 57111 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $1630.53 |
| Beaumont | Office Unavailable | Facility $1566.02 |
| Brazoria | Office Unavailable | Facility $1580.81 |
| Dallas | Office Unavailable | Facility $1600.89 |
| Fort Worth | Office Unavailable | Facility $1598.82 |
| Galveston | Office Unavailable | Facility $1592.07 |
| Houston | Office Unavailable | Facility $1709.58 |
| Rest Of Texas | Office Unavailable | Facility $1579.39 |
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.
57111 billing questions
How does this differ from 57110?
57111 includes removal of paravaginal tissue along with complete vaginectomy. 57110 describes complete removal of the vaginal wall without that additional tissue removal.
When would 57107 be more appropriate?
57107 is the partial vaginectomy option with removal of paravaginal tissue. Use 57111 when the operative service removes the vagina completely.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment. Follow applicable claim instructions for any other modifier circumstances.
What documentation supports reporting 57111?
The operative report should describe complete removal of the vagina and excision of paravaginal tissue. Include the operative extent and specimen details when documented.
How are other same-session procedures paid?
Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures performed in the same session are subject to a 50% reduction.
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.
6,43857107,,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
6,44257120,,Colpocleisis le fort type,A,,8.07,4.78,NA,4.78,,1.33,14.18,14.18,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44357130,,Excision vaginal septum,A,,2.40,3.83,,1.79,,0.42,6.65,4.61,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44457135,,Excision vaginal cyst/tumor,A,,2.63,4.19,,1.95,,0.46,7.28,5.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00