CPT code 57540: Cervical stump removal2026 Medicare rate & RVUs in Texas
Reports abdominal removal of a residual cervical stump, typically after supracervical hysterectomy, when the remaining cervix requires surgical excision.
CMS doesn’t publish an office rate for 57540 in Texas.
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 57540 covers
CPT 57540 represents abdominal excision of a residual cervix, or cervical stump, most commonly after a prior supracervical hysterectomy. A gynecologic surgeon performs the operation when the remaining cervix requires removal; the approach is abdominal rather than vaginal. The operative report should establish that the tissue removed is residual cervix and describe the abdominal route and surgical work performed.
Select this code for abdominal removal of a cervical stump, not for removal through the vagina or for a limited cervical biopsy or excisional procedure. Document the prior anatomy, indication, approach, and extent of excision. CMS assigns a 90-day global period, including 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. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 57540 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $703.05 |
| Beaumont | Unavailable | $677.17 |
| Brazoria | Unavailable | $684.81 |
| Dallas | Unavailable | $692.11 |
| Fort Worth | Unavailable | $691.19 |
| Galveston | Unavailable | $688.83 |
| Houston | Unavailable | $730.38 |
| Rest Of Texas | Unavailable | $682.65 |
How the 57540 rate is calculated
Each of 57540’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 · 57540
RVUs × geographic indexes × conversion factor
Work12.96
12.96 RVUs× 1.000 GPCI
Practice expense5.72
5.72 RVUs× 1.000 GPCI
Malpractice2.27
2.27 RVUs× 1.000 GPCI
Adjusted RVUs
20.9500
Conversion factor
$33.4009
Medicare rate
$699.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57540
57540 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57540
Cervical stump removal
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 57540
Cervical stump removal
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
57540 without 51 · national facility
$699.75
Cervical stump removal
57540-51 · Second procedure: 50%
$349.88
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%).
57540 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57550Cervical stump removal
- Use 57540 when the residual cervix is removed abdominally; use 57550 when removal is performed vaginally.
- 57530Cervix removal
- 57530 describes cervical amputation by a vaginal approach, while 57540 concerns abdominal removal of a residual cervical stump.
- 57558D&C
- 57558 is for dilation and curettage of a cervical stump; 57540 reports surgical removal of the stump.
57540 billing questions
How does 57540 differ from 57550?
57540 is for abdominal removal of the residual cervix. 57550 is the corresponding removal through a vaginal approach.
Can 57540 be reported for a cervical biopsy or conization?
No. It describes removal of a residual cervical stump, rather than a biopsy or a limited excisional procedure such as conization.
What documentation supports 57540?
The operative report should identify the residual cervix, establish the abdominal approach, and describe its excision and the relevant prior anatomy.
Is modifier 50 appropriate for 57540?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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 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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