No office rate
Use 57410 for a pelvic examination under anesthesia without removal of an impacted object. Use 57415 when the object is actually removed.
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CMS RVU26D · Effective 2026-10-01
57415 Vaginal foreign body removal Medicare reimbursement rates in Vermont
Removal of an impacted object from the vagina under anesthesia, reported when extraction requires more than a straightforward office removal. Compare 57415 office and facility rates across CMS payment localities in Vermont.
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 57415 in Vermont?
Vermont 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
$148.94
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Gynecology
About 57415: Impacted vaginal foreign body removal
Removal of an impacted object from the vagina under anesthesia, reported when extraction requires more than a straightforward office removal.
This service covers removing a vaginal object that is impacted or otherwise cannot be extracted during a simple office encounter. A gynecologist or other qualified clinician performs the removal under anesthesia, often in an operating room or procedure setting. The operative note should identify the object and its location, explain why it was impacted or difficult to remove, and document the method of extraction and anesthesia setting. A retained tampon or other object may prompt evaluation, but report this service when the removal itself meets the impacted-foreign-body circumstances.
Report one service for the removal rather than separately counting the examination needed to locate or remove the object. Related postoperative visits for 10 days are included in the global period. 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% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 57415
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU2.43 · 52%
- Practice expense (office) RVU1.84 · 39%
- Malpractice RVU0.41 · 9%
252
Medicare services in 2024 · #4136 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.
57415 compared with similar codes
Office rates for Vermont, from the same CMS release.
$131.91
57420 is for examining the vagina with a colposcope. It does not describe removal of an impacted foreign body.
$174.14
57421 includes vaginal colposcopy with biopsy. Choose 57415 for impacted-object removal, not for tissue sampling.
Compare 57415 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
Vermont →
Office / nonfacility
Unavailable
Facility
$148.94
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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 57415 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,485
- Code
- 57415
- Physician work
- 2.43
- Practice expense
- 1.84
- Malpractice
- 0.41
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.43 | × 1.000 | 2.4300 |
| Practice expense | 1.84 | × 0.990 | 1.8216 |
| Malpractice | 0.41 | × 0.506 | 0.2075 |
| Total RVUs | 4.4591 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$148.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.43 | 1 |
| Practice expense | 1.84 | 0.99 |
| Malpractice | 0.41 | 0.506 |
(2.43 × 1 + 1.84 × 0.99 + 0.41 × 0.506) × $33.4009 = $148.94
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.
57415 billing questions
When should this be reported instead of a pelvic examination under anesthesia?
Report this code when an impacted vaginal object is removed under anesthesia. A pelvic examination code describes an examination without that removal.
Can the examination needed for removal be billed separately?
The examination needed to locate and remove the object is part of the removal service. Do not separately count that integral work as another examination.
Does this code have a global period?
Yes. Related postoperative visits for 10 days are included in the minor-procedure global period.
Should modifier 50 be used for an object on one side of the vagina?
No. Bilateral adjustment is inappropriate for this service.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is limited to cases with documented 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.
6,48257335,,Repair vagina,A,,19.52,8.07,NA,8.07,,3.43,31.02,31.02,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48357400,,Dilation of vagina,A,,2.21,0.86,NA,0.86,,0.39,3.46,3.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48457410,,Pelvic examination,A,,1.71,0.88,NA,0.88,,0.30,2.89,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48557415,,Remove vaginal foreign body,A,,2.43,1.84,NA,1.84,,0.41,4.68,4.68,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48657420,,Exam of vagina w/scope,A,,1.56,2.26,,0.57,,0.30,4.12,2.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48757421,,Exam/biopsy of vag w/scope,A,,2.15,2.88,,0.70,,0.42,5.45,3.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48857423,,Repair paravag defect lap,A,,15.68,6.23,NA,6.23,,2.67,24.58,24.58,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817