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CMS RVU26D · Effective 2026-10-01

57545 Cervical removal Medicare reimbursement rates in Vermont

Reports removal of the cervix with pelvic repair during the same operation, supported by an operative record documenting the work performed. Compare 57545 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 57545 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

$694.76

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.

Find 57545 in your payment locality →

Gynecologic surgery

About 57545: Cervical removal with pelvic repair

Reports removal of the cervix with pelvic repair during the same operation, supported by an operative record documenting the work performed.

This code describes an operation that removes the cervix and includes repair in the pelvis. The gynecologic surgeon documents the operative approach, the extent of cervical removal, and the pelvic repair performed. The specific indication and anatomy should be clear from the operative report; the code is not a substitute for a more limited cervical biopsy, cautery, or conization service.

Report the code when the documented operation matches cervical removal with pelvic repair, rather than removal alone or repair alone. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 57545

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 may be paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU13.75 · 62%
  • Practice expense (office) RVU5.89 · 27%
  • Malpractice RVU2.41 · 11%

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.

57545 compared with similar codes

Office rates for Vermont, from the same CMS release.

57530

Cervix removal

Simple trachelectomy

No office rate

This code includes pelvic repair with cervical removal. Code 57530 describes cervical removal without that combined pelvic repair.

57531

Radical trachelectomy

Vaginal approach

No office rate

Code 57531 describes radical cervical removal by a vaginal approach. Choose based on the documented extent and approach, not on the diagnosis alone.

57540

Cervical stump removal

Abdominal approach

No office rate

Code 57540 describes abdominal cervical removal. This code is distinguished by the documented pelvic repair performed with the removal.

Compare 57545 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

Office and facility base rates · shared scale starting at $0

  • Vermont →

    Office / nonfacility

    Unavailable

    Facility

    $694.76

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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 57545 in Vermont.

PPRRVU2026_Oct_nonQPP.csv

6,508

Code
57545
Physician work
13.75
Practice expense
5.89
Malpractice
2.41

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 57545 in Vermont
ComponentRVULocality factorAdjusted
Physician work13.75× 1.00013.7500
Practice expense5.89× 0.9905.8311
Malpractice2.41× 0.5061.2195
Total RVUs20.8006
Conversion factor× 33.4009

Facility rate, Vermont$694.76

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work13.751
Practice expense5.890.99
Malpractice2.410.506

(13.75 × 1 + 5.89 × 0.99 + 2.41 × 0.506) × $33.4009 = $694.76

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.

57545 billing questions

How is this different from cervical removal without pelvic repair?

Use this code when the operative documentation supports cervical removal with pelvic repair. A removal-only service does not capture that combined work.

What documentation supports reporting this code?

The operative report should identify the cervical removal, the pelvic repair performed, and the surgical approach and extent. The documented work must support both parts of the service.

Can another procedure be reported during the same session?

Separately performed procedures may be reported when supported by the record. Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and others are reduced when performed in the same session.

Can modifier 50 be used?

No. The anatomy and descriptor make modifier 50 inappropriate for this service.

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.

What care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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.

RVUs for 57545PPRRVU2026_Oct_nonQPP.csv, line 6,508 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet