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CMS RVU26D · Effective 2026-10-01

57010 Abscess drainage Medicare reimbursement rates in Wyoming

Reports surgical drainage of an accessible pelvic abscess through a vaginal incision, typically performed by a gynecologist in an operating room. Compare 57010 office and facility rates across CMS payment localities in Wyoming.

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 57010 in Wyoming?

Wyoming 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

$398.33

1 of 1 localities have a supported rate.

Payment area: Wyoming**

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 57010 in your payment locality →

Gynecologic surgery

About 57010: Vaginal drainage of pelvic abscess

Reports surgical drainage of an accessible pelvic abscess through a vaginal incision, typically performed by a gynecologist in an operating room.

A gynecologist uses a vaginal incision to reach and drain a pelvic abscess, often one accessible through the cul-de-sac. The procedure is generally performed in an operating room when the collection is suitable for vaginal access and requires surgical drainage. The operative report should establish the abscess location, the colpotomy route, and the drainage performed.

Choose this code for therapeutic drainage of a pelvic abscess through the vaginal wall, not for exploration alone or needle aspiration. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 57010

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 RVU6.67 · 55%
  • Practice expense (office) RVU4.39 · 36%
  • Malpractice RVU1.17 · 10%

48

Medicare services in 2024 · #5381 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.

57010 compared with similar codes

Office rates for Wyoming, from the same CMS release.

57000

Colpotomy

With exploration

No office rate

Choose 57010 when the vaginal incision is used to drain a pelvic abscess. Choose 57000 when the documented service is colpotomy with exploration.

57020

Colpocentesis

Needle aspiration, separate procedure

$117.40

57020 describes aspiration by vaginal puncture; 57010 is for surgical drainage through a vaginal incision.

57022

Vaginal hematoma drainage

Obstetric or postpartum

No office rate

57022 is for incision and drainage of an obstetric or postpartum vaginal hematoma, not a pelvic abscess.

57023

Vaginal hematoma drainage

Nonobstetric

No office rate

57023 is for incision and drainage of a non-obstetric vaginal hematoma. Use 57010 for drainage of a pelvic abscess through colpotomy.

Compare 57010 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

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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 57010 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

6,429

Code
57010
Physician work
6.67
Practice expense
4.39
Malpractice
1.17

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Facility calculation for 57010 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work6.67× 1.0006.6700
Practice expense4.39× 1.0004.3900
Malpractice1.17× 0.7400.8658
Total RVUs11.9258
Conversion factor× 33.4009

Facility rate, Wyoming**$398.33

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
Work6.671
Practice expense4.391
Malpractice1.170.74

(6.67 × 1 + 4.39 × 1 + 1.17 × 0.74) × $33.4009 = $398.33

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.

57010 billing questions

How does this differ from 57000?

Code 57010 is for therapeutic drainage of a pelvic abscess through a vaginal incision. Code 57000 describes vaginal-incision exploration, rather than abscess drainage as the defining service.

When would 57020 be considered instead?

Use 57020 for needle puncture and aspiration by the vaginal route. Code 57010 represents surgical drainage through a colpotomy.

What documentation supports reporting 57010?

Document the pelvic abscess and its location, the vaginal route and incision used to access it, and the drainage performed.

Is modifier 50 appropriate for bilateral drainage?

No. CMS identifies bilateral adjustment as inapplicable to this code, so modifier 50 is inappropriate.

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 co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.

RVUs for 57010PPRRVU2026_Oct_nonQPP.csv, line 6,429 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet