No office rate
Both concern removal of a residual cervix, but 57540 is the abdominal approach; 57550 is the vaginal approach.
On this page
CMS RVU26D · Effective 2026-10-01
57550 Cervical stump removal Medicare reimbursement rates in Wyoming
Removal of a residual cervix through a vaginal approach, commonly after supracervical hysterectomy when the cervical stump requires surgical removal. Compare 57550 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 57550 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
$376.65
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.
Gynecologic surgery
About 57550: Vaginal removal of cervical stump
Removal of a residual cervix through a vaginal approach, commonly after supracervical hysterectomy when the cervical stump requires surgical removal.
This procedure removes the remaining cervix through the vagina, typically in a patient who previously had a supracervical hysterectomy and still has a cervical stump. A gynecologic surgeon may perform it for a documented problem involving that remnant, such as persistent bleeding or cervical disease. The operative report should make clear that the target is residual cervix and that the vaginal route was used.
Report 57550 for vaginal removal of the cervical stump; an abdominal approach is represented by a different code. Documentation should identify the prior surgery, the indication, the anatomy removed, and the operative approach. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple 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 single midline structure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 57550
- 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 RVU6.18 · 53%
- Practice expense (office) RVU4.29 · 37%
- Malpractice RVU1.09 · 9%
24
Medicare services in 2024 · #5822 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.
57550 compared with similar codes
Office rates for Wyoming, from the same CMS release.
Compare 57550 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$376.65
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.
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 57550 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,509
- Code
- 57550
- Physician work
- 6.18
- Practice expense
- 4.29
- Malpractice
- 1.09
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.18 | × 1.000 | 6.1800 |
| Practice expense | 4.29 | × 1.000 | 4.2900 |
| Malpractice | 1.09 | × 0.740 | 0.8066 |
| Total RVUs | 11.2766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$376.65
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.18 | 1 |
| Practice expense | 4.29 | 1 |
| Malpractice | 1.09 | 0.74 |
(6.18 × 1 + 4.29 × 1 + 1.09 × 0.74) × $33.4009 = $376.65
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.
57550 billing questions
When should 57550 be chosen over 57540?
Use 57550 when the residual cervix is removed through a vaginal approach. Code 57540 describes removal of the cervical stump through an abdominal approach.
Is 57550 used for a cervical conization?
No. It represents removal of a residual cervical stump, not an excision of cervical tissue for conization. A conization code such as 57520 or 57522 describes that different service.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because the anatomy and service do not support bilateral reporting.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90-day period.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
What documentation supports assistant or co-surgeon billing?
The operative record should support the assistant's role. 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.
6,50657531,,Removal of cervix radical,A,,29.20,10.33,NA,10.33,,9.37,48.90,48.90,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50757540,,Removal of residual cervix,A,,12.96,5.72,NA,5.72,,2.27,20.95,20.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50857545,,Remove cervix/repair pelvis,A,,13.75,5.89,NA,5.89,,2.41,22.05,22.05,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50957550,,Removal of residual cervix,A,,6.18,4.29,NA,4.29,,1.09,11.56,11.56,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51057555,,Remove cervix/repair vagina,A,,9.69,5.07,NA,5.07,,1.70,16.46,16.46,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51157556,,Remove cervix repair bowel,A,,9.13,4.91,NA,4.91,,1.61,15.65,15.65,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,51257558,,D&c of cervical stump,A,,1.68,2.51,,1.44,,0.29,4.48,3.41,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,