57111 Vagnc complicated removal paravag tissue
Also known as: Complete vaginectomy with paravaginal dissection
Vaginectomy with complete removal of vaginal wall and paravaginal tissue and structures. Most extensive vaginectomy procedure.
In Plain Language
Complete vagina and surrounding tissue removal
Clinical Context
Used for advanced vaginal carcinoma extending into paravaginal structures. Provides most comprehensive oncologic resection.
RVU Breakdown
| Work RVU | 27.69 |
| Total RVU | 27.69 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.69, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 57111?
CPT 57111 (Vagnc complicated removal paravag tissue) is a Surgery code. Vaginectomy with complete removal of vaginal wall and paravaginal tissue and structures. Most extensive vaginectomy procedure.
What is the wRVU value for CPT 57111?
The work RVU for CPT 57111 is 27.69. This code is primarily used by Gynecologic Oncology. It has a 90-day global period.
When is CPT 57111 used?
Used for advanced vaginal carcinoma extending into paravaginal structures. Provides most comprehensive oncologic resection.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.