CPT code 57150: Vaginal infection treatment, irrigation or medication2026 Medicare rate & RVUs in New Jersey
Reports vaginal irrigation, intravaginal medication, or both to treat an active infection, such as vaginitis, in an outpatient setting.
Medicare pays $57.15–$59.80 for 57150 in the office in New Jersey, from Rest of New Jersey to Northern New Jersey. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 57150 covers
An ob-gyn or other qualified clinician uses vaginal irrigation, applies a topical medicament, or performs both to manage an active vaginal infection such as vaginitis. The service is typically performed in an office or outpatient setting; it concerns treatment within the vagina, not tissue sampling or placement of a support device.
Report 57150 when the documented treatment includes irrigation and/or intravaginal medication for infection, rather than an examination alone. Record the infection being treated, the method used, and the medication when applied. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When another procedure subject to multiple-procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this vaginal service. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing are not permitted.
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.
Where 57150 pays more and less in New Jersey
| Payment locality | Office | Facility |
|---|---|---|
| Northern New Jersey | $59.80 | $24.16 |
| Rest of New Jersey | $57.15 | $23.60 |
How the 57150 rate is calculated
Each of 57150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57150
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense1.03
1.03 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.5900
Conversion factor
$33.4009
Medicare rate
$53.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57150
The CMS indicators that decide how 57150 is paid alongside other services.
CMS payment indicators · 57150
Vaginal infection treatment, irrigation or medication
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57150 without 51 · national office
$53.11
Vaginal infection treatment, irrigation or medication
57150-51 · Second procedure: 50%
$26.56
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57150 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57100Vaginal biopsySimple mucosal sampling
- 57100 describes simple vaginal mucosal biopsy for tissue diagnosis. Choose 57150 when the service treats infection with irrigation and/or intravaginal medication.
- 57160Pessary fittingIntravaginal support device
- 57160 is for pessary or other vaginal device insertion. It does not describe irrigation or medication treatment for infection.
- 57180Bleeding controlVaginal bleeding
- 57180 addresses treatment of vaginal bleeding. Use 57150 for irrigation and/or medicament treatment of vaginal infection.
57150 billing questions
When should 57150 be reported instead of a vaginal biopsy?
Use 57150 for irrigation and/or intravaginal medication to treat an infection. A biopsy code is for sampling vaginal tissue, not treating vaginitis.
Can irrigation and medication application be reported as two services?
The code covers irrigation, application of medicament, or both for the infection treatment. Do not report separate units merely because both methods were used.
Can an office E/M service be reported on the same date?
A separately identifiable E/M service may be reported when the visit includes evaluation beyond the work of the infection treatment. Modifier 25 may be appropriate on the E/M code when its requirements are met.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this vaginal service.
What documentation supports 57150?
Document the vaginal infection being treated and whether irrigation, medicament application, or both were performed; identify the medication when one is used.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
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