CPT code 57410: Pelvic examination, under anesthesia2026 Medicare rate & RVUs in New Mexico

Reports a complete pelvic assessment performed under anesthesia when pain, intolerance, or another barrier prevents an adequate examination while the patient is awake.

CMS RVU26DEffective Oct 1, 2026One payment locality2K Medicare services in 2024

In New Mexico, Medicare pays $96.10 for 57410 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$96.10Hospital or facility

Check a contract rate as a % of Medicare · 57410 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 57410 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 57410 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 57410 covers

A gynecologist performs a systematic pelvic assessment while the patient is anesthetized, evaluating structures such as the vagina, cervix, uterus, and adnexa by inspection and palpation. This may be needed when severe pain, vaginismus, inability to cooperate, or another documented barrier prevents a clinically adequate examination in the office. The service is generally performed in an operating room or procedure setting, sometimes alongside another gynecologic procedure.

Report 57410 when the anesthetized examination is a distinct, medically necessary service, not merely the routine assessment integral to a more extensive procedure. Document why an awake examination was inadequate and the examination performed and findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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.

How New Mexico compares for 57410

Across 109 of 109 payment localities, the facility rate for 57410 runs from $87.52 in Arkansas to $122.50 in Alaska. New Mexico pays $96.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

57410 in New Mexico vs other payment areas
  1. New Mexico · this page$96.10
  2. Los Angeles, CA · California$100.88+$4.78
  3. Washington, DC area · District of Columbia$105.98+$9.88
  4. Miami, FL · Florida$113.05+$16.95
  5. Chicago, IL · Illinois$110.05+$13.95
  6. Manhattan, NY · New York$110.82+$14.72
  7. Alaska · Alaska$122.50+$26.40

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

57410 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$88.51
ArkansasArkansas—$87.52
ArizonaArizona—$94.17
Bakersfield, CACalifornia—$96.52
Chico, CACalifornia—$95.67
El Centro, CACalifornia—$95.72
Fresno, CACalifornia—$95.67
Hanford, CACalifornia—$95.67

57410 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
57410 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 57410 in every payment locality

How the 57410 rate is calculated

Each of 57410’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 · 57410

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense0.88

0.88 RVUs× 1.000 GPCI

Malpractice0.30

0.30 RVUs× 1.000 GPCI

Adjusted RVUs

2.8900

Conversion factor

$33.4009

Medicare rate

$96.53

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,484

Code
57410
Physician work
1.71
Practice expense
0.88
Malpractice
0.30

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 57410 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.71× 1.0001.7100
Practice expense0.88× 0.9170.8070
Malpractice0.30× 1.2010.3603
Total RVUs2.8773
Conversion factor× 33.4009

Facility rate, New Mexico$96.10

Facility: (1.71 × 1 + 0.88 × 0.917 + 0.3 × 1.201) × $33.4009 = $96.10

Open 57410 in the RVU calculator

Payment rules and modifiers for 57410

The CMS indicators that decide how 57410 is paid alongside other services.

CMS payment indicators · 57410

Pelvic examination, under anesthesia

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57410 without 51 · national facility

$96.53

Pelvic examination, under anesthesia

57410-51 · Second procedure: 50%

$48.27

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%).

When to use modifier 51

How 57410 has changed in New Mexico

57410 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$96.10RVU26D
2026-07-01Not available in this setting$96.10RVU26C
2026-04-01Not available in this setting$96.10RVU26B
2026-01-01Not available in this setting$96.10RVU26A
2025-10-01Not available in this setting$101.29RVU25D
2025-07-01Not available in this setting$101.29RVU25C
2025-04-01Not available in this setting$101.29RVU25B
2025-01-01Not available in this setting$101.29RVU25A
2024-10-01Not available in this setting$104.33RVU24D
2024-07-01Not available in this setting$104.33RVU24C
2024-04-01Not available in this setting$104.33RVU24B
2024-03-09Not available in this setting$104.33RVU24AR
2024-01-01Not available in this setting$102.62RVU24A
2023-10-01Not available in this setting$104.23RVU23D
2023-07-01Not available in this setting$104.23RVU23C
2023-04-01Not available in this setting$104.23RVU23B
2023-01-01Not available in this setting$104.23RVU23A
2022-10-01Not available in this setting$105.25RVU22D
2022-07-01Not available in this setting$105.25RVU22C
2022-04-01Not available in this setting$105.25RVU22B
2022-01-01Not available in this setting$105.25RVU22A
2021-10-01Not available in this setting$105.41RVU21D
2021-07-01Not available in this setting$105.41RVU21C
2021-04-01Not available in this setting$105.41RVU21B
2021-01-01Not available in this setting$105.41RVU21A
2020-10-01Not available in this setting$109.33RVU20D
2020-07-01Not available in this setting$109.33RVU20C
2020-04-01Not available in this setting$109.33RVU20B
2020-01-01Not available in this setting$109.33RVU20A
2019-10-01Not available in this setting$109.16RVU19D
2019-07-01Not available in this setting$109.16RVU19C
2019-04-01Not available in this setting$109.16RVU19B
2019-01-01Not available in this setting$109.16RVU19A
2018-10-01Not available in this setting$109.58RVU18D
2018-07-01Not available in this setting$109.58RVU18C
2018-04-01Not available in this setting$109.58RVU18B
2018-01-01Not available in this setting$109.58RVU18AR1
2017-10-01Not available in this setting$109.16RVU17D
2017-07-01Not available in this setting$109.16RVU17C
2017-04-01Not available in this setting$109.16RVU17B
2017-01-01Not available in this setting$109.16RVU17A
2016-10-01Not available in this setting$108.17RVU16D
2016-07-01Not available in this setting$108.17RVU16C
2016-04-01Not available in this setting$108.17RVU16B
2016-01-01Not available in this setting$108.17RVU16A
2015-10-01Not available in this setting$109.40RVU15D
2015-07-01Not available in this setting$109.40RVU15C
2015-04-01Not available in this setting$108.85RVU15B
2015-01-01Not available in this setting$108.85RVU15A
2014-10-01Not available in this setting$109.03RVU14D
2014-07-01Not available in this setting$109.03RVU14C
2014-04-01Not available in this setting$109.03RVU14B
2014-01-01Not available in this setting$109.03RVU14A
2013-10-01Not available in this setting$105.84RVU13D
2013-07-01Not available in this setting$105.84RVU13C
2013-04-01Not available in this setting$105.84RVU13B
2013-01-01Not available in this setting$105.84RVU13AR

Price 57410 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

57410 billing questions

When is 57410 appropriate instead of an office pelvic examination?

Use it when anesthesia is needed to complete a medically necessary pelvic assessment because an awake examination cannot be adequately performed, such as with severe pain or inability to tolerate the examination. Document the specific barrier.

Can 57410 be reported with another gynecologic procedure performed during the same session?

A preliminary examination that is integral to the more extensive procedure is not a distinct service. Report 57410 when the anesthetized examination is separately necessary and documented, rather than simply part of the operative assessment.

Should modifier 50 be appended?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included. CMS assigns a 0-day global period to 57410.

How does the multiple procedure rule affect 57410?

When it is performed in the same session as other procedures, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

Can an assistant or co-surgeon be paid for 57410?

Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted for this code.

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.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 57410PPRRVU2026_Oct_nonQPP.csv, line 6,484 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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