CPT code 57421: Colposcopy, entire vagina with biopsy2026 Medicare rate & RVUs in Queens, NY
Report this service when colposcopic examination of the entire vagina, including the cervix if present, includes directed biopsy of vaginal or cervical tissue.
In Queens, NY, Medicare pays $210.34 for 57421 in the office and $124.27 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 57421 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 57421 covers
A clinician uses a colposcope to inspect the entire vaginal canal and, when present, the cervix, then takes directed tissue samples from abnormal areas. Gynecologists commonly perform this in an office or outpatient facility when evaluating abnormal vaginal cytology, suspected vaginal intraepithelial lesions, or visible lesions requiring histologic assessment, including in patients who have had a hysterectomy.
Report the service when the examination covers the entire vagina and includes biopsy; the code accounts for the colposcopic examination and biopsy work. The record should identify the examined anatomy, the abnormal area sampled, and the clinical reason for sampling. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and 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 Queens, NY compares for 57421
Across 109 of 109 payment localities, the office rate for 57421 runs from $161.67 in Arkansas to $225.94 in San Benito County, CA. Queens, NY pays $210.34. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Queens, NY · this page$210.34
- Manhattan, NY · New York$210.44+$0.10
- NYC suburbs and Long Island, NY · New York$216.83+$6.49
- Poughkeepsie and northern NYC suburbs, NY · New York$197.35−$12.99
- Rest of New York · New York$173.06−$37.28
- Los Angeles, CA · California$197.87−$12.47
- Washington, DC area · District of Columbia$204.62−$5.72
Other areas in New York first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Miami, FLFlorida | $207.43 | $131.63 |
| Chicago, ILIllinois | $201.19 | $128.01 |
| AlaskaAlaska | $217.89 | $140.35 |
| AlabamaAlabama | $163.92 | $100.21 |
| ArkansasArkansas | $161.67 | $99.12 |
| ArizonaArizona | $177.03 | $106.48 |
| Bakersfield, CACalifornia | $187.15 | $107.34 |
| Chico, CACalifornia | $185.98 | $106.18 |
| El Centro, CACalifornia | $186.05 | $106.25 |
| Fresno, CACalifornia | $185.98 | $106.18 |
| Hanford, CACalifornia | $185.98 | $106.18 |
| Madera, CACalifornia | $185.98 | $106.18 |
| Merced, CACalifornia | $185.98 | $106.18 |
| Modesto, CACalifornia | $185.98 | $106.18 |
| Napa, CACalifornia | $210.25 | $114.28 |
| Oxnard, CACalifornia | $196.26 | $110.20 |
| Redding, CACalifornia | $185.98 | $106.18 |
| Rest of CaliforniaCalifornia | $185.98 | $106.18 |
| Riverside, CACalifornia | $190.50 | $110.70 |
| Sacramento, CACalifornia | $193.79 | $109.11 |
| Salinas, CACalifornia | $193.05 | $108.66 |
| San Diego, CACalifornia | $196.62 | $109.53 |
| Marin County, CACalifornia | $220.71 | $118.04 |
| San Francisco, CACalifornia | $220.23 | $117.56 |
| San Benito County, CACalifornia | $225.94 | $120.95 |
| Santa Clara County, CACalifornia | $223.99 | $119.00 |
| San Luis Obispo, CACalifornia | $190.12 | $107.18 |
| Santa Cruz, CACalifornia | $197.72 | $109.25 |
| Santa Maria, CACalifornia | $193.50 | $108.60 |
| Santa Rosa, CACalifornia | $199.61 | $110.20 |
| Stockton, CACalifornia | $185.98 | $106.18 |
| Vallejo, CACalifornia | $209.56 | $113.59 |
| Visalia, CACalifornia | $185.98 | $106.18 |
| Yuba City, CACalifornia | $185.98 | $106.18 |
| ColoradoColorado | $185.98 | $108.51 |
| ConnecticutConnecticut | $193.82 | $115.40 |
| DelawareDelaware | $179.82 | $107.88 |
| Fort Lauderdale, FLFlorida | $194.62 | $120.86 |
| Rest of FloridaFlorida | $184.86 | $115.25 |
| Atlanta, GAGeorgia | $186.61 | $112.63 |
| Rest of GeorgiaGeorgia | $174.34 | $109.39 |
| Hawaii, Guam, HIHawaii | $189.31 | $106.52 |
| IowaIowa | $165.40 | $98.77 |
| IdahoIdaho | $166.95 | $99.96 |
| East St. Louis, ILIllinois | $188.56 | $121.58 |
| Rest of IllinoisIllinois | $181.56 | $115.08 |
| Suburban Chicago, ILIllinois | $195.96 | $121.18 |
| IndianaIndiana | $167.80 | $100.30 |
| KansasKansas | $165.84 | $100.02 |
| KentuckyKentucky | $170.16 | $105.43 |
| New Orleans, LALouisiana | $178.27 | $109.75 |
| Rest of LouisianaLouisiana | $170.38 | $105.94 |
| Metropolitan Boston, MAMassachusetts | $202.10 | $115.16 |
| Rest of MassachusettsMassachusetts | $185.43 | $108.76 |
| Baltimore area, MDMaryland | $193.53 | $115.40 |
| Rest of MarylandMaryland | $182.76 | $109.07 |
| Rest of MaineMaine | $169.04 | $102.05 |
| Southern Maine, MEMaine | $175.99 | $103.83 |
| Detroit, MIMichigan | $188.29 | $118.03 |
| Rest of MichiganMichigan | $175.48 | $109.00 |
| MinnesotaMinnesota | $174.95 | $100.02 |
| Metropolitan Kansas City, MOMissouri | $175.84 | $107.47 |
| Metropolitan St. Louis, MOMissouri | $177.45 | $108.13 |
| Rest of MissouriMissouri | $168.40 | $105.63 |
| MississippiMississippi | $165.00 | $102.31 |
| MontanaMontana | $182.01 | $109.19 |
| North CarolinaNorth Carolina | $170.53 | $102.59 |
| North DakotaNorth Dakota | $173.70 | $100.89 |
| NebraskaNebraska | $165.90 | $98.69 |
| New HampshireNew Hampshire | $184.23 | $108.43 |
| Northern New JerseyNew Jersey | $202.90 | $118.44 |
| Rest of New JerseyNew Jersey | $195.12 | $115.61 |
| New MexicoNew Mexico | $176.87 | $110.10 |
| NevadaNevada | $179.79 | $106.90 |
| OhioOhio | $173.78 | $107.30 |
| OklahomaOklahoma | $168.61 | $103.59 |
| Portland, OROregon | $190.27 | $109.37 |
| Rest of OregonOregon | $177.48 | $104.96 |
| Metropolitan Philadelphia, PAPennsylvania | $189.98 | $114.18 |
| Rest of PennsylvaniaPennsylvania | $173.38 | $106.53 |
| Puerto RicoPuerto Rico | $182.88 | $109.27 |
| Rhode IslandRhode Island | $185.06 | $109.84 |
| South CarolinaSouth Carolina | $172.62 | $105.34 |
| South DakotaSouth Dakota | $172.72 | $99.91 |
| TennesseeTennessee | $166.79 | $100.60 |
| Austin, TXTexas | $186.16 | $109.12 |
| Beaumont, TXTexas | $172.38 | $106.12 |
| Brazoria, TXTexas | $178.66 | $106.50 |
| Dallas, TXTexas | $180.30 | $107.78 |
| Fort Worth, TXTexas | $179.52 | $107.73 |
| Galveston, TXTexas | $179.52 | $107.22 |
| Houston, TXTexas | $187.21 | $114.91 |
| Rest of TexasTexas | $175.77 | $106.67 |
| UtahUtah | $174.83 | $106.39 |
| VirginiaVirginia | $176.28 | $104.70 |
| Virgin Islands, VIUnited States Virgin Islands | $182.88 | $109.27 |
| VermontVermont | $174.14 | $102.06 |
| Rest of WashingtonWashington | $184.71 | $108.04 |
| King County, WAWashington | $204.89 | $115.55 |
| WisconsinWisconsin | $168.29 | $98.53 |
| West VirginiaWest Virginia | $175.48 | $112.20 |
| WyomingWyoming | $178.39 | $105.57 |
57421 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.
$161.67
$217.89
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $217.89 | 1 |
| AL | $163.92 | 1 |
| AR | $161.67 | 1 |
| AZ | $177.03 | 1 |
| CA | $185.98–$225.94 | 29 |
| CO | $185.98 | 1 |
| CT | $193.82 | 1 |
| DC | $204.62 | 1 |
| DE | $179.82 | 1 |
| FL | $184.86–$207.43 | 3 |
| GA | $174.34–$186.61 | 2 |
| GU | $189.31 | 1 |
| HI | $189.31 | 1 |
| IA | $165.40 | 1 |
| ID | $166.95 | 1 |
| IL | $181.56–$201.19 | 4 |
| IN | $167.80 | 1 |
| KS | $165.84 | 1 |
| KY | $170.16 | 1 |
| LA | $170.38–$178.27 | 2 |
| MA | $185.43–$202.10 | 2 |
| MD | $182.76–$204.62 | 3 |
| ME | $169.04–$175.99 | 2 |
| MI | $175.48–$188.29 | 2 |
| MN | $174.95 | 1 |
| MO | $168.40–$177.45 | 3 |
| MS | $165.00 | 1 |
| MT | $182.01 | 1 |
| NC | $170.53 | 1 |
| ND | $173.70 | 1 |
| NE | $165.90 | 1 |
| NH | $184.23 | 1 |
| NJ | $195.12–$202.90 | 2 |
| NM | $176.87 | 1 |
| NV | $179.79 | 1 |
| NY | $173.06–$216.83 | 5 |
| OH | $173.78 | 1 |
| OK | $168.61 | 1 |
| OR | $177.48–$190.27 | 2 |
| PA | $173.38–$189.98 | 2 |
| PR | $182.88 | 1 |
| RI | $185.06 | 1 |
| SC | $172.62 | 1 |
| SD | $172.72 | 1 |
| TN | $166.79 | 1 |
| TX | $172.38–$187.21 | 8 |
| UT | $174.83 | 1 |
| VA | $176.28–$204.62 | 2 |
| VI | $182.88 | 1 |
| VT | $174.14 | 1 |
| WA | $184.71–$204.89 | 2 |
| WI | $168.29 | 1 |
| WV | $175.48 | 1 |
| WY | $178.39 | 1 |
How the 57421 rate is calculated
Each of 57421’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 · 57421
RVUs × geographic indexes × conversion factor
Work2.15
2.15 RVUs× 1.000 GPCI
Practice expense2.88
2.88 RVUs× 1.000 GPCI
Malpractice0.42
0.42 RVUs× 1.000 GPCI
Adjusted RVUs
5.4500
Conversion factor
$33.4009
Medicare rate
$182.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Queens, NY inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,487
- Code
- 57421
- Physician work
- 2.15
- Practice expense
- 2.88
- Malpractice
- 0.42
GPCI2026.csv
81
- Locality
- Queens, NY
- Physician work
- 1.064
- Practice expense
- 1.182
- Malpractice
- 1.442
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.15 | × 1.064 | 2.2876 |
| Practice expense | 2.88 | × 1.182 | 3.4042 |
| Malpractice | 0.42 | × 1.442 | 0.6056 |
| Total RVUs | 6.2974 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Queens, NY$210.34
Office: (2.15 × 1.064 + 2.88 × 1.182 + 0.42 × 1.442) × $33.4009 = $210.34
Facility: (2.15 × 1.064 + 0.7 × 1.182 + 0.42 × 1.442) × $33.4009 = $124.27
Payment rules and modifiers for 57421
The CMS indicators that decide how 57421 is paid alongside other services.
CMS payment indicators · 57421
Colposcopy, entire vagina with biopsy
| 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
57421 without 51 · national office
$182.03
Colposcopy, entire vagina with biopsy
57421-51 · Second procedure: 50%
$91.02
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%).
How 57421 has changed in Queens, NY
57421 · Office / nonfacility
$210.34
Effective 2026-10-01
The base rate is $9.42 higher than on 2025-10-01, moving from $200.92 to $210.34 (4.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$200.92changed to$210.34
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.20 changed to 2.15
- Practice expense RVU 2.76 changed to 2.88
- Malpractice RVU 0.39 changed to 0.42
- Work GPCI 1.065 changed to 1.064
- Practice expense GPCI 1.195 changed to 1.182
- Malpractice GPCI 1.462 changed to 1.442
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$207.87changed to$200.92
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.80 changed to 2.76
- Malpractice RVU 0.38 changed to 0.39
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$204.47changed to$207.87
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$218.42changed to$204.47
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.78 changed to 2.80
- Malpractice RVU 0.36 changed to 0.38
- Work GPCI 1.061 changed to 1.065
- Practice expense GPCI 1.212 changed to 1.195
- Malpractice GPCI 2.061 changed to 1.462
January 1, 2023
RVU23A
$229.49changed to$218.42
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.75 changed to 2.78
- Malpractice RVU 0.35 changed to 0.36
- Work GPCI 1.056 changed to 1.061
- Practice expense GPCI 1.228 changed to 1.212
- Malpractice GPCI 2.661 changed to 2.061
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$224.47changed to$229.49
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.61 changed to 2.75
- Malpractice RVU 0.34 changed to 0.35
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$215.09changed to$224.47
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.31 changed to 2.61
- Malpractice RVU 0.35 changed to 0.34
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.214 changed to 1.228
- Malpractice GPCI 2.391 changed to 2.661
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$199.02changed to$215.09
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.09 changed to 2.31
- Malpractice RVU 0.33 changed to 0.35
- Work GPCI 1.052 changed to 1.054
- Practice expense GPCI 1.200 changed to 1.214
- Malpractice GPCI 2.121 changed to 2.391
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$192.75changed to$199.02
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.95 changed to 2.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$192.52changed to$192.75
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 2.151 changed to 2.121
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$192.70changed to$192.52
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.94 changed to 1.95
- Malpractice RVU 0.34 changed to 0.33
- Practice expense GPCI 1.199 changed to 1.200
- Malpractice GPCI 2.181 changed to 2.151
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$193.82changed to$192.70
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.95 changed to 1.94
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$192.86changed to$193.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$189.08changed to$192.86
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.93 changed to 1.95
- Malpractice RVU 0.35 changed to 0.34
- Work GPCI 1.057 changed to 1.052
- Practice expense GPCI 1.197 changed to 1.199
- Malpractice GPCI 1.836 changed to 2.181
Held through RVU15B.
January 1, 2014
RVU14A
$184.05changed to$189.08
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.11 changed to 1.93
- Malpractice RVU 0.37 changed to 0.35
- Work GPCI 1.062 changed to 1.057
- Practice expense GPCI 1.195 changed to 1.197
- Malpractice GPCI 1.491 changed to 1.836
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $184.05
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $210.34 | $124.27 | RVU26D |
| 2026-07-01 | $210.34 | $124.27 | RVU26C |
| 2026-04-01 | $210.34 | $124.27 | RVU26B |
| 2026-01-01 | $210.34 | $124.27 | RVU26A |
| 2025-10-01 | $200.92 | $135.98 | RVU25D |
| 2025-07-01 | $200.92 | $135.98 | RVU25C |
| 2025-04-01 | $200.92 | $135.98 | RVU25B |
| 2025-01-01 | $200.92 | $135.98 | RVU25A |
| 2024-10-01 | $207.87 | $139.05 | RVU24D |
| 2024-07-01 | $207.87 | $139.05 | RVU24C |
| 2024-04-01 | $207.87 | $139.05 | RVU24B |
| 2024-03-09 | $207.87 | $139.05 | RVU24AR |
| 2024-01-01 | $204.47 | $136.78 | RVU24A |
| 2023-10-01 | $218.42 | $147.37 | RVU23D |
| 2023-07-01 | $218.42 | $147.37 | RVU23C |
| 2023-04-01 | $218.42 | $147.37 | RVU23B |
| 2023-01-01 | $218.42 | $147.37 | RVU23A |
| 2022-10-01 | $229.49 | $156.40 | RVU22D |
| 2022-07-01 | $229.49 | $156.40 | RVU22C |
| 2022-04-01 | $229.49 | $156.40 | RVU22B |
| 2022-01-01 | $229.49 | $156.40 | RVU22A |
| 2021-10-01 | $224.47 | $156.34 | RVU21D |
| 2021-07-01 | $224.47 | $156.34 | RVU21C |
| 2021-04-01 | $224.47 | $156.34 | RVU21B |
| 2021-01-01 | $224.47 | $156.34 | RVU21A |
| 2020-10-01 | $215.09 | $157.70 | RVU20D |
| 2020-07-01 | $215.09 | $157.70 | RVU20C |
| 2020-04-01 | $215.09 | $157.70 | RVU20B |
| 2020-01-01 | $215.09 | $157.70 | RVU20A |
| 2019-10-01 | $199.02 | $151.45 | RVU19D |
| 2019-07-01 | $199.02 | $151.45 | RVU19C |
| 2019-04-01 | $199.02 | $151.45 | RVU19B |
| 2019-01-01 | $199.02 | $151.45 | RVU19A |
| 2018-10-01 | $192.75 | $152.15 | RVU18D |
| 2018-07-01 | $192.75 | $152.15 | RVU18C |
| 2018-04-01 | $192.75 | $152.15 | RVU18B |
| 2018-01-01 | $192.75 | $152.15 | RVU18AR1 |
| 2017-10-01 | $192.52 | $152.89 | RVU17D |
| 2017-07-01 | $192.52 | $152.89 | RVU17C |
| 2017-04-01 | $192.52 | $152.89 | RVU17B |
| 2017-01-01 | $192.52 | $152.89 | RVU17A |
| 2016-10-01 | $192.70 | $153.20 | RVU16D |
| 2016-07-01 | $192.70 | $153.20 | RVU16C |
| 2016-04-01 | $192.70 | $153.20 | RVU16B |
| 2016-01-01 | $192.70 | $153.20 | RVU16A |
| 2015-10-01 | $193.82 | $153.76 | RVU15D |
| 2015-07-01 | $193.82 | $153.76 | RVU15C |
| 2015-04-01 | $192.86 | $152.99 | RVU15B |
| 2015-01-01 | $192.86 | $152.99 | RVU15A |
| 2014-10-01 | $189.08 | $150.49 | RVU14D |
| 2014-07-01 | $189.08 | $150.49 | RVU14C |
| 2014-04-01 | $189.08 | $150.49 | RVU14B |
| 2014-01-01 | $189.08 | $150.49 | RVU14A |
| 2013-10-01 | $184.05 | $142.98 | RVU13D |
| 2013-07-01 | $184.05 | $142.98 | RVU13C |
| 2013-04-01 | $184.05 | $142.98 | RVU13B |
| 2013-01-01 | $184.05 | $142.98 | RVU13AR |
Where the Queens, NY rate applies
Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.
- 57421 in New York · multiple payment areas
57421 billing questions
When should 57421 be selected instead of 57420?
Use 57421 when colposcopic examination of the entire vagina includes biopsy. Code 57420 describes the corresponding examination without biopsy.
Can the biopsy be reported separately from the colposcopy?
The biopsy is included in 57421 when performed as part of the colposcopic service. Document the sampled site and the reason for biopsy.
How does 57421 differ from 57455?
57421 covers examination of the entire vagina, with the cervix if present, and biopsy. 57455 is for cervical colposcopy with biopsy, rather than the entire-vagina examination.
Should modifier 50 be appended for biopsy on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Can an assistant or co-surgeon be billed with 57421?
Medicare does not pay an assistant at surgery for this service. 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 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
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