CPT code 57455: Cervical biopsy, colposcopy-guided biopsy2026 Medicare rate & RVUs in Houston, TX
Report this service when colposcopy is used to examine the cervix and obtain one or more targeted cervical tissue biopsies, without endocervical curettage.
In Houston, TX, Medicare pays $165.44 for 57455 in the office and $101.43 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 57455 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 57455 covers
During colposcopy, a gynecologist or other qualified women's health clinician examines the cervix under magnification, often after applying a solution that helps highlight abnormal areas. The clinician takes one or more tissue samples from suspicious cervical sites for pathology. This service is commonly performed in an office or outpatient setting after an abnormal cervical screening result or a concerning cervical finding.
Report 57455 once for the colposcopy session with cervical biopsy, regardless of the number of biopsy sites. The record should support the indication, colposcopic findings, sampled cervical sites, and specimen submission. When endocervical curettage is also performed, 57454 represents the combination; 57456 describes endocervical curettage without cervical biopsy. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment 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 Houston, TX compares for 57455
Across 109 of 109 payment localities, the office rate for 57455 runs from $143.29 in Arkansas to $199.74 in San Benito County, CA. Houston, TX pays $165.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Houston, TX · this page$165.44
- Austin, TX · Texas$164.63−$0.81
- Beaumont, TX · Texas$152.56−$12.88
- Brazoria, TX · Texas$158.11−$7.33
- Dallas, TX · Texas$159.53−$5.91
- Fort Worth, TX · Texas$158.85−$6.59
- Galveston, TX · Texas$158.85−$6.59
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $155.53 | $94.36 |
| Los Angeles, CACalifornia | $175.01 | $98.75 |
| Washington, DC areaDistrict of Columbia | $180.83 | $104.89 |
| Miami, FLFlorida | $182.83 | $115.72 |
| Chicago, ILIllinois | $177.44 | $112.65 |
| Manhattan, NYNew York | $185.82 | $110.91 |
| AlaskaAlaska | $193.46 | $124.81 |
| AlabamaAlabama | $145.25 | $88.85 |
| ArkansasArkansas | $143.29 | $87.92 |
| ArizonaArizona | $156.65 | $94.19 |
| Bakersfield, CACalifornia | $165.60 | $94.95 |
| Chico, CACalifornia | $164.59 | $93.94 |
| El Centro, CACalifornia | $164.66 | $94.00 |
| Fresno, CACalifornia | $164.59 | $93.94 |
| Hanford, CACalifornia | $164.59 | $93.94 |
| Madera, CACalifornia | $164.59 | $93.94 |
| Merced, CACalifornia | $164.59 | $93.94 |
| Modesto, CACalifornia | $164.59 | $93.94 |
| Napa, CACalifornia | $185.92 | $100.96 |
| Oxnard, CACalifornia | $173.59 | $97.40 |
| Redding, CACalifornia | $164.59 | $93.94 |
| Rest of CaliforniaCalifornia | $164.59 | $93.94 |
| Riverside, CACalifornia | $168.47 | $97.82 |
| Sacramento, CACalifornia | $171.47 | $96.49 |
| Salinas, CACalifornia | $170.80 | $96.09 |
| San Diego, CACalifornia | $173.93 | $96.83 |
| Marin County, CACalifornia | $195.15 | $104.26 |
| San Francisco, CACalifornia | $194.74 | $103.85 |
| San Benito County, CACalifornia | $199.74 | $106.79 |
| Santa Clara County, CACalifornia | $198.07 | $105.12 |
| San Luis Obispo, CACalifornia | $168.21 | $94.79 |
| Santa Cruz, CACalifornia | $174.87 | $96.55 |
| Santa Maria, CACalifornia | $171.20 | $96.03 |
| Santa Rosa, CACalifornia | $176.55 | $97.39 |
| Stockton, CACalifornia | $164.59 | $93.94 |
| Vallejo, CACalifornia | $185.34 | $100.37 |
| Visalia, CACalifornia | $164.59 | $93.94 |
| Yuba City, CACalifornia | $164.59 | $93.94 |
| ColoradoColorado | $164.52 | $95.93 |
| ConnecticutConnecticut | $171.29 | $101.87 |
| DelawareDelaware | $159.09 | $95.40 |
| Fort Lauderdale, FLFlorida | $171.80 | $106.50 |
| Rest of FloridaFlorida | $163.34 | $101.71 |
| Atlanta, GAGeorgia | $164.95 | $99.46 |
| Rest of GeorgiaGeorgia | $154.21 | $96.71 |
| Hawaii, Guam, HIHawaii | $167.46 | $94.17 |
| IowaIowa | $146.59 | $87.60 |
| IdahoIdaho | $147.92 | $88.62 |
| East St. Louis, ILIllinois | $166.45 | $107.14 |
| Rest of IllinoisIllinois | $160.44 | $101.58 |
| Suburban Chicago, ILIllinois | $173.00 | $106.80 |
| IndianaIndiana | $148.67 | $88.91 |
| KansasKansas | $146.95 | $88.67 |
| KentuckyKentucky | $150.63 | $93.32 |
| New Orleans, LALouisiana | $157.66 | $97.00 |
| Rest of LouisianaLouisiana | $150.81 | $93.76 |
| Metropolitan Boston, MAMassachusetts | $178.66 | $101.69 |
| Rest of MassachusettsMassachusetts | $164.05 | $96.17 |
| Baltimore area, MDMaryland | $171.02 | $101.85 |
| Rest of MarylandMaryland | $161.66 | $96.43 |
| Rest of MaineMaine | $149.71 | $90.41 |
| Southern Maine, MEMaine | $155.80 | $91.91 |
| Detroit, MIMichigan | $166.30 | $104.09 |
| Rest of MichiganMichigan | $155.22 | $96.37 |
| MinnesotaMinnesota | $154.97 | $88.63 |
| Metropolitan Kansas City, MOMissouri | $155.58 | $95.05 |
| Metropolitan St. Louis, MOMissouri | $156.98 | $95.61 |
| Rest of MissouriMissouri | $149.06 | $93.50 |
| MississippiMississippi | $146.15 | $90.65 |
| MontanaMontana | $160.97 | $96.50 |
| North CarolinaNorth Carolina | $151.01 | $90.87 |
| North DakotaNorth Dakota | $153.85 | $89.39 |
| NebraskaNebraska | $147.03 | $87.53 |
| New HampshireNew Hampshire | $162.94 | $95.83 |
| Northern New JerseyNew Jersey | $179.36 | $104.58 |
| Rest of New JerseyNew Jersey | $172.49 | $102.10 |
| New MexicoNew Mexico | $156.42 | $97.31 |
| NevadaNevada | $159.07 | $94.54 |
| NYC suburbs and Long Island, NYNew York | $191.35 | $114.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $174.43 | $103.84 |
| Queens, NYNew York | $185.77 | $109.58 |
| Rest of New YorkNew York | $153.21 | $91.97 |
| OhioOhio | $153.77 | $94.91 |
| OklahomaOklahoma | $149.30 | $91.74 |
| Portland, OROregon | $168.29 | $96.67 |
| Rest of OregonOregon | $157.08 | $92.88 |
| Metropolitan Philadelphia, PAPennsylvania | $167.93 | $100.82 |
| Rest of PennsylvaniaPennsylvania | $153.43 | $94.25 |
| Puerto RicoPuerto Rico | $161.74 | $96.57 |
| Rhode IslandRhode Island | $163.70 | $97.11 |
| South CarolinaSouth Carolina | $152.79 | $93.23 |
| South DakotaSouth Dakota | $153.01 | $88.54 |
| TennesseeTennessee | $147.77 | $89.17 |
| UtahUtah | $154.72 | $94.12 |
| VirginiaVirginia | $156.03 | $92.66 |
| Virgin Islands, VIUnited States Virgin Islands | $161.74 | $96.57 |
| VermontVermont | $154.21 | $90.39 |
| Rest of WashingtonWashington | $163.42 | $95.54 |
| King County, WAWashington | $181.14 | $102.04 |
| WisconsinWisconsin | $149.14 | $87.38 |
| West VirginiaWest Virginia | $155.15 | $99.13 |
| WyomingWyoming | $157.87 | $93.40 |
57455 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.
$143.29
$193.46
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 | $193.46 | 1 |
| AL | $145.25 | 1 |
| AR | $143.29 | 1 |
| AZ | $156.65 | 1 |
| CA | $164.59–$199.74 | 29 |
| CO | $164.52 | 1 |
| CT | $171.29 | 1 |
| DC | $180.83 | 1 |
| DE | $159.09 | 1 |
| FL | $163.34–$182.83 | 3 |
| GA | $154.21–$164.95 | 2 |
| GU | $167.46 | 1 |
| HI | $167.46 | 1 |
| IA | $146.59 | 1 |
| ID | $147.92 | 1 |
| IL | $160.44–$177.44 | 4 |
| IN | $148.67 | 1 |
| KS | $146.95 | 1 |
| KY | $150.63 | 1 |
| LA | $150.81–$157.66 | 2 |
| MA | $164.05–$178.66 | 2 |
| MD | $161.66–$180.83 | 3 |
| ME | $149.71–$155.80 | 2 |
| MI | $155.22–$166.30 | 2 |
| MN | $154.97 | 1 |
| MO | $149.06–$156.98 | 3 |
| MS | $146.15 | 1 |
| MT | $160.97 | 1 |
| NC | $151.01 | 1 |
| ND | $153.85 | 1 |
| NE | $147.03 | 1 |
| NH | $162.94 | 1 |
| NJ | $172.49–$179.36 | 2 |
| NM | $156.42 | 1 |
| NV | $159.07 | 1 |
| NY | $153.21–$191.35 | 5 |
| OH | $153.77 | 1 |
| OK | $149.30 | 1 |
| OR | $157.08–$168.29 | 2 |
| PA | $153.43–$167.93 | 2 |
| PR | $161.74 | 1 |
| RI | $163.70 | 1 |
| SC | $152.79 | 1 |
| SD | $153.01 | 1 |
| TN | $147.77 | 1 |
| TX | $152.56–$165.44 | 8 |
| UT | $154.72 | 1 |
| VA | $156.03–$180.83 | 2 |
| VI | $161.74 | 1 |
| VT | $154.21 | 1 |
| WA | $163.42–$181.14 | 2 |
| WI | $149.14 | 1 |
| WV | $155.15 | 1 |
| WY | $157.87 | 1 |
How the 57455 rate is calculated
Each of 57455’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 · 57455
RVUs × geographic indexes × conversion factor
Work1.94
1.94 RVUs× 1.000 GPCI
Practice expense2.52
2.52 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
4.8200
Conversion factor
$33.4009
Medicare rate
$160.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Houston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,493
- Code
- 57455
- Physician work
- 1.94
- Practice expense
- 2.52
- Malpractice
- 0.36
GPCI2026.csv
102
- Locality
- Houston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.008 | 1.9555 |
| Practice expense | 2.52 | × 0.993 | 2.5024 |
| Malpractice | 0.36 | × 1.376 | 0.4954 |
| Total RVUs | 4.9532 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Houston, TX$165.44
Office: (1.94 × 1.008 + 2.52 × 0.993 + 0.36 × 1.376) × $33.4009 = $165.44
Facility: (1.94 × 1.008 + 0.59 × 0.993 + 0.36 × 1.376) × $33.4009 = $101.43
Payment rules and modifiers for 57455
The CMS indicators that decide how 57455 is paid alongside other services.
CMS payment indicators · 57455
Cervical biopsy, colposcopy-guided 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 | 3 | Endoscopy family rules apply. |
| 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
57455 without 51 · national office
$160.99
Cervical biopsy, colposcopy-guided biopsy
57455-51 · Second procedure: 50%
$80.50
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 57455 has changed in Houston, TX
57455 · Office / nonfacility
$165.44
Effective 2026-10-01
The base rate is $2.59 higher than on 2025-10-01, moving from $162.85 to $165.44 (1.6%).
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
$162.85changed to$165.44
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.99 changed to 1.94
- Practice expense RVU 2.53 changed to 2.52
- Malpractice RVU 0.34 changed to 0.36
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$168.45changed to$162.85
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.57 changed to 2.53
- Malpractice RVU 0.33 changed to 0.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$165.70changed to$168.45
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$168.90changed to$165.70
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.55 changed to 2.57
- Malpractice RVU 0.31 changed to 0.33
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.016 changed to 1.003
- Malpractice GPCI 1.154 changed to 1.409
January 1, 2023
RVU23A
$171.13changed to$168.90
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.53 changed to 2.55
- Malpractice RVU 0.32 changed to 0.31
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.029 changed to 1.016
- Malpractice GPCI 0.900 changed to 1.154
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$167.93changed to$171.13
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.41 changed to 2.53
- Malpractice RVU 0.31 changed to 0.32
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$162.73changed to$167.93
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.14 changed to 2.41
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.020 changed to 1.029
- Malpractice GPCI 0.918 changed to 0.900
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$153.07changed to$162.73
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.96 changed to 2.14
- Malpractice RVU 0.25 changed to 0.31
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.012 changed to 1.020
- Malpractice GPCI 0.936 changed to 0.918
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$147.07changed to$153.07
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.80 changed to 1.96
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$146.88changed to$147.07
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.81 changed to 1.80
- Practice expense GPCI 1.009 changed to 1.012
- Malpractice GPCI 0.946 changed to 0.936
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$145.99changed to$146.88
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.80 changed to 1.81
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.006 changed to 1.009
- Malpractice GPCI 0.955 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$147.56changed to$145.99
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.81 changed to 1.80
- Malpractice RVU 0.27 changed to 0.25
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$146.83changed to$147.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$147.43changed to$146.83
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.79 changed to 1.81
- Malpractice RVU 0.32 changed to 0.27
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 1.004 changed to 1.006
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$145.84changed to$147.43
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.97 changed to 1.79
- Malpractice RVU 0.33 changed to 0.32
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 1.002 changed to 1.004
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $145.84
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $165.44 | $101.43 | RVU26D |
| 2026-07-01 | $165.44 | $101.43 | RVU26C |
| 2026-04-01 | $165.44 | $101.43 | RVU26B |
| 2026-01-01 | $165.44 | $101.43 | RVU26A |
| 2025-10-01 | $162.85 | $111.26 | RVU25D |
| 2025-07-01 | $162.85 | $111.26 | RVU25C |
| 2025-04-01 | $162.85 | $111.26 | RVU25B |
| 2025-01-01 | $162.85 | $111.26 | RVU25A |
| 2024-10-01 | $168.45 | $113.70 | RVU24D |
| 2024-07-01 | $168.45 | $113.70 | RVU24C |
| 2024-04-01 | $168.45 | $113.70 | RVU24B |
| 2024-03-09 | $168.45 | $113.70 | RVU24AR |
| 2024-01-01 | $165.70 | $111.84 | RVU24A |
| 2023-10-01 | $168.90 | $113.13 | RVU23D |
| 2023-07-01 | $168.90 | $113.13 | RVU23C |
| 2023-04-01 | $168.90 | $113.13 | RVU23B |
| 2023-01-01 | $168.90 | $113.13 | RVU23A |
| 2022-10-01 | $171.13 | $113.09 | RVU22D |
| 2022-07-01 | $171.13 | $113.09 | RVU22C |
| 2022-04-01 | $171.13 | $113.09 | RVU22B |
| 2022-01-01 | $171.13 | $113.09 | RVU22A |
| 2021-10-01 | $167.93 | $113.71 | RVU21D |
| 2021-07-01 | $167.93 | $113.71 | RVU21C |
| 2021-04-01 | $167.93 | $113.71 | RVU21B |
| 2021-01-01 | $167.93 | $113.71 | RVU21A |
| 2020-10-01 | $162.73 | $116.72 | RVU20D |
| 2020-07-01 | $162.73 | $116.72 | RVU20C |
| 2020-04-01 | $162.73 | $116.72 | RVU20B |
| 2020-01-01 | $162.73 | $116.72 | RVU20A |
| 2019-10-01 | $153.07 | $113.68 | RVU19D |
| 2019-07-01 | $153.07 | $113.68 | RVU19C |
| 2019-04-01 | $153.07 | $113.68 | RVU19B |
| 2019-01-01 | $153.07 | $113.68 | RVU19A |
| 2018-10-01 | $147.07 | $114.28 | RVU18D |
| 2018-07-01 | $147.07 | $114.28 | RVU18C |
| 2018-04-01 | $147.07 | $114.28 | RVU18B |
| 2018-01-01 | $147.07 | $114.28 | RVU18AR1 |
| 2017-10-01 | $146.88 | $115.01 | RVU17D |
| 2017-07-01 | $146.88 | $115.01 | RVU17C |
| 2017-04-01 | $146.88 | $115.01 | RVU17B |
| 2017-01-01 | $146.88 | $115.01 | RVU17A |
| 2016-10-01 | $145.99 | $113.93 | RVU16D |
| 2016-07-01 | $145.99 | $113.93 | RVU16C |
| 2016-04-01 | $145.99 | $113.93 | RVU16B |
| 2016-01-01 | $145.99 | $113.93 | RVU16A |
| 2015-10-01 | $147.56 | $115.03 | RVU15D |
| 2015-07-01 | $147.56 | $115.03 | RVU15C |
| 2015-04-01 | $146.83 | $114.46 | RVU15B |
| 2015-01-01 | $146.83 | $114.46 | RVU15A |
| 2014-10-01 | $147.43 | $116.14 | RVU14D |
| 2014-07-01 | $147.43 | $116.14 | RVU14C |
| 2014-04-01 | $147.43 | $116.14 | RVU14B |
| 2014-01-01 | $147.43 | $116.14 | RVU14A |
| 2013-10-01 | $145.84 | $112.43 | RVU13D |
| 2013-07-01 | $145.84 | $112.43 | RVU13C |
| 2013-04-01 | $145.84 | $112.43 | RVU13B |
| 2013-01-01 | $145.84 | $112.43 | RVU13AR |
Where the Houston, TX rate applies
Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 57455 in Houston · multiple payment areas
- Aldine
- Atascocita
- Barrett
- 57455 in Baytown · multiple payment areas
- Bellaire
- Bunker Hill Village
- Channelview
57455 billing questions
When should 57455 be chosen instead of 57452?
Use 57455 when the colposcopy includes one or more cervical tissue biopsies. Use 57452 for the colposcopic examination without biopsy.
Can 57455 be reported when endocervical curettage is also performed?
When cervical biopsy and endocervical curettage are both performed during the session, use 57454 for the combined service. Endocervical curettage alone is described by 57456.
Is 57455 reported once for multiple cervical biopsy sites?
Yes. Report one unit for the colposcopy session with cervical biopsy; the number of cervical sites sampled does not create additional units.
Can modifier 50 be used for biopsies on both sides of the cervix?
No. CMS identifies bilateral adjustment as inappropriate for this code, even when biopsies are taken from more than one cervical site.
What same-day care is included in 57455?
The 0-day global period includes same-day preoperative and postoperative care. The colposcopic examination is part of the biopsy service.
Can an assistant surgeon or co-surgeon be paid for 57455?
Assistant-at-surgery payment is restricted 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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