Billing code 57150: Vaginal infection treatmentMedicare rate & RVUs
Reports vaginal irrigation, intravaginal medication, or both to treat an active infection, such as vaginitis, in an outpatient setting.
Medicare pays $53.11 for 57150 nationally in the office and $22.38 in a hospital or facility. Local office rates run $47.12–$69.03.
Medicare rate · 57150
Vaginal infection treatment
Swap in your local Medicare rate.
- Work RVUs
- 0.49
- Total RVUs
- 1.59
- Global days
- 000
National rate · 2026
$53.11
Office setting, before claim adjustments.
See every locality for 57150 → · Billed by an NP, PA or therapist? →
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 10 sections
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
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$47.12 to $69.03
109 of 109 payment localities
57150 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$47.12
$62.48
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 | $62.48 | 1 |
| AL | $47.79 | 1 |
| AR | $47.12 | 1 |
| AZ | $51.70 | 1 |
| CA | $55.60–$69.03 | 29 |
| CO | $54.99 | 1 |
| CT | $56.57 | 1 |
| DC | $60.38 | 1 |
| DE | $52.54 | 1 |
| FL | $52.77–$58.09 | 3 |
| GA | $49.84–$54.18 | 2 |
| GU | $56.84 | 1 |
| HI | $56.84 | 1 |
| IA | $48.77 | 1 |
| ID | $49.12 | 1 |
| IL | $51.43–$56.42 | 4 |
| IN | $49.39 | 1 |
| KS | $48.65 | 1 |
| KY | $49.09 | 1 |
| LA | $49.05–$51.40 | 2 |
| MA | $54.72–$60.20 | 2 |
| MD | $53.49–$60.38 | 3 |
| ME | $49.47–$51.94 | 2 |
| MI | $50.42–$53.51 | 2 |
| MN | $52.46 | 1 |
| MO | $48.30–$51.46 | 3 |
| MS | $47.72 | 1 |
| MT | $53.10 | 1 |
| NC | $49.96 | 1 |
| ND | $51.72 | 1 |
| NE | $49.00 | 1 |
| NH | $54.23 | 1 |
| NJ | $57.15–$59.80 | 2 |
| NM | $50.72 | 1 |
| NV | $52.75 | 1 |
| NY | $50.69–$62.66 | 5 |
| OH | $50.13 | 1 |
| OK | $48.90 | 1 |
| OR | $52.28–$56.59 | 2 |
| PA | $50.16–$55.26 | 2 |
| PR | $53.45 | 1 |
| RI | $54.30 | 1 |
| SC | $50.14 | 1 |
| SD | $51.55 | 1 |
| TN | $48.89 | 1 |
| TX | $49.85–$54.87 | 8 |
| UT | $50.80 | 1 |
| VA | $51.84–$60.38 | 2 |
| VI | $53.45 | 1 |
| VT | $51.61 | 1 |
| WA | $54.58–$61.31 | 2 |
| WI | $50.04 | 1 |
| WV | $49.61 | 1 |
| WY | $52.50 | 1 |
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
Swap in your local Medicare rate.
Work 0.49Practice expense 1.03Malpractice 0.07
All indexes start 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
| 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
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
57150 vs 57100 vs 57160 vs 57180: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57100Vaginal biopsy
- 57100 describes simple vaginal mucosal biopsy for tissue diagnosis. Choose 57150 when the service treats infection with irrigation and/or intravaginal medication.
- 57160Pessary fitting
- 57160 is for pessary or other vaginal device insertion. It does not describe irrigation or medication treatment for infection.
- 57180Bleeding control
- 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.
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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