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CPT code 57410: Pelvic examination2026 Medicare rate & RVUs

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, 2026109 payment localities2K Medicare services in 2024

Medicare pays $96.53 for 57410 nationally in a facility.

Medicare rate · 57410

Pelvic examination

Office or facility?

Work RVUs
1.71
Total RVUs
2.89
Global days
000

National rate · 2026

$96.53

Facility setting, before claim adjustments.

See every locality for 57410 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 57410 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. 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.

Where 57410 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

57410 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$88.51
AlaskaUnavailable$122.50
ArizonaUnavailable$94.17
ArkansasUnavailable$87.52
Atlanta, GAUnavailable$99.18
Austin, TXUnavailable$97.21
Bakersfield, CAUnavailable$96.52
Baltimore area, MDUnavailable$101.96
Beaumont, TXUnavailable$93.17
Brazoria, TXUnavailable$94.52

57410 rates by state

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

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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

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.

Payment rules and modifiers for 57410

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

CMS payment indicators · 57410

Pelvic examination

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

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

57410 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 57410

    Pelvic examination1.71 wRVU

    Not priced

  • 57420

    Vaginal colposcopy1.56 wRVU

    $137.61

  • 57421

    Colposcopy2.15 wRVU

    $182.03

  • 57452

    Colposcopy1.46 wRVU

    $125.59

How to choose

57420Vaginal colposcopy
Choose 57420 for vaginal colposcopy using magnified visualization. Choose 57410 for a pelvic assessment under anesthesia when an awake examination cannot be completed.
57421Colposcopy
57421 includes vaginal colposcopy with biopsy. It is not the code for an anesthetized pelvic examination without that colposcopic biopsy service.
57452Colposcopy
57452 describes colposcopic examination of the cervix. 57410 describes a broader pelvic assessment performed under anesthesia.

Codes related to 57410

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 57410
CodeHow it relatesNational office range
Used instead
57420Vaginal colposcopyVaginal colposcopy uses magnified visualization rather than an examination under anesthesia.$122.11–$172.06
57421ColposcopyVaginal colposcopy with biopsy applies when tissue sampling is performed.$161.67–$225.94
57452ColposcopyCervical colposcopy evaluates the cervix using magnification rather than a general anesthetized pelvic assessment.$111.77–$157.04

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)

Open CMS sourceHow we calculate rates

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