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CMS RVU26D · Effective 2026-10-01

57150 in Merced

Office / nonfacility

$55.60

Base rate per service

Facility setting

$21.92

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Gynecology

About 57150: Vaginal irrigation or medicament treatment

Reports vaginal irrigation, intravaginal medication, or both to treat an active infection, such as vaginitis, in an outpatient setting.

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.

CMS billing rules for 57150

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.49 · 31%
  • Practice expense (office) RVU1.03 · 65%
  • Malpractice RVU0.07 · 4%

16.2K

Medicare services in 2024 · #1229 by national volume

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.

57150 compared with similar codes

Office rates for Merced, from the same CMS release.

57100

Vaginal biopsy

Simple mucosal sampling

$108.11

57100 describes simple vaginal mucosal biopsy for tissue diagnosis. Choose 57150 when the service treats infection with irrigation and/or intravaginal medication.

57160

Pessary fitting

Intravaginal support device

$72.14

57160 is for pessary or other vaginal device insertion. It does not describe irrigation or medication treatment for infection.

57180

Bleeding control

Vaginal bleeding

$197.95

57180 addresses treatment of vaginal bleeding. Use 57150 for irrigation and/or medicament treatment of vaginal infection.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 57150 is $55.81—$0.21 higher than the $55.60 rate in Merced. Both use the same code, release and participation basis.

57150 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $55.60

  2. Bakersfield

    $55.81

    $0.21 higher than Merced

  3. Chico

    $55.60

    The same base rate than Merced

  4. El Centro

    $55.62

    $0.02 higher than Merced

  5. Fresno

    $55.60

    The same base rate than Merced

  6. Hanford-Corcoran

    $55.60

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $59.29

    $3.69 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 57150 ranges from $47.12 in Arkansas to $69.03 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Modesto

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Napa

    California · 57150

    Office

    $63.93

    Facility

    $23.43

    $8.33 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 57150

    Office

    $58.95

    Facility

    $22.62

    $3.35 higher than Merced for the office setting.

  • Redding

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 57150

    Office

    $56.36

    Facility

    $22.68

    $0.76 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 57150

    Office

    $58.22

    Facility

    $22.48

    $2.62 higher than Merced for the office setting.

  • Salinas

    California · 57150

    Office

    $58.00

    Facility

    $22.39

    $2.40 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 57150

    Office

    $59.27

    Facility

    $22.52

    $3.67 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 57150

    Office

    $67.50

    Facility

    $24.17

    $11.90 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 57150

    Office

    $67.42

    Facility

    $24.10

    $11.82 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 57150

    Office

    $69.03

    Facility

    $24.72

    $13.43 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 57150

    Office

    $68.70

    Facility

    $24.39

    $13.10 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 57150

    Office

    $57.08

    Facility

    $22.08

    $1.48 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 57150

    Office

    $59.76

    Facility

    $22.43

    $4.16 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 57150

    Office

    $58.19

    Facility

    $22.36

    $2.59 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 57150

    Office

    $60.36

    Facility

    $22.62

    $4.76 higher than Merced for the office setting.

  • Stockton

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 57150

    Office

    $63.81

    Facility

    $23.31

    $8.21 higher than Merced for the office setting.

  • Visalia

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 57150

    Office

    $55.60

    Facility

    $21.92

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 57150

    Office

    $60.38

    Facility

    $24.18

    $4.78 higher than Merced for the office setting.

  • Miami

    Florida · 57150

    Office

    $58.09

    Facility

    $26.10

    $2.49 higher than Merced for the office setting.

  • Chicago

    Illinois · 57150

    Office

    $56.42

    Facility

    $25.54

    $0.82 higher than Merced for the office setting.

  • Manhattan

    New York · 57150

    Office

    $61.10

    Facility

    $25.39

    $5.50 higher than Merced for the office setting.

  • Alaska*

    Alaska · 57150

    Office

    $62.48

    Facility

    $29.75

    $6.88 higher than Merced for the office setting.

  • Alabama

    Alabama · 57150

    Office

    $47.79

    Facility

    $20.90

    $7.81 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 57150

    Office

    $47.12

    Facility

    $20.73

    $8.48 lower than Merced for the office setting.

  • Arizona

    Arizona · 57150

    Office

    $51.70

    Facility

    $21.93

    $3.90 lower than Merced for the office setting.

  • Colorado

    Colorado · 57150

    Office

    $54.99

    Facility

    $22.30

    $0.61 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 57150

    Office

    $56.57

    Facility

    $23.48

    $0.97 higher than Merced for the office setting.

  • Delaware

    Delaware · 57150

    Office

    $52.54

    Facility

    $22.18

    $3.06 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 57150

    Office

    $55.44

    Facility

    $24.32

    $0.16 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 57150

    Office

    $52.77

    Facility

    $23.39

    $2.83 lower than Merced for the office setting.

  • Atlanta

    Georgia · 57150

    Office

    $54.18

    Facility

    $22.96

    $1.42 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 57150

    Office

    $49.84

    Facility

    $22.43

    $5.76 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 57150

    Office

    $56.84

    Facility

    $21.90

    $1.24 higher than Merced for the office setting.

  • Iowa

    Iowa · 57150

    Office

    $48.77

    Facility

    $20.66

    $6.83 lower than Merced for the office setting.

  • Idaho

    Idaho · 57150

    Office

    $49.12

    Facility

    $20.85

    $6.48 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 57150

    Office

    $52.73

    Facility

    $24.46

    $2.87 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 57150

    Office

    $51.43

    Facility

    $23.38

    $4.17 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 57150

    Office

    $55.96

    Facility

    $24.40

    $0.36 higher than Merced for the office setting.

  • Indiana

    Indiana · 57150

    Office

    $49.39

    Facility

    $20.91

    $6.21 lower than Merced for the office setting.

  • Kansas

    Kansas · 57150

    Office

    $48.65

    Facility

    $20.87

    $6.95 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 57150

    Office

    $49.09

    Facility

    $21.77

    $6.51 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 57150

    Office

    $51.40

    Facility

    $22.48

    $4.20 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 57150

    Office

    $49.05

    Facility

    $21.86

    $6.55 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 57150

    Office

    $60.20

    Facility

    $23.51

    $4.60 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 57150

    Office

    $54.72

    Facility

    $22.36

    $0.88 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 57150

    Office

    $56.43

    Facility

    $23.46

    $0.83 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 57150

    Office

    $53.49

    Facility

    $22.39

    $2.11 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 57150

    Office

    $49.47

    Facility

    $21.20

    $6.13 lower than Merced for the office setting.

  • Southern Maine

    Maine · 57150

    Office

    $51.94

    Facility

    $21.48

    $3.66 lower than Merced for the office setting.

  • Detroit

    Michigan · 57150

    Office

    $53.51

    Facility

    $23.85

    $2.09 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 57150

    Office

    $50.42

    Facility

    $22.36

    $5.18 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 57150

    Office

    $52.46

    Facility

    $20.84

    $3.14 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 57150

    Office

    $50.96

    Facility

    $22.10

    $4.64 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 57150

    Office

    $51.46

    Facility

    $22.21

    $4.14 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 57150

    Office

    $48.30

    Facility

    $21.81

    $7.30 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 57150

    Office

    $47.72

    Facility

    $21.26

    $7.88 lower than Merced for the office setting.

  • Montana**

    Montana · 57150

    Office

    $53.10

    Facility

    $22.37

    $2.50 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 57150

    Office

    $49.96

    Facility

    $21.29

    $5.64 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 57150

    Office

    $51.72

    Facility

    $20.99

    $3.88 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 57150

    Office

    $49.00

    Facility

    $20.64

    $6.60 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 57150

    Office

    $54.23

    Facility

    $22.24

    $1.37 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 57150

    Office

    $59.80

    Facility

    $24.16

    $4.20 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 57150

    Office

    $57.15

    Facility

    $23.60

    $1.55 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 57150

    Office

    $50.72

    Facility

    $22.54

    $4.88 lower than Merced for the office setting.

  • Nevada**

    Nevada · 57150

    Office

    $52.75

    Facility

    $21.99

    $2.85 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 57150

    Office

    $62.66

    Facility

    $26.12

    $7.06 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 57150

    Office

    $57.60

    Facility

    $23.96

    $2.00 higher than Merced for the office setting.

  • Queens

    New York · 57150

    Office

    $61.45

    Facility

    $25.13

    $5.85 higher than Merced for the office setting.

  • Rest Of New York

    New York · 57150

    Office

    $50.69

    Facility

    $21.50

    $4.91 lower than Merced for the office setting.

  • Ohio

    Ohio · 57150

    Office

    $50.13

    Facility

    $22.08

    $5.47 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 57150

    Office

    $48.90

    Facility

    $21.46

    $6.70 lower than Merced for the office setting.

  • Portland

    Oregon · 57150

    Office

    $56.59

    Facility

    $22.45

    $0.99 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 57150

    Office

    $52.28

    Facility

    $21.67

    $3.32 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 57150

    Office

    $55.26

    Facility

    $23.28

    $0.34 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 57150

    Office

    $50.16

    Facility

    $21.95

    $5.44 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 57150

    Office

    $53.45

    Facility

    $22.38

    $2.15 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 57150

    Office

    $54.30

    Facility

    $22.56

    $1.30 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 57150

    Office

    $50.14

    Facility

    $21.75

    $5.46 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 57150

    Office

    $51.55

    Facility

    $20.83

    $4.05 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 57150

    Office

    $48.89

    Facility

    $20.96

    $6.71 lower than Merced for the office setting.

  • Austin

    Texas · 57150

    Office

    $54.87

    Facility

    $22.36

    $0.73 lower than Merced for the office setting.

  • Beaumont

    Texas · 57150

    Office

    $49.85

    Facility

    $21.88

    $5.75 lower than Merced for the office setting.

  • Brazoria

    Texas · 57150

    Office

    $52.41

    Facility

    $21.96

    $3.19 lower than Merced for the office setting.

  • Dallas

    Texas · 57150

    Office

    $52.79

    Facility

    $22.18

    $2.81 lower than Merced for the office setting.

  • Fort Worth

    Texas · 57150

    Office

    $52.47

    Facility

    $22.17

    $3.13 lower than Merced for the office setting.

  • Galveston

    Texas · 57150

    Office

    $52.60

    Facility

    $22.08

    $3.00 lower than Merced for the office setting.

  • Houston

    Texas · 57150

    Office

    $53.88

    Facility

    $23.36

    $1.72 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 57150

    Office

    $51.13

    Facility

    $21.96

    $4.47 lower than Merced for the office setting.

  • Utah

    Utah · 57150

    Office

    $50.80

    Facility

    $21.92

    $4.80 lower than Merced for the office setting.

  • Virginia

    Virginia · 57150

    Office

    $51.84

    Facility

    $21.63

    $3.76 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 57150

    Office

    $53.45

    Facility

    $22.38

    $2.15 lower than Merced for the office setting.

  • Vermont

    Vermont · 57150

    Office

    $51.61

    Facility

    $21.19

    $3.99 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 57150

    Office

    $54.58

    Facility

    $22.23

    $1.02 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 57150

    Office

    $61.31

    Facility

    $23.60

    $5.71 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 57150

    Office

    $50.04

    Facility

    $20.61

    $5.56 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 57150

    Office

    $49.61

    Facility

    $22.91

    $5.99 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 57150

    Office

    $52.50

    Facility

    $21.77

    $3.10 lower than Merced for the office setting.

See how rates vary across the country

57150 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$47.12

$62.48

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$62.481
AL$47.791
AR$47.121
AZ$51.701
CA$55.60–$69.0329
CO$54.991
CT$56.571
DC$60.381
DE$52.541
FL$52.77–$58.093
GA$49.84–$54.182
GU$56.841
HI$56.841
IA$48.771
ID$49.121
IL$51.43–$56.424
IN$49.391
KS$48.651
KY$49.091
LA$49.05–$51.402
MA$54.72–$60.202
MD$53.49–$60.383
ME$49.47–$51.942
MI$50.42–$53.512
MN$52.461
MO$48.30–$51.463
MS$47.721
MT$53.101
NC$49.961
ND$51.721
NE$49.001
NH$54.231
NJ$57.15–$59.802
NM$50.721
NV$52.751
NY$50.69–$62.665
OH$50.131
OK$48.901
OR$52.28–$56.592
PA$50.16–$55.262
PR$53.451
RI$54.301
SC$50.141
SD$51.551
TN$48.891
TX$49.85–$54.878
UT$50.801
VA$51.84–$60.382
VI$53.451
VT$51.611
WA$54.58–$61.312
WI$50.041
WV$49.611
WY$52.501

Explore 57150 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 57150 in Merced, the physician’s office rate is $55.60 and the facility-setting rate is $21.92: a difference of $33.68.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 57150 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$61.16

$55.60 × 110% = $61.16

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57150 in Merced.

PPRRVU2026_Oct_nonQPP.csv

6,445

Code
57150
Physician work
0.49
Practice expense
1.03
Malpractice
0.07

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 57150 in Merced
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0170.4983
Practice expense1.03× 1.0961.1289
Malpractice0.07× 0.5360.0375
Total RVUs1.6647
Conversion factor× 33.4009

Office / nonfacility rate, Merced$55.60

Open 57150 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense1.031.096
Malpractice0.070.536

(0.49 × 1.017 + 1.03 × 1.096 + 0.07 × 0.536) × $33.4009 = $55.60

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense0.111.096
Malpractice0.070.536

(0.49 × 1.017 + 0.11 × 1.096 + 0.07 × 0.536) × $33.4009 = $21.92

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

57150 · Office / nonfacility

$55.60

Effective 2026-10-01

The base rate is $1.66 lower than on 2025-10-01, moving from $57.26 to $55.60 (2.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $57.26changed to$55.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 1.12 changed to 1.03
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $57.26

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$55.60$21.92RVU26D
2026-07-01$55.60$21.92RVU26C
2026-04-01$55.60$21.92RVU26B
2026-01-01$55.60$21.92RVU26A
2025-10-01$57.26$24.39RVU25D
2025-07-01$57.26$24.39RVU25C
2025-04-01$57.26$24.39RVU25B
2025-01-01$57.26$24.39RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 57150PPRRVU2026_Oct_nonQPP.csv, line 6,445 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet