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CMS RVU26D · Effective 2026-10-01

57456 in Redding

Office / nonfacility

$154.18

Base rate per service

Facility setting

$86.82

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 procedure

About 57456: Cervical colposcopy with endocervical curettage

Reports colposcopic evaluation of the cervix with sampling of the endocervical canal, often during assessment of abnormal cervical screening results.

A clinician uses a colposcope to examine the cervix and nearby vaginal tissue, then collects tissue from the endocervical canal with a curette. This is commonly performed by a gynecologist in an office or outpatient setting during evaluation of abnormal cervical cytology or a high-risk HPV result. The canal sample is submitted for pathology; this service includes endocervical curettage, not a separate cervical biopsy.

Report this code when colposcopy is accompanied by endocervical curettage without cervical biopsy. When cervical biopsy and curettage are both performed, the code that includes both services is 57454. Document the indication, colposcopic findings, curettage, and specimen. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. A bilateral adjustment is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment are not permitted.

CMS billing rules for 57456

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
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 RVU1.80 · 40%
  • Practice expense (office) RVU2.38 · 53%
  • Malpractice RVU0.33 · 7%

4.4K

Medicare services in 2024 · #1955 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.

57456 compared with similar codes

Office rates for Redding, from the same CMS release.

57452

Colposcopy

Cervix, no tissue sampling

$128.93

57452 reports colposcopy without endocervical curettage. Choose 57456 when the endocervical canal is sampled during the examination.

57454

Cervical colposcopy

Biopsy and endocervical curettage

$168.47

57454 includes colposcopy with both cervical biopsy and endocervical curettage. Choose 57456 when curettage is performed without cervical biopsy.

57455

Cervical biopsy

Colposcopy-guided biopsy

$164.59

57455 includes cervical biopsy but not endocervical curettage. Choose 57456 when the canal is curetted and no cervical biopsy is performed.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 57456 is $155.10—$0.92 higher than the $154.18 rate in Redding. Both use the same code, release and participation basis.

57456 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $154.18

  2. $0.92 higher than Redding

  3. Chico

    $154.18

    The same base rate than Redding

  4. El Centro

    $154.23

    $0.05 higher than Redding

  5. Fresno

    $154.18

    The same base rate than Redding

  6. The same base rate than Redding

  7. $9.77 higher than Redding

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, 57456 ranges from $134.08 in Arkansas to $187.27 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 · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Merced

    California · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Modesto

    California · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Napa

    California · 57456

    Office

    $174.28

    Facility

    $93.28

    $20.10 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 57456

    Office

    $162.63

    Facility

    $89.99

    $8.45 higher than Redding for the office setting.

  • Rest Of California

    California · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 57456

    Office

    $157.73

    Facility

    $90.37

    $3.55 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 57456

    Office

    $160.65

    Facility

    $89.17

    $6.47 higher than Redding for the office setting.

  • Salinas

    California · 57456

    Office

    $160.03

    Facility

    $88.80

    $5.85 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 57456

    Office

    $162.97

    Facility

    $89.47

    $8.79 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 57456

    Office

    $182.98

    Facility

    $96.32

    $28.80 higher than Redding for the office setting.

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

    California · 57456

    Office

    $182.60

    Facility

    $95.95

    $28.42 higher than Redding for the office setting.

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

    California · 57456

    Office

    $187.27

    Facility

    $98.65

    $33.09 higher than Redding for the office setting.

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

    California · 57456

    Office

    $185.74

    Facility

    $97.12

    $31.56 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 57456

    Office

    $157.60

    Facility

    $87.60

    $3.42 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 57456

    Office

    $163.88

    Facility

    $89.21

    $9.70 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 57456

    Office

    $160.40

    Facility

    $88.74

    $6.22 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 57456

    Office

    $165.45

    Facility

    $89.98

    $11.27 higher than Redding for the office setting.

  • Stockton

    California · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 57456

    Office

    $173.74

    Facility

    $92.74

    $19.56 higher than Redding for the office setting.

  • Visalia

    California · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 57456

    Office

    $154.18

    Facility

    $86.82

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 57456

    Office

    $169.28

    Facility

    $96.88

    $15.10 higher than Redding for the office setting.

  • Miami

    Florida · 57456

    Office

    $170.75

    Facility

    $106.77

    $16.57 higher than Redding for the office setting.

  • Chicago

    Illinois · 57456

    Office

    $165.73

    Facility

    $103.97

    $11.55 higher than Redding for the office setting.

  • Manhattan

    New York · 57456

    Office

    $173.82

    Facility

    $102.41

    $19.64 higher than Redding for the office setting.

  • Alaska*

    Alaska · 57456

    Office

    $180.92

    Facility

    $115.46

    $26.74 higher than Redding for the office setting.

  • Alabama

    Alabama · 57456

    Office

    $135.92

    Facility

    $82.14

    $18.26 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 57456

    Office

    $134.08

    Facility

    $81.29

    $20.10 lower than Redding for the office setting.

  • Arizona

    Arizona · 57456

    Office

    $146.59

    Facility

    $87.03

    $7.59 lower than Redding for the office setting.

  • Colorado

    Colorado · 57456

    Office

    $154.03

    Facility

    $88.64

    $0.15 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 57456

    Office

    $160.28

    Facility

    $94.09

    $6.10 higher than Redding for the office setting.

  • Delaware

    Delaware · 57456

    Office

    $148.87

    Facility

    $88.15

    $5.31 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 57456

    Office

    $160.58

    Facility

    $98.32

    $6.40 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 57456

    Office

    $152.68

    Facility

    $93.93

    $1.50 lower than Redding for the office setting.

  • Atlanta

    Georgia · 57456

    Office

    $154.31

    Facility

    $91.86

    $0.13 higher than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 57456

    Office

    $144.17

    Facility

    $89.35

    $10.01 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 57456

    Office

    $156.89

    Facility

    $87.01

    $2.71 higher than Redding for the office setting.

  • Iowa

    Iowa · 57456

    Office

    $137.23

    Facility

    $81.00

    $16.95 lower than Redding for the office setting.

  • Idaho

    Idaho · 57456

    Office

    $138.47

    Facility

    $81.93

    $15.71 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 57456

    Office

    $155.46

    Facility

    $98.91

    $1.28 higher than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 57456

    Office

    $149.93

    Facility

    $93.82

    $4.25 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 57456

    Office

    $161.71

    Facility

    $98.60

    $7.53 higher than Redding for the office setting.

  • Indiana

    Indiana · 57456

    Office

    $139.17

    Facility

    $82.20

    $15.01 lower than Redding for the office setting.

  • Kansas

    Kansas · 57456

    Office

    $137.54

    Facility

    $81.98

    $16.64 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 57456

    Office

    $140.88

    Facility

    $86.24

    $13.30 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 57456

    Office

    $147.45

    Facility

    $89.62

    $6.73 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 57456

    Office

    $141.03

    Facility

    $86.64

    $13.15 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 57456

    Office

    $167.31

    Facility

    $93.93

    $13.13 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 57456

    Office

    $153.58

    Facility

    $88.86

    $0.60 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 57456

    Office

    $160.02

    Facility

    $94.07

    $5.84 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 57456

    Office

    $151.29

    Facility

    $89.09

    $2.89 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 57456

    Office

    $140.11

    Facility

    $83.57

    $14.07 lower than Redding for the office setting.

  • Southern Maine

    Maine · 57456

    Office

    $145.86

    Facility

    $84.95

    $8.32 lower than Redding for the office setting.

  • Detroit

    Michigan · 57456

    Office

    $155.42

    Facility

    $96.11

    $1.24 higher than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 57456

    Office

    $145.14

    Facility

    $89.03

    $9.04 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 57456

    Office

    $145.18

    Facility

    $81.94

    $9.00 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 57456

    Office

    $145.54

    Facility

    $87.83

    $8.64 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 57456

    Office

    $146.84

    Facility

    $88.34

    $7.34 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 57456

    Office

    $139.38

    Facility

    $86.40

    $14.80 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 57456

    Office

    $136.71

    Facility

    $83.80

    $17.47 lower than Redding for the office setting.

  • Montana**

    Montana · 57456

    Office

    $150.62

    Facility

    $89.16

    $3.56 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 57456

    Office

    $141.33

    Facility

    $83.99

    $12.85 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 57456

    Office

    $144.09

    Facility

    $82.63

    $10.09 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 57456

    Office

    $137.66

    Facility

    $80.94

    $16.52 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 57456

    Office

    $152.52

    Facility

    $88.54

    $1.66 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 57456

    Office

    $167.89

    Facility

    $96.60

    $13.71 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 57456

    Office

    $161.43

    Facility

    $94.31

    $7.25 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 57456

    Office

    $146.26

    Facility

    $89.90

    $7.92 lower than Redding for the office setting.

  • Nevada**

    Nevada · 57456

    Office

    $148.88

    Facility

    $87.36

    $5.30 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 57456

    Office

    $178.96

    Facility

    $105.88

    $24.78 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 57456

    Office

    $163.21

    Facility

    $95.91

    $9.03 higher than Redding for the office setting.

  • Queens

    New York · 57456

    Office

    $173.83

    Facility

    $101.18

    $19.65 higher than Redding for the office setting.

  • Rest Of New York

    New York · 57456

    Office

    $143.39

    Facility

    $85.00

    $10.79 lower than Redding for the office setting.

  • Ohio

    Ohio · 57456

    Office

    $143.81

    Facility

    $87.70

    $10.37 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 57456

    Office

    $139.67

    Facility

    $84.79

    $14.51 lower than Redding for the office setting.

  • Portland

    Oregon · 57456

    Office

    $157.60

    Facility

    $89.32

    $3.42 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 57456

    Office

    $147.05

    Facility

    $85.83

    $7.13 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 57456

    Office

    $157.11

    Facility

    $93.13

    $2.93 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 57456

    Office

    $143.51

    Facility

    $87.10

    $10.67 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 57456

    Office

    $151.35

    Facility

    $89.21

    $2.83 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 57456

    Office

    $153.21

    Facility

    $89.73

    $0.97 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 57456

    Office

    $142.94

    Facility

    $86.16

    $11.24 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 57456

    Office

    $143.32

    Facility

    $81.86

    $10.86 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 57456

    Office

    $138.30

    Facility

    $82.44

    $15.88 lower than Redding for the office setting.

  • Austin

    Texas · 57456

    Office

    $154.11

    Facility

    $89.09

    $0.07 lower than Redding for the office setting.

  • Beaumont

    Texas · 57456

    Office

    $142.70

    Facility

    $86.77

    $11.48 lower than Redding for the office setting.

  • Brazoria

    Texas · 57456

    Office

    $147.98

    Facility

    $87.07

    $6.20 lower than Redding for the office setting.

  • Dallas

    Texas · 57456

    Office

    $149.30

    Facility

    $88.08

    $4.88 lower than Redding for the office setting.

  • Fort Worth

    Texas · 57456

    Office

    $148.64

    Facility

    $88.05

    $5.54 lower than Redding for the office setting.

  • Galveston

    Texas · 57456

    Office

    $148.67

    Facility

    $87.64

    $5.51 lower than Redding for the office setting.

  • Houston

    Texas · 57456

    Office

    $154.71

    Facility

    $93.68

    $0.53 higher than Redding for the office setting.

  • Rest Of Texas

    Texas · 57456

    Office

    $145.51

    Facility

    $87.19

    $8.67 lower than Redding for the office setting.

  • Utah

    Utah · 57456

    Office

    $144.74

    Facility

    $86.97

    $9.44 lower than Redding for the office setting.

  • Virginia

    Virginia · 57456

    Office

    $146.05

    Facility

    $85.63

    $8.13 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 57456

    Office

    $151.35

    Facility

    $89.21

    $2.83 lower than Redding for the office setting.

  • Vermont

    Vermont · 57456

    Office

    $144.40

    Facility

    $83.56

    $9.78 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 57456

    Office

    $153.00

    Facility

    $88.28

    $1.18 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 57456

    Office

    $169.67

    Facility

    $94.26

    $15.49 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 57456

    Office

    $139.67

    Facility

    $80.80

    $14.51 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 57456

    Office

    $144.97

    Facility

    $91.57

    $9.21 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 57456

    Office

    $147.77

    Facility

    $86.31

    $6.41 lower than Redding for the office setting.

See how rates vary across the country

57456 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$134.08

$180.92

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$180.921
AL$135.921
AR$134.081
AZ$146.591
CA$154.18–$187.2729
CO$154.031
CT$160.281
DC$169.281
DE$148.871
FL$152.68–$170.753
GA$144.17–$154.312
GU$156.891
HI$156.891
IA$137.231
ID$138.471
IL$149.93–$165.734
IN$139.171
KS$137.541
KY$140.881
LA$141.03–$147.452
MA$153.58–$167.312
MD$151.29–$169.283
ME$140.11–$145.862
MI$145.14–$155.422
MN$145.181
MO$139.38–$146.843
MS$136.711
MT$150.621
NC$141.331
ND$144.091
NE$137.661
NH$152.521
NJ$161.43–$167.892
NM$146.261
NV$148.881
NY$143.39–$178.965
OH$143.811
OK$139.671
OR$147.05–$157.602
PA$143.51–$157.112
PR$151.351
RI$153.211
SC$142.941
SD$143.321
TN$138.301
TX$142.70–$154.718
UT$144.741
VA$146.05–$169.282
VI$151.351
VT$144.401
WA$153.00–$169.672
WI$139.671
WV$144.971
WY$147.771

Explore 57456 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Why are the office and facility amounts different?

For 57456 in Redding, the physician’s office rate is $154.18 and the facility-setting rate is $86.82: a difference of $67.36.

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 57456 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$169.60

$154.18 × 110% = $169.60

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.

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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 57456 in Redding.

PPRRVU2026_Oct_nonQPP.csv

6,494

Code
57456
Physician work
1.80
Practice expense
2.38
Malpractice
0.33

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 57456 in Redding
ComponentRVULocality factorAdjusted
Physician work1.80× 1.0171.8306
Practice expense2.38× 1.0962.6085
Malpractice0.33× 0.5360.1769
Total RVUs4.6160
Conversion factor× 33.4009

Office / nonfacility rate, Redding$154.18

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 57456 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.81.017
Practice expense2.381.096
Malpractice0.330.536

(1.8 × 1.017 + 2.38 × 1.096 + 0.33 × 0.536) × $33.4009 = $154.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.81.017
Practice expense0.541.096
Malpractice0.330.536

(1.8 × 1.017 + 0.54 × 1.096 + 0.33 × 0.536) × $33.4009 = $86.82

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

57456 · Office / nonfacility

$154.18

Effective 2026-10-01

The base rate is $3.04 higher than on 2025-10-01, moving from $151.14 to $154.18 (2.0%).

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

    $151.14changed to$154.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.85 changed to 1.80
    • Practice expense RVU 2.41 changed to 2.38
    • Malpractice RVU 0.29 changed to 0.33
    • 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: $151.14

    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$154.18$86.82RVU26D
2026-07-01$154.18$86.82RVU26C
2026-04-01$154.18$86.82RVU26B
2026-01-01$154.18$86.82RVU26A
2025-10-01$151.14$96.69RVU25D
2025-07-01$151.14$96.69RVU25C
2025-04-01$151.14$96.69RVU25B
2025-01-01$151.14$96.69RVU25A

57456 billing questions

When should 57456 be chosen instead of 57454?

Use 57456 for colposcopy with endocervical curettage but no cervical biopsy. When both cervical biopsy and curettage are performed, report 57454, which includes both.

Can cervical biopsy be billed separately with 57456?

If a cervical biopsy is performed during the colposcopy along with the curettage, 57454 represents that combination. Do not separately report the biopsy and curettage components.

What documentation supports this code?

Document the reason for colposcopy, cervical and adjacent vaginal findings, performance of endocervical curettage, and the specimen submitted for pathology.

Does 57456 have a global period?

CMS assigns a 0-day global period. Same-day preoperative and postoperative care is included.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

How is 57456 priced with another related endoscopy?

When related endoscopies are performed together, CMS applies endoscopy-family pricing. The payment reflects that pricing rule rather than treating every related scope as an independently priced full service.

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 57456PPRRVU2026_Oct_nonQPP.csv, line 6,494 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)