$113.30
57452 is for colposcopic examination without cervical biopsy. Report 57455 when the clinician also samples cervical tissue.
On this page
CMS RVU26D · Effective 2026-10-01
57455 Cervical biopsy Medicare reimbursement rates in Alabama
Report this service when colposcopy is used to examine the cervix and obtain one or more targeted cervical tissue biopsies, without endocervical curettage. Compare 57455 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 57455 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$145.25
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$88.85
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecology
About 57455: Colposcopy with cervical biopsy
Report this service when colposcopy is used to examine the cervix and obtain one or more targeted cervical tissue biopsies, without endocervical curettage.
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.
CMS billing rules for 57455
- 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 RVU1.94 · 40%
- Practice expense (office) RVU2.52 · 52%
- Malpractice RVU0.36 · 7%
2.1K
Medicare services in 2024 · #2427 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.
57455 compared with similar codes
Office rates for Alabama, from the same CMS release.
$150.60
57454 includes both cervical biopsy and endocervical curettage. Use 57455 when cervical biopsy is performed without that curettage.
$135.92
57456 describes colposcopy with endocervical curettage but no cervical biopsy. 57455 is for cervical biopsy without endocervical curettage.
$276.91
57460 describes colposcopy with loop-electrode cervical biopsy. 57455 is used for cervical biopsy without that loop-electrode method.
Compare 57455 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$145.25
Facility
$88.85
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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 57455 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,493
- Code
- 57455
- Physician work
- 1.94
- Practice expense
- 2.52
- Malpractice
- 0.36
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 2.52 | × 0.875 | 2.2050 |
| Malpractice | 0.36 | × 0.566 | 0.2038 |
| Total RVUs | 4.3488 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$145.25
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1 |
| Practice expense | 2.52 | 0.875 |
| Malpractice | 0.36 | 0.566 |
(1.94 × 1 + 2.52 × 0.875 + 0.36 × 0.566) × $33.4009 = $145.25
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1 |
| Practice expense | 0.59 | 0.875 |
| Malpractice | 0.36 | 0.566 |
(1.94 × 1 + 0.59 × 0.875 + 0.36 × 0.566) × $33.4009 = $88.85
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.
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 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.
6,49057426,,Revise prosth vag graft lap,A,,13.94,6.96,NA,6.96,,2.33,23.23,23.23,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49157452,,Exam of cervix w/scope,A,,1.46,2.04,,0.75,,0.26,3.76,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49257454,,Bx/curett of cervix w/scope,A,,2.27,2.30,,0.89,,0.40,4.97,3.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49357455,,Biopsy of cervix w/scope,A,,1.94,2.52,,0.59,,0.36,4.82,2.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49457456,,Endocerv curettage w/scope,A,,1.80,2.38,,0.54,,0.33,4.51,2.67,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49557460,,Bx of cervix w/scope leep,A,,2.76,6.01,,1.00,,0.48,9.25,4.24,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49657461,,Conz of cervix w/scope leep,A,,3.34,6.52,,0.90,,0.60,10.46,4.84,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515