$154.50
Use 57500 for cervical tissue biopsy or local lesion excision. Use 57505 when the specimen is obtained by curettage from the endocervical canal.
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CMS RVU26D · Effective 2026-10-01
57500 Cervical biopsy Medicare reimbursement rates in Colorado
Reports tissue sampling or local excision of a cervical lesion, commonly performed for evaluation of an abnormal screening result or visible cervical finding. Compare 57500 office and facility rates across CMS payment localities in Colorado.
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 57500 in Colorado?
Colorado 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
$156.97
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$68.84
1 of 1 localities have a supported rate.
Payment area: Colorado
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 57500: Cervical tissue biopsy
Reports tissue sampling or local excision of a cervical lesion, commonly performed for evaluation of an abnormal screening result or visible cervical finding.
A gynecologist or other qualified clinician removes cervical tissue for examination, often after an abnormal Pap or HPV result or when a visible cervical lesion needs evaluation. The service may involve one or multiple samples from the cervix, or local removal of a lesion; it is commonly performed in an office using a speculum and biopsy instrument. The tissue is submitted for pathology. Sampling from the endocervical canal with a curette is a different service.
Report 57500 for the cervical tissue biopsy or local lesion excision, documenting the site and procedure performed. One reporting covers single or multiple cervical biopsy samples in the same service. A 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 57500
- 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 RVU1.17 · 26%
- Practice expense (office) RVU3.15 · 70%
- Malpractice RVU0.21 · 5%
6.1K
Medicare services in 2024 · #1752 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.
57500 compared with similar codes
Office rates for Colorado, from the same CMS release.
$164.52
This colposcopy service includes cervical biopsy. Do not separately report 57500 for biopsy already included in the colposcopy service.
$369.03
57520 is for cervical conization, a more extensive excisional procedure. Use 57500 for a cervical biopsy or local lesion excision rather than a cone procedure.
$167.71
57510 describes cauterization of the cervix. It is a treatment procedure, while 57500 obtains tissue or locally excises a lesion.
Compare 57500 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
Colorado →
Office / nonfacility
$156.97
Facility
$68.84
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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 57500 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,498
- Code
- 57500
- Physician work
- 1.17
- Practice expense
- 3.15
- Malpractice
- 0.21
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.17 | × 1.012 | 1.1840 |
| Practice expense | 3.15 | × 1.064 | 3.3516 |
| Malpractice | 0.21 | × 0.781 | 0.1640 |
| Total RVUs | 4.6997 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$156.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1.012 |
| Practice expense | 3.15 | 1.064 |
| Malpractice | 0.21 | 0.781 |
(1.17 × 1.012 + 3.15 × 1.064 + 0.21 × 0.781) × $33.4009 = $156.97
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1.012 |
| Practice expense | 0.67 | 1.064 |
| Malpractice | 0.21 | 0.781 |
(1.17 × 1.012 + 0.67 × 1.064 + 0.21 × 0.781) × $33.4009 = $68.84
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.
57500 billing questions
How does 57500 differ from endocervical curettage?
57500 reports tissue biopsy or local lesion excision from the cervix. Use 57505 for curettage sampling of the endocervical canal.
Can 57500 be reported with a colposcopy code?
When the colposcopy service includes cervical biopsy, such as 57455, do not separately report 57500 for that same biopsy.
How many units are reported for multiple cervical samples?
Report 57500 once for single or multiple cervical biopsy samples performed in the same service.
Is modifier 50 appropriate for biopsies from both sides of the cervix?
No. CMS identifies bilateral adjustment as inappropriate for this code; report the service without modifier 50.
What documentation supports 57500?
Document the cervical site sampled or lesion removed and the procedure performed. Pathology submission supports that tissue was obtained for examination.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The global period is 0 days.
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.
6,49557460,,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
6,49757465,,Cam cervix uteri drg colp,A,,0.79,0.72,,0.17,,0.14,1.65,1.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49857500,,Biopsy of cervix,A,,1.17,3.15,,0.67,,0.21,4.53,2.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49957505,,Endocervical curettage,A,,1.16,3.09,,1.61,,0.21,4.46,2.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50057510,,Cauterization of cervix,A,,1.85,2.71,,0.87,,0.34,4.90,3.06,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50157511,,Cryocautery of cervix,A,,1.90,3.45,,1.70,,0.34,5.69,3.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899