Choose 57454 when cervical biopsy and endocervical curettage are performed during the colposcopy; this code is for visual examination without sampling.
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CMS RVU26D · Effective 2026-10-01
57452 Colposcopy Medicare reimbursement rates in Connecticut
A visual colposcopic examination of the cervix and upper adjacent vagina, reported when inspection is performed without cervical biopsy or endocervical curettage. Compare 57452 office and facility rates across CMS payment localities in Connecticut.
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 57452 in Connecticut?
Connecticut 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
$133.63
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$87.23
1 of 1 localities have a supported rate.
Payment area: Connecticut
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 57452: Cervical colposcopy without tissue sampling
A visual colposcopic examination of the cervix and upper adjacent vagina, reported when inspection is performed without cervical biopsy or endocervical curettage.
A gynecologist or other qualified clinician uses a colposcope to examine the cervix and upper adjacent vagina, commonly after an abnormal cervical screening result or during evaluation of a suspected cervical lesion. The examination may include applying a solution to make abnormal areas easier to see, but this service is limited to visual assessment without cervical biopsy or endocervical curettage. It is performed in office and outpatient settings.
Report this code when the documented service is colposcopic inspection without tissue sampling; select a related code when cervical biopsy, endocervical curettage, or both are performed. The record should identify the reason for examination and document the cervical and adjacent vaginal findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When this service is performed in the same session as another procedure subject to multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 57452
- 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 RVU1.46 · 39%
- Practice expense (office) RVU2.04 · 54%
- Malpractice RVU0.26 · 7%
3.5K
Medicare services in 2024 · #2073 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.
57452 compared with similar codes
Office rates for Connecticut, from the same CMS release.
Choose 57455 when cervical biopsy is performed without endocervical curettage. This code describes the examination without cervical tissue sampling.
Choose 57456 when endocervical curettage is performed without cervical biopsy. This code is for colposcopic inspection without sampling.
57420 represents colposcopic examination of the vagina; this code covers the cervix, including the upper adjacent vagina.
Compare 57452 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
Connecticut →
Office / nonfacility
$133.63
Facility
$87.23
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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 57452 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,491
- Code
- 57452
- Physician work
- 1.46
- Practice expense
- 2.04
- Malpractice
- 0.26
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.020 | 1.4892 |
| Practice expense | 2.04 | × 1.077 | 2.1971 |
| Malpractice | 0.26 | × 1.210 | 0.3146 |
| Total RVUs | 4.0009 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$133.63
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1.02 |
| Practice expense | 2.04 | 1.077 |
| Malpractice | 0.26 | 1.21 |
(1.46 × 1.02 + 2.04 × 1.077 + 0.26 × 1.21) × $33.4009 = $133.63
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1.02 |
| Practice expense | 0.75 | 1.077 |
| Malpractice | 0.26 | 1.21 |
(1.46 × 1.02 + 0.75 × 1.077 + 0.26 × 1.21) × $33.4009 = $87.23
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.
57452 billing questions
When should I report this instead of a cervical biopsy colposcopy code?
Use this code for colposcopic inspection without cervical biopsy or endocervical curettage. If sampling is performed, select the code that matches the sampling.
Can I report this when an endocervical curettage is performed?
No. This code describes visual examination without tissue sampling; use the applicable colposcopy code when endocervical curettage is performed.
Does the examination include the vagina?
It includes examination of the upper adjacent vagina along with the cervix. A colposcopic examination focused on the vagina rather than the cervix is represented by a different code.
Is modifier 50 appropriate?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple procedure reduction affect payment?
For procedures subject to the standard reduction performed in the same session, 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 this service?
CMS does not pay an assistant at surgery for this code. 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.
