Billing code 57410: Pelvic examinationMedicare rate & RVUs in Florida
Reports a complete pelvic assessment performed under anesthesia when pain, intolerance, or another barrier prevents an adequate examination while the patient is awake.
CMS doesn’t publish an office rate for 57410 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 57410 covers
A gynecologist performs a systematic pelvic assessment while the patient is anesthetized, evaluating structures such as the vagina, cervix, uterus, and adnexa by inspection and palpation. This may be needed when severe pain, vaginismus, inability to cooperate, or another documented barrier prevents a clinically adequate examination in the office. The service is generally performed in an operating room or procedure setting, sometimes alongside another gynecologic procedure.
Report 57410 when the anesthetized examination is a distinct, medically necessary service, not merely the routine assessment integral to a more extensive procedure. Document why an awake examination was inadequate and the examination performed and findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
Where 57410 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $105.01 |
| Miami | Unavailable | $113.05 |
| Rest Of Florida | Unavailable | $100.28 |
How the 57410 rate is calculated
Each of 57410’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57410
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.71Practice expense 0.88Malpractice 0.30
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 57410
The CMS indicators that decide how 57410 is paid alongside other services.
CMS payment indicators · 57410
Pelvic examination
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57410 without 51 · national facility
$96.53
Pelvic examination
57410-51 · Second procedure: 50%
$48.27
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57410 compared with similar codes
Compare codes
57410 vs 57420 vs 57421 vs 57452: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 57420Vaginal colposcopy
- Choose 57420 for vaginal colposcopy using magnified visualization. Choose 57410 for a pelvic assessment under anesthesia when an awake examination cannot be completed.
- 57421Colposcopy
- 57421 includes vaginal colposcopy with biopsy. It is not the code for an anesthetized pelvic examination without that colposcopic biopsy service.
- 57452Colposcopy
- 57452 describes colposcopic examination of the cervix. 57410 describes a broader pelvic assessment performed under anesthesia.
57410 billing questions
When is 57410 appropriate instead of an office pelvic examination?
Use it when anesthesia is needed to complete a medically necessary pelvic assessment because an awake examination cannot be adequately performed, such as with severe pain or inability to tolerate the examination. Document the specific barrier.
Can 57410 be reported with another gynecologic procedure performed during the same session?
A preliminary examination that is integral to the more extensive procedure is not a distinct service. Report 57410 when the anesthetized examination is separately necessary and documented, rather than simply part of the operative assessment.
Should modifier 50 be appended?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included. CMS assigns a 0-day global period to 57410.
How does the multiple procedure rule affect 57410?
When it is performed in the same session as other procedures, 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 57410?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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