$97.14
57100 describes simple vaginal mucosal biopsy for tissue diagnosis. Choose 57150 when the service treats infection with irrigation and/or intravaginal medication.
On this page
CMS RVU26D · Effective 2026-10-01
57150 Vaginal infection treatment Medicare reimbursement rates in Indiana
Reports vaginal irrigation, intravaginal medication, or both to treat an active infection, such as vaginitis, in an outpatient setting. Compare 57150 office and facility rates across CMS payment localities in Indiana.
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 57150 in Indiana?
Indiana 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
$49.39
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$20.91
1 of 1 localities have a supported rate.
Payment area: Indiana
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 57150: Vaginal irrigation or medicament treatment
Reports vaginal irrigation, intravaginal medication, or both to treat an active infection, such as vaginitis, in an outpatient setting.
An ob-gyn or other qualified clinician uses vaginal irrigation, applies a topical medicament, or performs both to manage an active vaginal infection such as vaginitis. The service is typically performed in an office or outpatient setting; it concerns treatment within the vagina, not tissue sampling or placement of a support device.
Report 57150 when the documented treatment includes irrigation and/or intravaginal medication for infection, rather than an examination alone. Record the infection being treated, the method used, and the medication when applied. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When another procedure subject to multiple-procedure reduction is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this vaginal service. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 57150
- 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 RVU0.49 · 31%
- Practice expense (office) RVU1.03 · 65%
- Malpractice RVU0.07 · 4%
16.2K
Medicare services in 2024 · #1229 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.
57150 compared with similar codes
Office rates for Indiana, from the same CMS release.
$65.24
57160 is for pessary or other vaginal device insertion. It does not describe irrigation or medication treatment for infection.
$175.15
57180 addresses treatment of vaginal bleeding. Use 57150 for irrigation and/or medicament treatment of vaginal infection.
Compare 57150 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
Indiana →
Office / nonfacility
$49.39
Facility
$20.91
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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 57150 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,445
- Code
- 57150
- Physician work
- 0.49
- Practice expense
- 1.03
- Malpractice
- 0.07
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 1.03 | × 0.927 | 0.9548 |
| Malpractice | 0.07 | × 0.486 | 0.0340 |
| Total RVUs | 1.4788 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$49.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 1.03 | 0.927 |
| Malpractice | 0.07 | 0.486 |
(0.49 × 1 + 1.03 × 0.927 + 0.07 × 0.486) × $33.4009 = $49.39
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 0.11 | 0.927 |
| Malpractice | 0.07 | 0.486 |
(0.49 × 1 + 0.11 × 0.927 + 0.07 × 0.486) × $33.4009 = $20.91
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.
57150 billing questions
When should 57150 be reported instead of a vaginal biopsy?
Use 57150 for irrigation and/or intravaginal medication to treat an infection. A biopsy code is for sampling vaginal tissue, not treating vaginitis.
Can irrigation and medication application be reported as two services?
The code covers irrigation, application of medicament, or both for the infection treatment. Do not report separate units merely because both methods were used.
Can an office E/M service be reported on the same date?
A separately identifiable E/M service may be reported when the visit includes evaluation beyond the work of the infection treatment. Modifier 25 may be appropriate on the E/M code when its requirements are met.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this vaginal service.
What documentation supports 57150?
Document the vaginal infection being treated and whether irrigation, medicament application, or both were performed; identify the medication when one is used.
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.
6,44257120,,Colpocleisis le fort type,A,,8.07,4.78,NA,4.78,,1.33,14.18,14.18,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44357130,,Excision vaginal septum,A,,2.40,3.83,,1.79,,0.42,6.65,4.61,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44457135,,Excision vaginal cyst/tumor,A,,2.63,4.19,,1.95,,0.46,7.28,5.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44557150,,Treat vagina infection,A,,0.49,1.03,,0.11,,0.07,1.59,0.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44657155,,Insert uteri tandem/ovoids,A,,5.02,6.42,,1.66,,0.46,11.90,7.14,0,000,0.00,0.00,0.00,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44757156,,Ins vag brachytx device,A,,2.62,3.87,,0.97,,0.21,6.70,3.80,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,44857160,,Insert pessary/other device,A,,0.87,1.09,,0.19,,0.15,2.11,1.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915