$114.56
57452 reports colposcopy without endocervical curettage. Choose 57456 when the endocervical canal is sampled during the examination.
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CMS RVU26D · Effective 2026-10-01
57456 Cervical colposcopy Medicare reimbursement rates in Iowa
Reports colposcopic evaluation of the cervix with sampling of the endocervical canal, often during assessment of abnormal cervical screening results. Compare 57456 office and facility rates across CMS payment localities in Iowa.
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 57456 in Iowa?
Iowa 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
$137.23
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$81.00
1 of 1 localities have a supported rate.
Payment area: Iowa
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 procedure
About 57456: Cervical colposcopy with endocervical curettage
Reports colposcopic evaluation of the cervix with sampling of the endocervical canal, often during assessment of abnormal cervical screening results.
A clinician uses a colposcope to examine the cervix and nearby vaginal tissue, then collects tissue from the endocervical canal with a curette. This is commonly performed by a gynecologist in an office or outpatient setting during evaluation of abnormal cervical cytology or a high-risk HPV result. The canal sample is submitted for pathology; this service includes endocervical curettage, not a separate cervical biopsy.
Report this code when colposcopy is accompanied by endocervical curettage without cervical biopsy. When cervical biopsy and curettage are both performed, the code that includes both services is 57454. Document the indication, colposcopic findings, curettage, and specimen. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. Endoscopy-family pricing applies when related endoscopies are performed together. A bilateral adjustment is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 57456
- 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 RVU1.80 · 40%
- Practice expense (office) RVU2.38 · 53%
- Malpractice RVU0.33 · 7%
4.4K
Medicare services in 2024 · #1955 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.
57456 compared with similar codes
Office rates for Iowa, from the same CMS release.
$151.42
57454 includes colposcopy with both cervical biopsy and endocervical curettage. Choose 57456 when curettage is performed without cervical biopsy.
$146.59
57455 includes cervical biopsy but not endocervical curettage. Choose 57456 when the canal is curetted and no cervical biopsy is performed.
Compare 57456 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
Iowa →
Office / nonfacility
$137.23
Facility
$81.00
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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 57456 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,494
- Code
- 57456
- Physician work
- 1.80
- Practice expense
- 2.38
- Malpractice
- 0.33
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.80 | × 1.000 | 1.8000 |
| Practice expense | 2.38 | × 0.915 | 2.1777 |
| Malpractice | 0.33 | × 0.397 | 0.1310 |
| Total RVUs | 4.1087 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$137.23
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.8 | 1 |
| Practice expense | 2.38 | 0.915 |
| Malpractice | 0.33 | 0.397 |
(1.8 × 1 + 2.38 × 0.915 + 0.33 × 0.397) × $33.4009 = $137.23
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.8 | 1 |
| Practice expense | 0.54 | 0.915 |
| Malpractice | 0.33 | 0.397 |
(1.8 × 1 + 0.54 × 0.915 + 0.33 × 0.397) × $33.4009 = $81.00
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.
57456 billing questions
When should 57456 be chosen instead of 57454?
Use 57456 for colposcopy with endocervical curettage but no cervical biopsy. When both cervical biopsy and curettage are performed, report 57454, which includes both.
Can cervical biopsy be billed separately with 57456?
If a cervical biopsy is performed during the colposcopy along with the curettage, 57454 represents that combination. Do not separately report the biopsy and curettage components.
What documentation supports this code?
Document the reason for colposcopy, cervical and adjacent vaginal findings, performance of endocervical curettage, and the specimen submitted for pathology.
Does 57456 have a global period?
CMS assigns a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How is 57456 priced with another related endoscopy?
When related endoscopies are performed together, CMS applies endoscopy-family pricing. The payment reflects that pricing rule rather than treating every related scope as an independently priced full service.
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.
6,49157452,,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
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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136