$168.40–$177.45
57420 is vaginal colposcopy without vaginal biopsy. Use 57421 when vaginal tissue is biopsied during the examination.
On this page
CMS RVU26D · Effective 2026-10-01
57420 Vaginal colposcopy Medicare reimbursement rates in Missouri
Colposcopic inspection of vaginal mucosa without tissue sampling, typically used to evaluate abnormal vaginal cytology or a visible vaginal lesion. Compare 57420 office and facility rates across CMS payment localities in Missouri.
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 57420 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$126.93–$134.01
3 of 3 localities have a supported rate.
Facility setting
$78.28–$80.27
3 of 3 localities have a supported rate.
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.
Where 57420 pays more and less in Missouri
3 payment localities
$126.93 to $134.01
Gynecology procedure
About 57420: Vaginal colposcopic examination
Colposcopic inspection of vaginal mucosa without tissue sampling, typically used to evaluate abnormal vaginal cytology or a visible vaginal lesion.
Code 57420 represents magnified inspection of vaginal mucosa with a colposcope, without tissue sampling. Gynecologists commonly perform it in an office or outpatient setting to assess abnormal vaginal cytology or a visible lesion, including possible vaginal intraepithelial neoplasia. Document the indication, areas examined, adequacy of visualization, and findings.
Report this code when the colposcopic assessment is directed to the vagina and no vaginal biopsy is taken. If vaginal tissue is biopsied during colposcopy, use 57421. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment is not permitted.
CMS billing rules for 57420
- 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 RVU1.56 · 38%
- Practice expense (office) RVU2.26 · 55%
- Malpractice RVU0.30 · 7%
3.8K
Medicare services in 2024 · #2023 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.
57420 compared with similar codes
Office rates for Missouri, from the same CMS release.
$115.96–$122.33
57420 is directed to vaginal assessment; 57452 is colposcopy directed to the cervix, including adjacent areas.
$149.06–$156.98
57455 is cervical colposcopy with biopsy. It is not the vaginal colposcopy code for an examination without vaginal sampling.
No office rate
57410 describes a pelvic examination, while 57420 involves colposcopic inspection of vaginal mucosa.
Compare 57420 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$132.78
Facility
$79.77
Metropolitan St. Louis →
Office / nonfacility
$134.01
Facility
$80.27
Rest Of Missouri →
Office / nonfacility
$126.93
Facility
$78.28
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57420 billing questions
When should 57420 be reported instead of 57421?
Use 57420 for vaginal colposcopy without vaginal tissue sampling. When a vaginal biopsy is performed during the colposcopy, report 57421.
How does 57420 differ from cervical colposcopy?
57420 describes colposcopic assessment directed to the vagina. For an examination directed to the cervix, consider the cervical colposcopy code that matches the services performed.
Is a vaginal biopsy separately reported with 57420?
When vaginal tissue is biopsied during colposcopy, 57421 describes the vaginal colposcopy with biopsy; do not report 57420 for that same service.
Can modifier 50 be used for bilateral vaginal colposcopy?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
What same-day payment rules affect 57420?
The 0-day global period includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and the others are reduced to 50%; assistant-at-surgery payment is restricted, and 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.
6,48357400,,Dilation of vagina,A,,2.21,0.86,NA,0.86,,0.39,3.46,3.46,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48457410,,Pelvic examination,A,,1.71,0.88,NA,0.88,,0.30,2.89,2.89,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48557415,,Remove vaginal foreign body,A,,2.43,1.84,NA,1.84,,0.41,4.68,4.68,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48657420,,Exam of vagina w/scope,A,,1.56,2.26,,0.57,,0.30,4.12,2.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48757421,,Exam/biopsy of vag w/scope,A,,2.15,2.88,,0.70,,0.42,5.45,3.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48857423,,Repair paravag defect lap,A,,15.68,6.23,NA,6.23,,2.67,24.58,24.58,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,48957425,,Laparoscopy surg colpopexy,A,,16.60,6.40,NA,6.40,,2.75,25.75,25.75,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00