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CMS RVU26D · Effective 2026-10-01

57020 Colpocentesis Medicare reimbursement rates in Oklahoma

Colpocentesis is needle aspiration through the posterior vaginal fornix, classically used to evaluate suspected blood or fluid in the pelvic cul-de-sac. Compare 57020 office and facility rates across CMS payment localities in Oklahoma.

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 57020 in Oklahoma?

Oklahoma 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

$111.03

1 of 1 localities have a supported rate.

Payment area: Oklahoma

One mapped payment locality.

Facility setting

$65.69

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 57020 in your payment locality →

Gynecology procedure

About 57020: Posterior fornix cul-de-sac aspiration

Colpocentesis is needle aspiration through the posterior vaginal fornix, classically used to evaluate suspected blood or fluid in the pelvic cul-de-sac.

A clinician passes a needle through the posterior vaginal fornix to aspirate fluid from the pelvic cul-de-sac. The procedure is most associated with diagnostic evaluation when pelvic bleeding is suspected, such as concern for a ruptured ectopic pregnancy. Gynecologists typically perform it in a facility setting. The separate-procedure designation matters: report it when performed as an independent service, rather than when the aspiration is integral to a more extensive procedure.

Document the indication, the route of access, the aspiration performed, and the findings. This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 57020

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.46 · 41%
  • Practice expense (office) RVU1.87 · 52%
  • Malpractice RVU0.25 · 7%

11

Medicare services in 2024 · #6168 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.

57020 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

57000

Colpotomy

With exploration

No office rate

57020 is needle aspiration through the posterior vaginal fornix. 57000 uses an incision for vaginal exploration.

57010

Abscess drainage

Colpotomy approach

No office rate

57010 describes colpotomy drainage of a pelvic abscess. Use 57020 for needle aspiration of cul-de-sac fluid, not surgical abscess drainage.

49320

Diagnostic laparoscopy

Abdomen and peritoneum

No office rate

49320 evaluates the abdomen and pelvis through a laparoscope. 57020 obtains cul-de-sac fluid by transvaginal needle aspiration.

Compare 57020 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

Office and facility base rates · shared scale starting at $0

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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 57020 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

6,430

Code
57020
Physician work
1.46
Practice expense
1.87
Malpractice
0.25

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office / nonfacility calculation for 57020 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense1.87× 0.8931.6699
Malpractice0.25× 0.7770.1943
Total RVUs3.3242
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$111.03

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.461
Practice expense1.870.893
Malpractice0.250.777

(1.46 × 1 + 1.87 × 0.893 + 0.25 × 0.777) × $33.4009 = $111.03

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.461
Practice expense0.350.893
Malpractice0.250.777

(1.46 × 1 + 0.35 × 0.893 + 0.25 × 0.777) × $33.4009 = $65.69

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.

57020 billing questions

When should I report colpocentesis instead of colpotomy?

Report 57020 for needle aspiration through the posterior vaginal fornix. Code 57000 involves an incision and exploration, not needle aspiration.

Can I report 57020 with another procedure in the same session?

The separate-procedure designation supports reporting it when the aspiration is independent, not when it is integral to a more extensive procedure. If separately reportable procedures occur in the same session, the multiple-procedure reduction applies to the lower-valued procedure or procedures.

Should I append modifier 50 for bilateral colpocentesis?

No. Modifier 50 is inappropriate for this code; the descriptor or anatomy does not support a bilateral adjustment.

What documentation supports reporting 57020?

Document the clinical reason for aspiration, the posterior vaginal fornix route, the fluid obtained, and the findings. The note should make clear that this was an independent needle aspiration rather than part of another procedure.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. 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.

RVUs for 57020PPRRVU2026_Oct_nonQPP.csv, line 6,430 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet