$123.33
Use 57452 for colposcopic examination without cervical biopsy or endocervical curettage. This code requires both sampling components.
On this page
CMS RVU26D · Effective 2026-10-01
57454 Cervical colposcopy Medicare reimbursement rates in Wyoming
Report this service when colposcopy for an abnormal cervical screening result includes directed cervical biopsy and endocervical curettage. Compare 57454 office and facility rates across CMS payment localities in Wyoming.
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 57454 in Wyoming?
Wyoming 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
$162.53
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$115.43
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 57454: Colposcopy with cervical biopsy and ECC
Report this service when colposcopy for an abnormal cervical screening result includes directed cervical biopsy and endocervical curettage.
A clinician uses a colposcope to examine the cervix and directs one or more tissue samples from suspicious areas, then obtains endocervical tissue by curettage. Gynecologists commonly perform the procedure in an office or outpatient setting after abnormal cervical cytology or a high-risk HPV result. The cervical biopsy and endocervical curettage specimens are typically sent for histologic examination.
Select this code when both cervical biopsy and endocervical curettage are performed with colposcopy; document the examination, biopsy sites, and curettage. The code includes these diagnostic sampling services, so do not separately report the same biopsy or curettage. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 57454
- 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 RVU2.27 · 46%
- Practice expense (office) RVU2.30 · 46%
- Malpractice RVU0.40 · 8%
13.9K
Medicare services in 2024 · #1296 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.
57454 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$157.87
Use 57455 when colposcopy includes cervical biopsy but no endocervical curettage. Report this code when curettage is also performed.
$147.77
Use 57456 when colposcopy includes endocervical curettage but no cervical biopsy. This code covers the combination of curettage and cervical biopsy.
$149.48
Use 57500 for cervical biopsy without colposcopic guidance. This code requires colposcopy and also includes endocervical curettage.
Compare 57454 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
Wyoming** →
Office / nonfacility
$162.53
Facility
$115.43
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 57454 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,492
- Code
- 57454
- Physician work
- 2.27
- Practice expense
- 2.30
- Malpractice
- 0.40
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.27 | × 1.000 | 2.2700 |
| Practice expense | 2.30 | × 1.000 | 2.3000 |
| Malpractice | 0.40 | × 0.740 | 0.2960 |
| Total RVUs | 4.8660 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$162.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.27 | 1 |
| Practice expense | 2.3 | 1 |
| Malpractice | 0.4 | 0.74 |
(2.27 × 1 + 2.3 × 1 + 0.4 × 0.74) × $33.4009 = $162.53
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.27 | 1 |
| Practice expense | 0.89 | 1 |
| Malpractice | 0.4 | 0.74 |
(2.27 × 1 + 0.89 × 1 + 0.4 × 0.74) × $33.4009 = $115.43
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.
57454 billing questions
When should this code be chosen instead of 57455?
Use this code when colposcopy includes both cervical biopsy and endocervical curettage. Code 57455 describes the colposcopic cervical biopsy service without the curettage component.
Can the cervical biopsy and curettage be reported separately?
No. This code accounts for both sampling services when they are performed with colposcopy; do not separately report those same services.
How many cervical biopsies can be reported under this code?
The code includes one or more directed cervical biopsies along with endocervical curettage. Document the biopsy sites and the curettage performed.
Should modifier 50 be added for biopsies from both sides of the cervix?
No. CMS identifies bilateral adjustment as inappropriate for this code; multiple biopsy sites do not make it a bilateral service.
What global-period care is included?
The 0-day global period includes same-day preoperative and postoperative care. CMS also restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery.
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.
6,48957425,,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
6,49057426,,Revise prosth vag graft lap,A,,13.94,6.96,NA,6.96,,2.33,23.23,23.23,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49157452,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,