57421 examination/biopsy of vag with scope
Also known as: Vaginoscopy with biopsy, colposcopy with biopsy
Examination and biopsy of vagina with endoscope. Direct visualization with magnification and tissue sampling.
In Plain Language
Looking inside vagina and taking tissue sample
Clinical Context
Used to visualize and biopsy vaginal lesions or abnormalities.
RVU Breakdown
| Work RVU | 2.15 |
| Total RVU | 2.15 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.15, this code ranks in the 15th percentile among Surgery codes — 3.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 57421?
CPT 57421 (examination/biopsy of vag with scope) is a Surgery code. Examination and biopsy of vagina with endoscope. Direct visualization with magnification and tissue sampling.
What is the wRVU value for CPT 57421?
The work RVU for CPT 57421 is 2.15. This code is primarily used by Gynecology, Pathology.
When is CPT 57421 used?
Used to visualize and biopsy vaginal lesions or abnormalities.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.