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58110 Biopsy done with colposcopy add-on

Surgery +Add-on

Also known as: endometrial biopsy add-on, colposcopy with EMB

Endometrial biopsy performed as add-on procedure during colposcopy or other vaginal procedure uses tissue obtained for histologic evaluation without separate incision.

In Plain Language

Uterus tissue sample during exam; Uterus biopsy during colposcopy

Clinical Context

Add-on code when endometrial tissue is sampled during colposcopy or similar procedure without additional operative time. Use only when primary procedure is separately reportable.

RVU Breakdown

Work RVU0.75
Total RVU0.75

Est. Medicare Payment

$25.05

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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 0.75, this code ranks in the 2nd percentile among Surgery codes — 10.7x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Gynecology

Frequently Asked Questions

What is CPT code 58110?

CPT 58110 (Biopsy done with colposcopy add-on) is a Surgery code. Endometrial biopsy performed as add-on procedure during colposcopy or other vaginal procedure uses tissue obtained for histologic evaluation without separate incision.

What is the wRVU value for CPT 58110?

The work RVU for CPT 58110 is 0.75. This code is primarily used by Gynecology.

When is CPT 58110 used?

Add-on code when endometrial tissue is sampled during colposcopy or similar procedure without additional operative time. Use only when primary procedure is separately reportable.

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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.