CPT 57150
Global 000 ActiveTreat vagina infection
CPT 57150 Billing & Documentation Guide
CPT code 57150 (Treat vagina infection) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.49, a non-facility practice expense RVU of 1.03, and a malpractice RVU of 0.07, a total non-facility RVU of 1.59 and facility RVU of 0.67. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $54.61, though rates vary from $47.12 to $69.03 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 57150, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 57150 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 57150 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 57150
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.49 | 0.49 |
| Practice Expense RVU | 1.03 | 0.11 |
| Malpractice RVU | 0.07 | 0.07 |
| Total RVU | 1.59 | 0.67 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 57150
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $58.93 | $22.57 | $55.6 - $69.03 | 29 |
| Florida | $55.43 | $24.6 | $52.77 - $58.09 | 3 |
| Georgia | $52.01 | $22.7 | $49.84 - $54.18 | 2 |
| Illinois | $54.14 | $24.45 | $51.43 - $56.42 | 4 |
| Michigan | $51.97 | $23.11 | $50.42 - $53.51 | 2 |
| North Carolina | $49.96 | $21.29 | $49.96 - $49.96 | 1 |
| New York | $58.7 | $24.42 | $50.69 - $62.66 | 5 |
| Ohio | $50.13 | $22.08 | $50.13 - $50.13 | 1 |
| Pennsylvania | $52.71 | $22.62 | $50.16 - $55.26 | 2 |
| Texas | $52.5 | $22.24 | $49.85 - $54.87 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 57150
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 57150 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00940 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 57150
What does CPT code 57150 mean? +
CPT code 57150 represents: Treat vagina infection. It's in the Surgery (Urinary/Reproductive) category with a global period of 000.
What is the Medicare reimbursement for CPT 57150? +
The 2026 Medicare national average non-facility payment for CPT 57150 is $54.61. Rates range from $47.12 to $69.03 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 57150? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 57150? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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