Table 5.

Colposcopy CPT codes25–27

CPT CodeDescription of ExaminationMedicare Prof Fee When Performed in FacilityMedicare Prof Fee When Performed in ClinicMedicaid WI Physician Fee
56820Colposcopy of the vulva81.73106.36*
56821with biopsy(s)112.93143.45*
57420Colposcopy of the entire vagina, with cervix if present86.86111.48*
57421with biopsy(s)120.61152.17*
57452Colposcopy of the cervix including upper vagina81.73108.44*
57454With biopsy(s) of the cervix and endocervical curettage126.85153.2190.47
57455With biopsy(s) of the cervix109.65140.17*
57456With endocervical curettage102.68132.51*
57460With loop electrode biopsy(s) of the cervix158.96325.81294.88
57461With loop electrode conization of the cervix187.96357.57*
57500Biopsy, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)56.4132.3656.20
57505Endocervical curettage85.2498.0859.80
57511Cryocautery, initial or repeat125.91141.8767.90
57522Loop electrode excision230.93289.21298.00
58100Endometrial sampling (biopsy)84.68105.8454.69
99170Colposcopy of perineum85.96127.58132.52
  • * No fee listed in schedule; fee based on individual consideration, medical consultant.

  • Note: fees are for Wisconsin. A geographic adjustment factor (GAF) between 0.84 and 1.30 is multiplied by a national figure to calculate state value.