CPT code 57460: Cervical LEEP biopsy, loop biopsy, not cone excision2026 Medicare rate & RVUs in Maryland
Reports colposcopic examination of the cervix with loop-electrode biopsy when cervical tissue is sampled under direct visual guidance.
Medicare pays $310.97–$351.48 for 57460 in the office in Maryland, from Rest of Maryland to Washington, DC area. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 57460 covers
A clinician uses colposcopy to examine the cervix and then removes cervical tissue with a loop electrode for biopsy. Gynecologists commonly perform this procedure in an office or outpatient setting when an abnormal cervical finding calls for targeted tissue sampling. The loop-electrode biopsy is the defining service; this code is not for a cone excision.
Report the service when documentation supports both colposcopic visualization and loop-electrode cervical biopsy. The procedure includes same-day preoperative and postoperative care under its 0-day global period. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
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.
Where 57460 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$310.97 to $351.48
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $328.89 | $149.33 |
| Rest of Maryland | $310.97 | $141.63 |
| Washington, DC area | $351.48 | $154.35 |
How the 57460 rate is calculated
Each of 57460’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 57460
RVUs × geographic indexes × conversion factor
Work2.76
2.76 RVUs× 1.000 GPCI
Practice expense6.01
6.01 RVUs× 1.000 GPCI
Malpractice0.48
0.48 RVUs× 1.000 GPCI
Adjusted RVUs
9.2500
Conversion factor
$33.4009
Medicare rate
$308.96
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57460
The CMS indicators that decide how 57460 is paid alongside other services.
CMS payment indicators · 57460
Cervical LEEP biopsy, loop biopsy, not cone excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
57460 without 51 · national office
$308.96
Cervical LEEP biopsy, loop biopsy, not cone excision
57460-51 · Second procedure: 50%
$154.48
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
57460 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57461Cervical LEEPColposcopy with conization
- 57460 represents loop-electrode biopsy of cervical tissue; 57461 represents a loop-electrode cone excision.
- 57455Cervical biopsyColposcopy-guided biopsy
- Both include colposcopy and cervical biopsy, but 57460 specifies loop-electrode biopsy.
- 57454Cervical colposcopyBiopsy and endocervical curettage
- 57454 includes cervical biopsy plus endocervical curettage; 57460 is the loop-electrode cervical biopsy service.
- 57456Cervical colposcopyEndocervical curettage
- 57456 reports colposcopy with endocervical curettage, while 57460 reports colposcopy with loop-electrode cervical biopsy.
57460 billing questions
How does 57460 differ from 57461?
Use 57460 for cervical tissue biopsy with a loop electrode under colposcopic visualization. Use 57461 when the loop procedure is a cone excision.
Can the colposcopy be reported separately?
No. The colposcopic examination is part of the service represented by 57460.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is an assistant surgeon payable?
No. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are also not permitted.
What documentation supports 57460?
Document the colposcopic examination and the loop-electrode cervical biopsy, including the tissue sampled and the clinical reason for sampling.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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