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CPT code 57461: Cervical LEEP, colposcopy with conization2026 Medicare rate & RVUs in Washington, DC area

Reports colposcopic assessment of the cervix with loop-electrode removal of a cone-shaped cervical specimen, commonly for cervical dysplasia.

CMS RVU26DEffective Oct 1, 2026One payment locality459 Medicare services in 2024

In Washington, DC area, Medicare pays $396.43 for 57461 in the office and $175.30 when it’s performed in a hospital or facility.

$396.43Office (non-facility)
$175.30Hospital or facility
+13.5%vs the national office rate ($349.37)

Check a contract rate as a % of Medicare · 57461 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 57461 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 57461 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 57461 covers

The clinician examines the cervix under magnification, typically after applying a solution that helps identify abnormal areas, then uses a loop electrode to excise a cone-shaped portion of cervical tissue. Gynecologists commonly perform this procedure for evaluation or treatment of cervical precancer, such as high-grade cervical dysplasia, in an office or outpatient facility. The excised tissue is sent for pathologic examination.

Report this code when colposcopy and loop-electrode conization are performed together; documentation should support the colposcopic assessment and the conization, not just a small loop biopsy. The service has a 0-day global period, so same-day preoperative and postoperative care are included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this cervical procedure. Medicare does not pay an assistant-at-surgery claim, and co-surgeon and team-surgery reporting 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.

How Washington, DC area compares for 57461

Across 109 of 109 payment localities, the office rate for 57461 runs from $308.95 in Arkansas to $448.60 in San Benito County, CA. Washington, DC area pays $396.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

57461 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$396.43
  2. Los Angeles, CA · California$387.07−$9.36
  3. Miami, FL · Florida$388.94−$7.49
  4. Chicago, IL · Illinois$377.20−$19.23
  5. Manhattan, NY · New York$403.54+$7.11
  6. Alaska · Alaska$410.31+$13.88
  7. Alabama · Alabama$313.45−$82.98

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

57461 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$308.95$147.70
ArizonaArizona$339.74$157.84
Bakersfield, CACalifornia$364.56$158.83
Chico, CACalifornia$362.88$157.14
El Centro, CACalifornia$362.98$157.24
Fresno, CACalifornia$362.88$157.14
Hanford, CACalifornia$362.88$157.14
Madera, CACalifornia$362.88$157.14

57461 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$308.95

$410.31

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
57461 office rate range by state
State / territoryOffice rate rangeLocalities
AK$410.311
AL$313.451
AR$308.951
AZ$339.741
CA$362.88–$448.6029
CO$360.261
CT$372.581
DC$396.431
DE$345.291
FL$349.87–$388.943
GA$329.70–$357.222
GU$370.771
HI$370.771
IA$318.781
ID$321.391
IL$341.71–$377.204
IN$323.181
KS$318.531
KY$323.501
LA$323.49–$339.252
MA$358.63–$393.992
MD$351.46–$396.433
ME$324.38–$340.022
MI$333.01–$355.502
MN$341.581
MO$318.80–$338.963
MS$313.871
MT$349.331
NC$327.551
ND$337.471
NE$320.141
NH$355.801
NJ$375.81–$392.612
NM$335.331
NV$346.241
NY$332.53–$414.855
OH$330.591
OK$321.601
OR$342.55–$370.202
PA$330.41–$364.182
PR$351.471
RI$356.521
SC$329.821
SD$336.071
TN$320.281
TX$328.35–$359.948
UT$334.261
VA$339.78–$396.432
VI$351.471
VT$337.301
WA$357.58–$400.722
WI$326.361
WV$329.481
WY$344.161

See 57461 in every payment locality

How the 57461 rate is calculated

Each of 57461’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 · 57461

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.34

3.34 RVUs× 1.000 GPCI

Practice expense6.52

6.52 RVUs× 1.000 GPCI

Malpractice0.60

0.60 RVUs× 1.000 GPCI

Adjusted RVUs

10.4600

Conversion factor

$33.4009

Medicare rate

$349.37

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,496

Code
57461
Physician work
3.34
Practice expense
6.52
Malpractice
0.60

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 57461 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.34× 1.0543.5204
Practice expense6.52× 1.1787.6806
Malpractice0.60× 1.1130.6678
Total RVUs11.8687
Conversion factor× 33.4009

Office rate, Washington, DC area$396.43

Office: (3.34 × 1.054 + 6.52 × 1.178 + 0.6 × 1.113) × $33.4009 = $396.43

Facility: (3.34 × 1.054 + 0.9 × 1.178 + 0.6 × 1.113) × $33.4009 = $175.30

Open 57461 in the RVU calculator

Payment rules and modifiers for 57461

The CMS indicators that decide how 57461 is paid alongside other services.

CMS payment indicators · 57461

Cervical LEEP, colposcopy with conization

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57461 without 51 · national office

$349.37

Cervical LEEP, colposcopy with conization

57461-51 · Second procedure: 50%

$174.69

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%).

When to use modifier 51

Codes related to 57461

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 57461
CodeHow it relatesOffice range, Washington, DC area
Same family
57460Cervical LEEP biopsy, loop biopsy, not cone excisionColposcopy with loop-electrode biopsy rather than conization.$351.48
57452Colposcopy, cervix, no tissue samplingColposcopic cervical examination without the loop-electrode excision.$141.33
57454Cervical colposcopy, biopsy and endocervical curettageColposcopy with cervical biopsy and endocervical curettage.$185.28
Used instead
57522LEEP conization, loop electrode excisionLoop-electrode conization when the service is reported without the colposcopy component.$337.90

How 57461 has changed in Washington, DC area

57461 · Office / nonfacility

$396.43

Effective 2026-10-01

The base rate is $13.18 higher than on 2025-10-01, moving from $383.25 to $396.43 (3.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $383.25changed to$396.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.43 changed to 3.34
    • Practice expense RVU 6.33 changed to 6.52
    • Malpractice RVU 0.58 changed to 0.60
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $401.95changed to$383.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.53 changed to 6.33
    • Malpractice RVU 0.57 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $395.39changed to$401.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $418.44changed to$395.39

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.62 changed to 6.53
    • Malpractice RVU 0.56 changed to 0.57
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $436.34changed to$418.44

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.69 changed to 6.62
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $434.31changed to$436.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.58 changed to 6.69
    • Malpractice RVU 0.54 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $413.84changed to$434.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.88 changed to 6.58
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $386.68changed to$413.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.49 changed to 5.88
    • Malpractice RVU 0.42 changed to 0.54
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $372.39changed to$386.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.16 changed to 5.49
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $373.50changed to$372.39

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.20 changed to 5.16
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $371.83changed to$373.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.17 changed to 5.20
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $374.56changed to$371.83

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.46 changed to 0.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $372.69changed to$374.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $374.51changed to$372.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.14 changed to 5.17
    • Malpractice RVU 0.56 changed to 0.46
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $376.21changed to$374.51

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.67 changed to 5.14
    • Malpractice RVU 0.59 changed to 0.56
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $376.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$396.43$175.30RVU26D
2026-07-01$396.43$175.30RVU26C
2026-04-01$396.43$175.30RVU26B
2026-01-01$396.43$175.30RVU26A
2025-10-01$383.25$196.64RVU25D
2025-07-01$383.25$196.64RVU25C
2025-04-01$383.25$196.64RVU25B
2025-01-01$383.25$196.64RVU25A
2024-10-01$401.95$201.17RVU24D
2024-07-01$401.95$201.17RVU24C
2024-04-01$401.95$201.17RVU24B
2024-03-09$401.95$201.17RVU24AR
2024-01-01$395.39$197.89RVU24A
2023-10-01$418.44$206.58RVU23D
2023-07-01$418.44$206.58RVU23C
2023-04-01$418.44$206.58RVU23B
2023-01-01$418.44$206.58RVU23A
2022-10-01$436.34$211.78RVU22D
2022-07-01$436.34$211.78RVU22C
2022-04-01$436.34$211.78RVU22B
2022-01-01$436.34$211.78RVU22A
2021-10-01$434.31$213.06RVU21D
2021-07-01$434.31$213.06RVU21C
2021-04-01$434.31$213.06RVU21B
2021-01-01$434.31$213.06RVU21A
2020-10-01$413.84$217.31RVU20D
2020-07-01$413.84$217.31RVU20C
2020-04-01$413.84$217.31RVU20B
2020-01-01$413.84$217.31RVU20A
2019-10-01$386.68$210.36RVU19D
2019-07-01$386.68$210.36RVU19C
2019-04-01$386.68$210.36RVU19B
2019-01-01$386.68$210.36RVU19A
2018-10-01$372.39$211.89RVU18D
2018-07-01$372.39$211.89RVU18C
2018-04-01$372.39$211.89RVU18B
2018-01-01$372.39$211.89RVU18AR1
2017-10-01$373.50$213.49RVU17D
2017-07-01$373.50$213.49RVU17C
2017-04-01$373.50$213.49RVU17B
2017-01-01$373.50$213.49RVU17A
2016-10-01$371.83$212.63RVU16D
2016-07-01$371.83$212.63RVU16C
2016-04-01$371.83$212.63RVU16B
2016-01-01$371.83$212.63RVU16A
2015-10-01$374.56$214.78RVU15D
2015-07-01$374.56$214.78RVU15C
2015-04-01$372.69$213.71RVU15B
2015-01-01$372.69$213.71RVU15A
2014-10-01$374.51$217.35RVU14D
2014-07-01$374.51$217.35RVU14C
2014-04-01$374.51$217.35RVU14B
2014-01-01$374.51$217.35RVU14A
2013-10-01$376.21$210.72RVU13D
2013-07-01$376.21$210.72RVU13C
2013-04-01$376.21$210.72RVU13B
2013-01-01$376.21$210.72RVU13AR

Price 57461 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

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57461 billing questions

How does this differ from 57460?

57461 represents loop-electrode conization, which removes a cone-shaped cervical specimen. 57460 represents loop-electrode biopsy rather than conization.

When would 57522 be considered instead?

57522 describes loop-electrode conization without the colposcopy component represented by 57461. Use the code that matches the documented service performed.

Is the colposcopic examination separately reported?

The colposcopy is part of 57461 when performed with the loop-electrode conization. Do not separately report a colposcopy code for that same examination.

Can modifier 50 be used?

No. Modifier 50 is inappropriate for this cervical procedure.

What documentation supports reporting 57461?

Document the colposcopic assessment and the loop-electrode excision of a cone-shaped cervical specimen. The note should distinguish conization from a limited loop biopsy.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

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
RVUs for 57461PPRRVU2026_Oct_nonQPP.csv, line 6,496 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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