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CPT code 57522: LEEP conization, loop electrode excision2026 Medicare rate & RVUs in Virginia

Reports loop-electrode excision of a cone-shaped portion of the cervix, commonly used to diagnose and treat high-grade cervical dysplasia.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Virginia, Medicare pays $291.61 for 57522 in the office and $223.64 when it’s performed in a hospital or facility.

$291.61Office (non-facility)
$223.64Hospital or facility
−3.0%vs the national office rate ($300.61)

Check a contract rate as a % of Medicare · 57522 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 57522 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 57522 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 57522 covers

A gynecologist uses an electrically energized wire loop to remove a cone-shaped section of cervical tissue. The specimen allows histologic evaluation while removing the targeted abnormal area. This procedure is commonly performed for high-grade cervical dysplasia, such as biopsy-confirmed CIN 2 or CIN 3, in an office procedure room, ambulatory surgery center, or hospital outpatient setting. The excised tissue is submitted for examination.

Select this code when the documented excision uses a loop electrode; a cold-knife or laser cone is reported differently. The operative note should support the indication, loop-electrode method, and tissue removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; 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.

How Virginia compares for 57522

Across 109 of 109 payment localities, the office rate for 57522 runs from $267.73 in Arkansas to $374.41 in San Benito County, CA. Virginia pays $291.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

57522 in Virginia vs other payment areas
  1. Virginia · this page$291.61
  2. Los Angeles, CA · California$327.55+$35.94
  3. Washington, DC area · District of Columbia$337.90+$46.29
  4. Miami, FL · Florida$339.84+$48.23
  5. Chicago, IL · Illinois$329.93+$38.32
  6. Manhattan, NY · New York$346.65+$55.04
  7. Alaska · Alaska$361.18+$69.57

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

57522 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$271.37$210.88
ArkansasArkansas$267.73$208.34
ArizonaArizona$292.58$225.58
Bakersfield, CACalifornia$309.85$234.07
Chico, CACalifornia$308.05$232.27
El Centro, CACalifornia$308.16$232.38
Fresno, CACalifornia$308.05$232.27
Hanford, CACalifornia$308.05$232.27

57522 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.

$267.73

$361.18

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

View every state and territory as a table
57522 office rate range by state
State / territoryOffice rate rangeLocalities
AK$361.181
AL$271.371
AR$267.731
AZ$292.581
CA$308.05–$374.4129
CO$307.581
CT$319.781
DC$337.901
DE$297.131
FL$304.34–$339.843
GA$287.47–$307.822
GU$313.481
HI$313.481
IA$274.151
ID$276.571
IL$298.75–$329.934
IN$277.971
KS$274.681
KY$281.071
LA$281.35–$294.102
MA$306.64–$334.132
MD$301.97–$337.903
ME$279.76–$291.282
MI$289.48–$309.682
MN$290.191
MO$278.02–$292.993
MS$272.841
MT$300.571
NC$282.191
ND$287.911
NE$275.021
NH$304.481
NJ$322.15–$335.142
NM$291.651
NV$297.201
NY$286.28–$356.765
OH$286.891
OK$278.761
OR$293.62–$314.772
PA$286.34–$313.432
PR$302.041
RI$305.841
SC$285.271
SD$286.411
TN$276.181
TX$284.72–$308.488
UT$288.851
VA$291.61–$337.902
VI$302.041
VT$288.451
WA$305.52–$338.922
WI$279.111
WV$288.911
WY$295.051

See 57522 in every payment locality

How the 57522 rate is calculated

Each of 57522’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 · 57522

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.58

3.58 RVUs× 1.000 GPCI

Practice expense4.78

4.78 RVUs× 1.000 GPCI

Malpractice0.64

0.64 RVUs× 1.000 GPCI

Adjusted RVUs

9.0000

Conversion factor

$33.4009

Medicare rate

$300.61

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,504

Code
57522
Physician work
3.58
Practice expense
4.78
Malpractice
0.64

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 57522 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.58× 1.0003.5800
Practice expense4.78× 0.9834.6987
Malpractice0.64× 0.7060.4518
Total RVUs8.7306
Conversion factor× 33.4009

Office rate, Virginia$291.61

Office: (3.58 × 1 + 4.78 × 0.983 + 0.64 × 0.706) × $33.4009 = $291.61

Facility: (3.58 × 1 + 2.71 × 0.983 + 0.64 × 0.706) × $33.4009 = $223.64

Open 57522 in the RVU calculator

Payment rules and modifiers for 57522

57522 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 57522

LEEP conization, loop electrode excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 57522

LEEP conization, loop electrode excision

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

57522 without 51 · national office

$300.61

LEEP conization, loop electrode excision

57522-51 · Second procedure: 50%

$150.31

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 57522

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

Codes related to 57522
CodeHow it relatesOffice range, Virginia
Same family
57520Cervical cone, non-loop excisionCervical conization by a different excisional method, rather than loop electrode.$349.24
Used instead
57500Cervical biopsy, tissue sampling or lesion excisionCervical tissue sampling when a cone excision is not performed.$147.46
57513Cervical laser, laser ablationLaser treatment of cervical disease uses a different approach and may not provide an excisional specimen.$190.99
57511Cervical ablation, cryotherapy techniqueCryocautery treats cervical tissue by freezing rather than loop-electrode excision.$184.75

How 57522 has changed in Virginia

57522 · Office / nonfacility

$291.61

Effective 2026-10-01

The base rate is $4.35 higher than on 2025-10-01, moving from $287.26 to $291.61 (1.5%).

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

    $287.26changed to$291.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.67 changed to 3.58
    • Practice expense RVU 4.82 changed to 4.78
    • Malpractice RVU 0.61 changed to 0.64
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $298.57changed to$287.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.91 changed to 4.82

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $293.69changed to$298.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $304.93changed to$293.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.89 changed to 4.91
    • Malpractice RVU 0.59 changed to 0.61
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $312.63changed to$304.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.85 changed to 4.89
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $305.88changed to$312.63

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.59 changed to 4.85
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $294.44changed to$305.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.01 changed to 4.59
    • Malpractice RVU 0.57 changed to 0.59
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $277.37changed to$294.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.66 changed to 4.01
    • Malpractice RVU 0.46 changed to 0.57
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $265.68changed to$277.37

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.33 changed to 3.66
    • Malpractice RVU 0.47 changed to 0.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $264.39changed to$265.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.34 changed to 3.33
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $261.77changed to$264.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.31 changed to 3.34
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $263.30changed to$261.77

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.49 changed to 0.47

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $261.99changed to$263.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $264.04changed to$261.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.30 changed to 3.31
    • Malpractice RVU 0.60 changed to 0.49
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $260.86changed to$264.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.62 changed to 3.30
    • Malpractice RVU 0.63 changed to 0.60
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $260.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$291.61$223.64RVU26D
2026-07-01$291.61$223.64RVU26C
2026-04-01$291.61$223.64RVU26B
2026-01-01$291.61$223.64RVU26A
2025-10-01$287.26$243.66RVU25D
2025-07-01$287.26$243.66RVU25C
2025-04-01$287.26$243.66RVU25B
2025-01-01$287.26$243.66RVU25A
2024-10-01$298.57$251.07RVU24D
2024-07-01$298.57$251.07RVU24C
2024-04-01$298.57$251.07RVU24B
2024-03-09$298.57$251.07RVU24AR
2024-01-01$293.69$246.97RVU24A
2023-10-01$304.93$255.28RVU23D
2023-07-01$304.93$255.28RVU23C
2023-04-01$304.93$255.28RVU23B
2023-01-01$304.93$255.28RVU23A
2022-10-01$312.63$260.29RVU22D
2022-07-01$312.63$260.29RVU22C
2022-04-01$312.63$260.29RVU22B
2022-01-01$312.63$260.29RVU22A
2021-10-01$305.88$258.32RVU21D
2021-07-01$305.88$258.32RVU21C
2021-04-01$305.88$258.32RVU21B
2021-01-01$305.88$258.32RVU21A
2020-10-01$294.44$257.25RVU20D
2020-07-01$294.44$257.25RVU20C
2020-04-01$294.44$257.25RVU20B
2020-01-01$294.44$257.25RVU20A
2019-10-01$277.37$248.59RVU19D
2019-07-01$277.37$248.59RVU19C
2019-04-01$277.37$248.59RVU19B
2019-01-01$277.37$248.59RVU19A
2018-10-01$265.68$245.45RVU18D
2018-07-01$265.68$245.45RVU18C
2018-04-01$265.68$245.45RVU18B
2018-01-01$265.68$245.45RVU18AR1
2017-10-01$264.39$244.95RVU17D
2017-07-01$264.39$244.95RVU17C
2017-04-01$264.39$244.95RVU17B
2017-01-01$264.39$244.95RVU17A
2016-10-01$261.77$242.76RVU16D
2016-07-01$261.77$242.76RVU16C
2016-04-01$261.77$242.76RVU16B
2016-01-01$261.77$242.76RVU16A
2015-10-01$263.30$244.58RVU15D
2015-07-01$263.30$244.58RVU15C
2015-04-01$261.99$243.36RVU15B
2015-01-01$261.99$243.36RVU15A
2014-10-01$264.04$245.09RVU14D
2014-07-01$264.04$245.09RVU14C
2014-04-01$264.04$245.09RVU14B
2014-01-01$264.04$245.09RVU14A
2013-10-01$260.86$240.92RVU13D
2013-07-01$260.86$240.92RVU13C
2013-04-01$260.86$240.92RVU13B
2013-01-01$260.86$240.92RVU13AR

Price 57522 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

57522 billing questions

How is this different from code 57520?

Code 57522 is for conization performed with a loop electrode. Code 57520 represents a different conization method, such as cold-knife or laser excision.

Can a cervical biopsy be reported instead?

Use a biopsy code when tissue sampling, rather than loop-electrode cone excision, is performed. The method and extent documented in the procedure note distinguish the services.

Is cervical curettage separately reported with the conization?

The conization code accounts for associated curettage when performed as part of the procedure. Do not separately report that work as a distinct service.

Can modifier 50 be used for a bilateral procedure?

No. Modifier 50 is inappropriate for this cervical procedure.

Does Medicare pay an assistant or co-surgeon?

Medicare payment for an assistant at surgery is statutorily restricted. Co-surgeons and team surgery are not permitted for this code.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 57522PPRRVU2026_Oct_nonQPP.csv, line 6,504 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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