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CMS RVU26D · Effective 2026-10-01

57461 in Chico

Office / nonfacility

$362.88

Base rate per service

Facility setting

$157.14

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Gynecology procedure

About 57461: Colposcopy with loop electrode conization

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

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.

CMS billing rules for 57461

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.34 · 32%
  • Practice expense (office) RVU6.52 · 62%
  • Malpractice RVU0.60 · 6%

459

Medicare services in 2024 · #3636 by national volume

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.

57461 compared with similar codes

Office rates for Chico, from the same CMS release.

57460

Cervical LEEP biopsy

Loop biopsy, not cone excision

$322.36

Choose 57461 for loop-electrode conization; choose 57460 for loop-electrode biopsy without conization.

57455

Cervical biopsy

Colposcopy-guided biopsy

$164.59

57455 covers colposcopy with cervical biopsy. 57461 requires loop-electrode conization, a more extensive excision.

57522

LEEP conization

Loop electrode excision

$308.05

Both describe loop-electrode conization. 57461 includes colposcopy performed with the conization; 57522 describes the conization service without that colposcopy component.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 57461 is $364.56—$1.68 higher than the $362.88 rate in Chico. Both use the same code, release and participation basis.

57461 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $362.88

  2. Bakersfield

    $364.56

    $1.68 higher than Chico

  3. El Centro

    $362.98

    $0.10 higher than Chico

  4. Fresno

    $362.88

    The same base rate than Chico

  5. Hanford-Corcoran

    $362.88

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $387.07

    $24.19 higher than Chico

  7. Madera

    $362.88

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 57461 ranges from $308.95 in Arkansas to $448.60 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Modesto

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Napa

    California · 57461

    Office

    $415.79

    Facility

    $168.39

    $52.91 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 57461

    Office

    $384.58

    Facility

    $162.70

    $21.70 higher than Chico for the office setting.

  • Redding

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 57461

    Office

    $369.34

    Facility

    $163.61

    $6.46 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 57461

    Office

    $379.59

    Facility

    $161.28

    $16.71 higher than Chico for the office setting.

  • Salinas

    California · 57461

    Office

    $378.16

    Facility

    $160.60

    $15.28 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 57461

    Office

    $386.23

    Facility

    $161.72

    $23.35 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 57461

    Office

    $438.42

    Facility

    $173.74

    $75.54 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 57461

    Office

    $437.74

    Facility

    $173.06

    $74.86 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 57461

    Office

    $448.60

    Facility

    $177.92

    $85.72 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 57461

    Office

    $445.82

    Facility

    $175.13

    $82.94 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 57461

    Office

    $372.24

    Facility

    $158.44

    $9.36 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 57461

    Office

    $389.24

    Facility

    $161.17

    $26.36 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 57461

    Office

    $379.35

    Facility

    $160.48

    $16.47 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 57461

    Office

    $393.07

    Facility

    $162.56

    $30.19 higher than Chico for the office setting.

  • Stockton

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 57461

    Office

    $414.81

    Facility

    $167.41

    $51.93 higher than Chico for the office setting.

  • Visalia

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 57461

    Office

    $362.88

    Facility

    $157.14

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 57461

    Office

    $396.43

    Facility

    $175.30

    $33.55 higher than Chico for the office setting.

  • Miami

    Florida · 57461

    Office

    $388.94

    Facility

    $193.53

    $26.06 higher than Chico for the office setting.

  • Chicago

    Illinois · 57461

    Office

    $377.20

    Facility

    $188.54

    $14.32 higher than Chico for the office setting.

  • Manhattan

    New York · 57461

    Office

    $403.54

    Facility

    $185.41

    $40.66 higher than Chico for the office setting.

  • Alaska*

    Alaska · 57461

    Office

    $410.31

    Facility

    $210.40

    $47.43 higher than Chico for the office setting.

  • Alabama

    Alabama · 57461

    Office

    $313.45

    Facility

    $149.21

    $49.43 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 57461

    Office

    $308.95

    Facility

    $147.70

    $53.93 lower than Chico for the office setting.

  • Arizona

    Arizona · 57461

    Office

    $339.74

    Facility

    $157.84

    $23.14 lower than Chico for the office setting.

  • Colorado

    Colorado · 57461

    Office

    $360.26

    Facility

    $160.53

    $2.62 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 57461

    Office

    $372.58

    Facility

    $170.41

    $9.70 higher than Chico for the office setting.

  • Delaware

    Delaware · 57461

    Office

    $345.29

    Facility

    $159.83

    $17.59 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 57461

    Office

    $368.40

    Facility

    $178.24

    $5.52 higher than Chico for the office setting.

  • Rest Of Florida

    Florida · 57461

    Office

    $349.87

    Facility

    $170.42

    $13.01 lower than Chico for the office setting.

  • Atlanta

    Georgia · 57461

    Office

    $357.22

    Facility

    $166.50

    $5.66 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 57461

    Office

    $329.70

    Facility

    $162.26

    $33.18 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 57461

    Office

    $370.77

    Facility

    $157.34

    $7.89 higher than Chico for the office setting.

  • Iowa

    Iowa · 57461

    Office

    $318.78

    Facility

    $147.02

    $44.10 lower than Chico for the office setting.

  • Idaho

    Idaho · 57461

    Office

    $321.39

    Facility

    $148.69

    $41.49 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 57461

    Office

    $352.27

    Facility

    $179.58

    $10.61 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 57461

    Office

    $341.71

    Facility

    $170.33

    $21.17 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 57461

    Office

    $371.51

    Facility

    $178.72

    $8.63 higher than Chico for the office setting.

  • Indiana

    Indiana · 57461

    Office

    $323.18

    Facility

    $149.17

    $39.70 lower than Chico for the office setting.

  • Kansas

    Kansas · 57461

    Office

    $318.53

    Facility

    $148.83

    $44.35 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 57461

    Office

    $323.50

    Facility

    $156.62

    $39.38 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 57461

    Office

    $339.25

    Facility

    $162.61

    $23.63 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 57461

    Office

    $323.49

    Facility

    $157.36

    $39.39 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 57461

    Office

    $393.99

    Facility

    $169.86

    $31.11 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 57461

    Office

    $358.63

    Facility

    $160.97

    $4.25 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 57461

    Office

    $371.81

    Facility

    $170.39

    $8.93 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 57461

    Office

    $351.46

    Facility

    $161.49

    $11.42 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 57461

    Office

    $324.38

    Facility

    $151.68

    $38.50 lower than Chico for the office setting.

  • Southern Maine

    Maine · 57461

    Office

    $340.02

    Facility

    $153.99

    $22.86 lower than Chico for the office setting.

  • Detroit

    Michigan · 57461

    Office

    $355.50

    Facility

    $174.36

    $7.38 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 57461

    Office

    $333.01

    Facility

    $161.63

    $29.87 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 57461

    Office

    $341.58

    Facility

    $148.42

    $21.30 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 57461

    Office

    $335.63

    Facility

    $159.37

    $27.25 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 57461

    Office

    $338.96

    Facility

    $160.26

    $23.92 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 57461

    Office

    $318.80

    Facility

    $156.99

    $44.08 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 57461

    Office

    $313.87

    Facility

    $152.25

    $49.01 lower than Chico for the office setting.

  • Montana**

    Montana · 57461

    Office

    $349.33

    Facility

    $161.62

    $13.55 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 57461

    Office

    $327.55

    Facility

    $152.41

    $35.33 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 57461

    Office

    $337.47

    Facility

    $149.76

    $25.41 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 57461

    Office

    $320.14

    Facility

    $146.88

    $42.74 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 57461

    Office

    $355.80

    Facility

    $160.39

    $7.08 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 57461

    Office

    $392.61

    Facility

    $174.86

    $29.73 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 57461

    Office

    $375.81

    Facility

    $170.83

    $12.93 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 57461

    Office

    $335.33

    Facility

    $163.19

    $27.55 lower than Chico for the office setting.

  • Nevada**

    Nevada · 57461

    Office

    $346.24

    Facility

    $158.34

    $16.64 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 57461

    Office

    $414.85

    Facility

    $191.66

    $51.97 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 57461

    Office

    $379.29

    Facility

    $173.74

    $16.41 higher than Chico for the office setting.

  • Queens

    New York · 57461

    Office

    $405.01

    Facility

    $183.13

    $42.13 higher than Chico for the office setting.

  • Rest Of New York

    New York · 57461

    Office

    $332.53

    Facility

    $154.21

    $30.35 lower than Chico for the office setting.

  • Ohio

    Ohio · 57461

    Office

    $330.59

    Facility

    $159.21

    $32.29 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 57461

    Office

    $321.60

    Facility

    $153.97

    $41.28 lower than Chico for the office setting.

  • Portland

    Oregon · 57461

    Office

    $370.20

    Facility

    $161.65

    $7.32 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 57461

    Office

    $342.55

    Facility

    $155.59

    $20.33 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 57461

    Office

    $364.18

    Facility

    $168.77

    $1.30 higher than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 57461

    Office

    $330.41

    Facility

    $158.09

    $32.47 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 57461

    Office

    $351.47

    Facility

    $161.69

    $11.41 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 57461

    Office

    $356.52

    Facility

    $162.61

    $6.36 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 57461

    Office

    $329.82

    Facility

    $156.37

    $33.06 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 57461

    Office

    $336.07

    Facility

    $148.35

    $26.81 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 57461

    Office

    $320.28

    Facility

    $149.65

    $42.60 lower than Chico for the office setting.

  • Austin

    Texas · 57461

    Office

    $359.94

    Facility

    $161.34

    $2.94 lower than Chico for the office setting.

  • Beaumont

    Texas · 57461

    Office

    $328.35

    Facility

    $157.53

    $34.53 lower than Chico for the office setting.

  • Brazoria

    Texas · 57461

    Office

    $343.90

    Facility

    $157.87

    $18.98 lower than Chico for the office setting.

  • Dallas

    Texas · 57461

    Office

    $346.66

    Facility

    $159.70

    $16.22 lower than Chico for the office setting.

  • Fort Worth

    Texas · 57461

    Office

    $344.74

    Facility

    $159.66

    $18.14 lower than Chico for the office setting.

  • Galveston

    Texas · 57461

    Office

    $345.29

    Facility

    $158.90

    $17.59 lower than Chico for the office setting.

  • Houston

    Texas · 57461

    Office

    $356.28

    Facility

    $169.88

    $6.60 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 57461

    Office

    $336.32

    Facility

    $158.18

    $26.56 lower than Chico for the office setting.

  • Utah

    Utah · 57461

    Office

    $334.26

    Facility

    $157.81

    $28.62 lower than Chico for the office setting.

  • Virginia

    Virginia · 57461

    Office

    $339.78

    Facility

    $155.26

    $23.10 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 57461

    Office

    $351.47

    Facility

    $161.69

    $11.41 lower than Chico for the office setting.

  • Vermont

    Vermont · 57461

    Office

    $337.30

    Facility

    $151.46

    $25.58 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 57461

    Office

    $357.58

    Facility

    $159.91

    $5.30 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 57461

    Office

    $400.72

    Facility

    $170.39

    $37.84 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 57461

    Office

    $326.36

    Facility

    $146.53

    $36.52 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 57461

    Office

    $329.48

    Facility

    $166.36

    $33.40 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 57461

    Office

    $344.16

    Facility

    $156.45

    $18.72 lower than Chico for the office setting.

See how rates vary across the country

57461 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 57461 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 57461 in Chico, the physician’s office rate is $362.88 and the facility-setting rate is $157.14: a difference of $205.74.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 57461 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$399.17

$362.88 × 110% = $399.17

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57461 in Chico.

PPRRVU2026_Oct_nonQPP.csv

6,496

Code
57461
Physician work
3.34
Practice expense
6.52
Malpractice
0.60

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 57461 in Chico
ComponentRVULocality factorAdjusted
Physician work3.34× 1.0173.3968
Practice expense6.52× 1.0967.1459
Malpractice0.60× 0.5360.3216
Total RVUs10.8643
Conversion factor× 33.4009

Office / nonfacility rate, Chico$362.88

Open 57461 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.341.017
Practice expense6.521.096
Malpractice0.60.536

(3.34 × 1.017 + 6.52 × 1.096 + 0.6 × 0.536) × $33.4009 = $362.88

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.341.017
Practice expense0.91.096
Malpractice0.60.536

(3.34 × 1.017 + 0.9 × 1.096 + 0.6 × 0.536) × $33.4009 = $157.14

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

57461 · Office / nonfacility

$362.88

Effective 2026-10-01

The base rate is $16.08 higher than on 2025-10-01, moving from $346.80 to $362.88 (4.6%).

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

    $346.80changed to$362.88

    • 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 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $346.80

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$362.88$157.14RVU26D
2026-07-01$362.88$157.14RVU26C
2026-04-01$362.88$157.14RVU26B
2026-01-01$362.88$157.14RVU26A
2025-10-01$346.80$175.69RVU25D
2025-07-01$346.80$175.69RVU25C
2025-04-01$346.80$175.69RVU25B
2025-01-01$346.80$175.69RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 57461PPRRVU2026_Oct_nonQPP.csv, line 6,496 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet