Billing code 57522: LEEP conizationMedicare rate & RVUs in Alaska
Reports loop-electrode excision of a cone-shaped portion of the cervix, commonly used to diagnose and treat high-grade cervical dysplasia.
Medicare pays $361.18 for 57522 in the office in Alaska (Alaska*). 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.
On this page 9 sections
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.
57522 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $361.18 | $287.54 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 57522
LEEP conization
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.
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
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%).
57522 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 57520Cervical cone
- Both describe cervical conization, but 57522 is selected for loop-electrode excision; 57520 represents a different conization method.
- 57500Cervical biopsy
- A cervical biopsy samples tissue; 57522 removes a cone-shaped section using a loop electrode.
- 57513Cervical laser
- Code 57513 describes laser surgery of the cervix, a different technique from loop-electrode excision.
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
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