CPT code 57520: Cervical cone2026 Medicare rate & RVUs in Guam
Reports surgical excision of a cone-shaped portion of the cervix for diagnostic or therapeutic evaluation using a non-loop technique.
Medicare pays $376.70 for 57520 in the office in Guam (Hawaii, Guam). 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 57520 covers
This code describes removal of a cone-shaped section of cervical tissue by a non-loop excisional method, commonly cold-knife conization. A gynecologist may perform it in an operating room when cervical dysplasia, glandular abnormalities, or concern for an occult lesion calls for a larger, oriented specimen that includes the transformation zone and endocervical canal. The tissue is submitted for histopathologic examination to assess the lesion and margins.
Choose this code for a non-loop cone excision, not a loop-electrode excision. The operative report should support the indication, method, tissue removed, and any associated steps. Fulguration, dilation and curettage, and repair may be part of the coded service when performed with the cone. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate for this single cervical excision. Medicare does not pay an assistant at surgery for this code; 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.
57520 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $376.70 | $277.96 |
How the 57520 rate is calculated
Each of 57520’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 · 57520
RVUs × geographic indexes × conversion factor
Work4.01
4.01 RVUs× 1.000 GPCI
Practice expense5.99
5.99 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
10.7900
Conversion factor
$33.4009
Medicare rate
$360.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 57520
57520 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 57520
Cervical cone
| 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 · 57520
Cervical cone
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
57520 without 51 · national office
$360.40
Cervical cone
57520-51 · Second procedure: 50%
$180.20
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%).
57520 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 57522LEEP conization
- Both describe cervical cone excision, but 57522 is the loop-electrode method. Use 57520 for a non-loop excision, such as cold-knife conization.
- 57500Cervical biopsy
- A cervical biopsy obtains a limited tissue sample; 57520 removes a cone-shaped section for broader diagnostic or therapeutic assessment.
- 57505Cervical sampling
- Endocervical curettage samples tissue by curettage rather than removing a cone. Curettage performed as part of the cone service is included.
- 57513Cervical laser
- Laser surgery treats cervical tissue by a laser approach. Code 57520 is for excision of a cone-shaped tissue specimen.
57520 billing questions
How does this differ from 57522?
Use 57520 for a non-loop cone excision, commonly performed with a cold knife. Code 57522 describes cone excision using a loop electrode.
Can endocervical curettage be billed separately?
Curettage performed as part of the cone service is included in the code’s scope. Do not separately report the same-session curettage as a distinct service merely because it is documented.
When is 57500 more appropriate?
Code 57500 describes a cervical biopsy rather than removal of a cone-shaped section. Choose 57520 when the surgeon performs the larger excisional cone.
What documentation supports 57520?
Document the clinical indication, non-loop excision method, tissue removed, and operative steps. The record should make clear that the service was a cone excision rather than a limited biopsy or loop procedure.
Does the procedure have a global period?
Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
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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