$303.39–$328.61
Choose 57461 for loop-electrode conization; choose 57460 for loop-electrode biopsy without conization.
On this page
CMS RVU26D · Effective 2026-10-01
57461 Cervical LEEP Medicare reimbursement rates in Oregon
Reports colposcopic assessment of the cervix with loop-electrode removal of a cone-shaped cervical specimen, commonly for cervical dysplasia. Compare 57461 office and facility rates across CMS payment localities in Oregon.
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.
What does Medicare pay for 57461 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$342.55–$370.20
2 of 2 localities have a supported rate.
Facility setting
$155.59–$161.65
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Oregon, from the same CMS release.
$157.08–$168.29
57455 covers colposcopy with cervical biopsy. 57461 requires loop-electrode conization, a more extensive excision.
$293.62–$314.77
Both describe loop-electrode conization. 57461 includes colposcopy performed with the conization; 57522 describes the conization service without that colposcopy component.
Compare 57461 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
$370.20
Facility
$161.65
Rest Of Oregon →
Office / nonfacility
$342.55
Facility
$155.59
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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 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.
6,49357455,,Biopsy of cervix w/scope,A,,1.94,2.52,,0.59,,0.36,4.82,2.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49457456,,Endocerv curettage w/scope,A,,1.80,2.38,,0.54,,0.33,4.51,2.67,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49557460,,Bx of cervix w/scope leep,A,,2.76,6.01,,1.00,,0.48,9.25,4.24,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49657461,,Conz of cervix w/scope leep,A,,3.34,6.52,,0.90,,0.60,10.46,4.84,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49757465,,Cam cervix uteri drg colp,A,,0.79,0.72,,0.17,,0.14,1.65,1.10,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49857500,,Biopsy of cervix,A,,1.17,3.15,,0.67,,0.21,4.53,2.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,49957505,,Endocervical curettage,A,,1.16,3.09,,1.61,,0.21,4.46,2.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00