$356.52
57460 represents loop-electrode biopsy of cervical tissue; 57461 represents a loop-electrode cone excision.
On this page
CMS RVU26D · Effective 2026-10-01
57460 Cervical LEEP biopsy Medicare reimbursement rates in Rhode Island
Reports colposcopic examination of the cervix with loop-electrode biopsy when cervical tissue is sampled under direct visual guidance. Compare 57460 office and facility rates across CMS payment localities in Rhode Island.
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 57460 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$315.60
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$142.74
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 57460: Colposcopy with cervical loop biopsy
Reports colposcopic examination of the cervix with loop-electrode biopsy when cervical tissue is sampled under direct visual guidance.
A clinician uses colposcopy to examine the cervix and then removes cervical tissue with a loop electrode for biopsy. Gynecologists commonly perform this procedure in an office or outpatient setting when an abnormal cervical finding calls for targeted tissue sampling. The loop-electrode biopsy is the defining service; this code is not for a cone excision.
Report the service when documentation supports both colposcopic visualization and loop-electrode cervical biopsy. The procedure includes same-day preoperative and postoperative care under its 0-day global period. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 57460
- 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 RVU2.76 · 30%
- Practice expense (office) RVU6.01 · 65%
- Malpractice RVU0.48 · 5%
491
Medicare services in 2024 · #3583 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.
57460 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$163.70
Both include colposcopy and cervical biopsy, but 57460 specifies loop-electrode biopsy.
$168.54
57454 includes cervical biopsy plus endocervical curettage; 57460 is the loop-electrode cervical biopsy service.
$153.21
57456 reports colposcopy with endocervical curettage, while 57460 reports colposcopy with loop-electrode cervical biopsy.
Compare 57460 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$315.60
Facility
$142.74
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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 57460 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,495
- Code
- 57460
- Physician work
- 2.76
- Practice expense
- 6.01
- Malpractice
- 0.48
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.76 | × 1.019 | 2.8124 |
| Practice expense | 6.01 | × 1.033 | 6.2083 |
| Malpractice | 0.48 | × 0.892 | 0.4282 |
| Total RVUs | 9.4489 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$315.60
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.76 | 1.019 |
| Practice expense | 6.01 | 1.033 |
| Malpractice | 0.48 | 0.892 |
(2.76 × 1.019 + 6.01 × 1.033 + 0.48 × 0.892) × $33.4009 = $315.60
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.76 | 1.019 |
| Practice expense | 1 | 1.033 |
| Malpractice | 0.48 | 0.892 |
(2.76 × 1.019 + 1 × 1.033 + 0.48 × 0.892) × $33.4009 = $142.74
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.
57460 billing questions
How does 57460 differ from 57461?
Use 57460 for cervical tissue biopsy with a loop electrode under colposcopic visualization. Use 57461 when the loop procedure is a cone excision.
Can the colposcopy be reported separately?
No. The colposcopic examination is part of the service represented by 57460.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is an assistant surgeon payable?
No. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are also not permitted.
What documentation supports 57460?
Document the colposcopic examination and the loop-electrode cervical biopsy, including the tissue sampled and the clinical reason for sampling.
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.
6,49257454,,Bx/curett of cervix w/scope,A,,2.27,2.30,,0.89,,0.40,4.97,3.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,57452,33.4009,09,0,99,0.00,0.00,0.00
6,49357455,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537