$345.36
Both describe cervical conization, but 57522 is selected for loop-electrode excision; 57520 represents a different conization method.
On this page
CMS RVU26D · Effective 2026-10-01
57522 LEEP conization Medicare reimbursement rates in Vermont
Reports loop-electrode excision of a cone-shaped portion of the cervix, commonly used to diagnose and treat high-grade cervical dysplasia. Compare 57522 office and facility rates across CMS payment localities in Vermont.
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 57522 in Vermont?
Vermont 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
$288.45
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$220.00
1 of 1 localities have a supported rate.
Payment area: Vermont
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 57522: Loop electrode cervical conization
Reports loop-electrode excision of a cone-shaped portion of the cervix, commonly used to diagnose and treat high-grade cervical dysplasia.
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.
CMS billing rules for 57522
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- 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 RVU3.58 · 40%
- Practice expense (office) RVU4.78 · 53%
- Malpractice RVU0.64 · 7%
2.2K
Medicare services in 2024 · #2405 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.
57522 compared with similar codes
Office rates for Vermont, from the same CMS release.
Compare 57522 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
Vermont →
Office / nonfacility
$288.45
Facility
$220.00
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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 57522 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,504
- Code
- 57522
- Physician work
- 3.58
- Practice expense
- 4.78
- Malpractice
- 0.64
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.58 | × 1.000 | 3.5800 |
| Practice expense | 4.78 | × 0.990 | 4.7322 |
| Malpractice | 0.64 | × 0.506 | 0.3238 |
| Total RVUs | 8.6360 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$288.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.58 | 1 |
| Practice expense | 4.78 | 0.99 |
| Malpractice | 0.64 | 0.506 |
(3.58 × 1 + 4.78 × 0.99 + 0.64 × 0.506) × $33.4009 = $288.45
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.58 | 1 |
| Practice expense | 2.71 | 0.99 |
| Malpractice | 0.64 | 0.506 |
(3.58 × 1 + 2.71 × 0.99 + 0.64 × 0.506) × $33.4009 = $220.00
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.
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 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.
6,50157511,,Cryocautery of cervix,A,,1.90,3.45,,1.70,,0.34,5.69,3.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50257513,,Laser surgery of cervix,A,,1.90,3.64,,1.68,,0.34,5.88,3.92,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50357520,,Conization of cervix,A,,4.01,5.99,,3.39,,0.79,10.79,8.19,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50457522,,Conization of cervix,A,,3.58,4.78,,2.71,,0.64,9.00,6.93,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50557530,,Removal of cervix,A,,5.14,4.08,NA,4.08,,0.95,10.17,10.17,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50657531,,Removal of cervix radical,A,,29.20,10.33,NA,10.33,,9.37,48.90,48.90,0,090,0.12,0.74,0.14,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,50757540,,Removal of residual cervix,A,,12.96,5.72,NA,5.72,,2.27,20.95,20.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817