{
    "code": "57461",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/57461/2021/A",
    "release_specific_url": "https://localishealth.com/cpt/57461/2021/D",
    "description": "A magnified exam of the cervix and nearby vaginal wall in which the clinician then removes a cone-shaped wedge of cervical tissue using a thin wire loop carrying an electrical current. The loop cuts and seals at the same time, so the tissue comes out intact for the pathology lab while bleeding stays controlled. Unlike a simple biopsy, this both diagnoses and treats — the abnormal area is removed rather than only sampled.",
    "answer": {
        "question": "How much did Medicare pay for CPT 57461 in Q4 2021?",
        "text": "Medicare paid $368.12 for CPT 57461 in the office (non-facility) setting and $189.12 in a facility under the Q4 2021 Physician Fee Schedule, effective October 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2021, when it increased 3.6%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2021,
        "quarter": "D",
        "label": "Q4 2021",
        "effective": "October 1 – December 31, 2021",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 368.12,
        "facility": 189.12,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.43,
        "practice_expense_non_facility": 6.58,
        "practice_expense_facility": 1.45,
        "malpractice": 0.54
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.8931,
    "source": {
        "label": "Physician relative value file (Q4 2021)",
        "cms_url": "https://www.cms.gov/files/zip/rvu21d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2021/D",
        "file": "PPRRVU21_OCT.csv",
        "row": 10966,
        "sha256": "f1972bd23bdc51795ceba7d536bb413a0ba0b47fad8c2ed594e7ee7799877297"
    },
    "modified_at": "2026-08-04T03:10:59+00:00"
}