# CPT 57461

> Medicare paid $369.59 for CPT 57461 in the office (non-facility) setting and $187.91 in a facility under the Q3 2022 Physician Fee Schedule, effective July 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it increased 0.4%.

## What it is

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.

## Selected release

- Release: Q3 2022 (2022 C)
- Effective: July 1 – September 30, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $369.59
- Facility national allowed amount: $187.91
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.43
- Office (non-facility) practice expense RVU: 6.69
- Facility practice expense RVU: 1.44
- Malpractice RVU: 0.56
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip
- Parsed file: PPRRVU22_JUL.csv, row 11,189
- Canonical page: https://localishealth.com/cpt/57461/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/57461/2022/C
- Last significant update: 2026-08-04T03:11:49+00:00
