CPT code 56420: Abscess drainage, bartholin gland2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $162.25 for 56420 in the office and $91.80 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 56420 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 56420 covers

CPT 56420 describes opening and draining an abscess involving a Bartholin gland, commonly presenting as a tender, one-sided swelling near the vaginal opening. A gynecologist or another physician may perform the procedure in an office, clinic, or facility setting. The service addresses an abscess; a noninfected Bartholin cyst or an abscess elsewhere on the vulva calls for a different procedural choice.

Report the code when the documented procedure drains a Bartholin gland abscess. The note should identify the gland or site and describe the abscess and drainage performed. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

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.

How Mississippi compares for 56420

Across 109 of 109 payment localities, the office rate for 56420 runs from $160.20 in Arkansas to $239.71 in San Benito County, CA. Mississippi pays $162.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56420 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 56420 in every payment locality

How the 56420 rate is calculated

Each of 56420’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 56420

56420 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 56420

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 56420 has changed in Mississippi

Price 56420 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Aberdeen
• Ackerman
• Agricola
• Alcorn State University
• Algoma
• Alligator
• Amory

Browse all communities in Mississippi

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates