CPT code 56740: Bartholin excision, gland or cyst removal2026 Medicare rate & RVUs

Reports surgical removal of a Bartholin gland or cyst, typically for persistent or recurrent gland disease when excision rather than drainage is performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities210 Medicare services in 2024

Medicare pays $282.91 for 56740 nationally in a facility.

Medicare rate · 56740

Bartholin excision, gland or cyst removal

Office or facility?

Work RVUs
4.76
Total RVUs
8.47
Global days
010

National rate · 2026

$282.91

Facility setting, before claim adjustments.

See every locality for 56740 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 56740 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 56740 covers

A gynecologist removes a Bartholin gland or cyst through a surgical approach to the vulvar vestibule. Excision may be chosen for persistent or recurrent disease when simply opening the cyst or creating a drainage opening is not the treatment performed. The operative report should identify the gland or cyst removed and the extent of the excision. Services are commonly performed in an outpatient operating room or an appropriately equipped procedure setting.

Report 56740 for excision, not for incision and drainage or marsupialization alone. Document the indication, site and whether one or both sides were treated. The code has a 10-day global period, so related postoperative visits during that period are included. For bilateral treatment, modifier 50 is paid at 150%. 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 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted; 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.

Where 56740 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

56740 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$258.44
AlaskaUnavailable$355.52
ArizonaUnavailable$275.78
ArkansasUnavailable$255.44
Atlanta, GAUnavailable$290.74
Austin, TXUnavailable$285.41
Bakersfield, CAUnavailable$283.67
Baltimore area, MDUnavailable$299.26
Beaumont, TXUnavailable$272.31
Brazoria, TXUnavailable$276.93

56740 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
56740 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 56740 rate is calculated

Each of 56740’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.

How the rate is built · 56740

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.76

4.76 RVUs× 1.000 GPCI

Practice expense2.84

2.84 RVUs× 1.000 GPCI

Malpractice0.87

0.87 RVUs× 1.000 GPCI

Adjusted RVUs

8.4700

Conversion factor

$33.4009

Medicare rate

$282.91

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 56740

56740 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 56740

Bartholin excision, gland or cyst removal

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 56740

Bartholin excision, gland or cyst removal

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

56740 without 50 · national facility

$282.91

Bartholin excision, gland or cyst removal

56740-50 · Bilateral: 150%

$424.37

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

56740 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 56740

    Bartholin excision, gland or cyst removal4.76 wRVU

    Not priced

  • 56420

    Abscess drainage, bartholin gland1.4 wRVU

    $182.03

  • 56440

    Cyst marsupialization, bartholin gland2.82 wRVU

    Not priced

  • 56405

    Abscess drainage, vulva or perineum1.45 wRVU

    $145.96

How to choose

56420Abscess drainageBartholin gland
56420 describes incision and drainage of a Bartholin gland abscess. Use 56740 when the surgeon removes the gland or cyst instead.
56440Cyst marsupializationBartholin gland
56440 is marsupialization, which creates a drainage opening; 56740 is excision of the Bartholin gland or cyst.
56405Abscess drainageVulva or perineum
56405 is incision and drainage of a vulvar or perineal abscess. It is not the specific Bartholin gland excision service represented by 56740.

56740 billing questions

When should 56740 be reported instead of 56420?

Report 56740 when the surgeon excises the Bartholin gland or cyst. Report 56420 when the service is incision and drainage of a Bartholin gland abscess.

How does excision differ from marsupialization?

Excision removes the gland or cyst. Marsupialization, reported with 56440, creates an opening intended to remain open for drainage rather than removing the gland or cyst.

Are related postoperative visits separately reportable?

Related postoperative visits during the 10-day global period are included in the procedure payment.

How is bilateral excision reported?

When both sides are treated, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant surgeon or co-surgeon be billed?

Assistant-at-surgery payment is subject to a statutory restriction for this code. Co-surgeons and team surgery are not permitted.

What documentation supports 56740?

The operative report should establish that a Bartholin gland or cyst was excised, identify the treated side or sides, and describe the procedure performed.

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

Show the CMS file lines behind this rate
RVUs for 56740PPRRVU2026_Oct_nonQPP.csv, line 6,422 (RVU26D)

Open CMS sourceHow we calculate rates

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