CPT code 56810: Perineoplasty, nonobstetric perineal repair2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $254.92 for 56810 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 56810 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 56810 covers

This procedure repairs and reconstructs the perineal body, the tissue between the vaginal opening and anus. Gynecologists, urogynecologists, and other surgeons may perform it for a nonobstetric perineal defect, such as separation or scarring after prior trauma or surgery. The operative target is the perineum, rather than an isolated vaginal-wall injury or the vaginal opening itself; the procedure may be performed in an operating room or another suitable surgical setting.

Report the code when the operative documentation supports nonobstetric repair confined to the perineum. Describe the defect and its cause, the tissues repaired, and the work performed; use a broader or different repair code when vaginal-wall repair or another distinct operative target is involved. CMS assigns 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 50% multiple-procedure reduction. Modifier 50 is inappropriate under the CMS bilateral rule. CMS permits assistant-at-surgery and co-surgeon payment, but not team-surgery payment.

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 Connecticut compares for 56810

Across 109 of 109 payment localities, the facility rate for 56810 runs from $218.68 in Arkansas to $305.37 in Alaska. Connecticut pays $254.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56810 rates by state

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

See 56810 in every payment locality

How the 56810 rate is calculated

Each of 56810’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 56810

56810 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 56810

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

How 56810 has changed in Connecticut

Price 56810 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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