CPT code 56820: Vulvar colposcopy, without biopsy2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $121.94 for 56820 in the office and $69.50 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 56820 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 56820 covers

This service is a focused, magnified examination of the vulvar skin and mucosa, typically performed by a gynecologist or another qualified clinician in an office or outpatient setting. It may be used to assess a visible lesion, persistent color or texture change, or another finding that warrants closer evaluation. The examination helps characterize the affected area; tissue sampling is not part of this code.

Report it when the documented service is vulvar colposcopy without biopsy. The record should identify the clinical reason for the examination, the area examined, and the findings; if a biopsy is performed as part of the colposcopic service, use the biopsy-inclusive sibling code 56821 instead. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is 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% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery reporting 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 South Dakota compares for 56820

Across 109 of 109 payment localities, the office rate for 56820 runs from $113.66 in Arkansas to $160.11 in San Benito County, CA. South Dakota pays $121.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56820 rates by state

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

See 56820 in every payment locality

How the 56820 rate is calculated

Each of 56820’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 56820

The CMS indicators that decide how 56820 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 56820

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

How 56820 has changed in South Dakota

Price 56820 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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