CPT code 56821: Vulvar colposcopy, with biopsy2026 Medicare rate & RVUs in Austin, TX

In Austin, TX, Medicare pays $175.01 for 56821 in the office and $101.15 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 56821 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 56821 covers

Vulvar colposcopy with biopsy uses magnification and directed inspection of the vulvar surface, often after application of acetic acid, to identify abnormal epithelium and obtain tissue. Gynecologists commonly perform it in an office or outpatient setting when lesions or abnormal vulvar findings require histologic evaluation, including concern for vulvar intraepithelial neoplasia. The sampled tissue is sent for pathology; the code represents the examination and biopsy in the same service.

Report 56821 when the colposcopic vulvar examination includes one or more directed biopsies; use 56820 when the examination has no biopsy. Record the indication, vulvar site and appearance, colposcopic findings, biopsy locations, and specimen submission. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are paid at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgery 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 Austin, TX compares for 56821

Across 109 of 109 payment localities, the office rate for 56821 runs from $151.95 in Arkansas to $212.92 in San Benito County, CA. Austin, TX pays $175.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56821 rates by state

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

See 56821 in every payment locality

How the 56821 rate is calculated

Each of 56821’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 56821

The CMS indicators that decide how 56821 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 56821

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

How 56821 has changed in Austin, TX

Price 56821 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 56821 in Austin · multiple payment areas
• Barton Creek
• Bee Cave
• Briarcliff
• 56821 in Cedar Park · multiple payment areas
• 56821 in Creedmoor · multiple payment areas
• 56821 in Elgin · multiple payment areas
• Garfield

Browse all communities in Texas

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