Report 57513 for laser treatment. Report 57510 when the documented cervical treatment is cauterization by a different method.
On this page
CMS RVU26D · Effective 2026-10-01
57513 in Austin
Office / nonfacility
$202.28
Base rate per service
Facility setting
$133.02
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gynecology procedure
About 57513: Laser ablation of cervical tissue
Report cervical laser surgery when a gynecologist uses laser energy to ablate targeted abnormal cervical tissue, commonly for cervical dysplasia.
A gynecologist typically performs this procedure in an office or outpatient setting to destroy a visible area of abnormal cervical tissue with laser energy. A common clinical situation is treatment of cervical dysplasia after diagnostic evaluation. Because the laser ablates tissue rather than removing a cone-shaped specimen, this approach differs from excisional treatment when tissue is needed for examination.
Select this code when the documented treatment is laser surgery of the cervix, not cautery or cryocautery. The record should identify the cervical finding, treatment method, and area treated. Medicare includes related postoperative visits for 10 days in the procedure’s global period. 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 for this cervical procedure. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 57513
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.90 · 32%
- Practice expense (office) RVU3.64 · 62%
- Malpractice RVU0.34 · 6%
57
Medicare services in 2024 · #5274 by national volume
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.
57513 compared with similar codes
Office rates for Austin, from the same CMS release.
Report 57513 when laser energy is used; report 57511 when cervical tissue is treated by cryocautery.
Laser ablation destroys targeted tissue, whereas 57520 removes a cervical cone specimen for examination.
Use 57513 for laser ablation and 57522 for cervical conization using a loop electrode excision technique.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for 57513 is $184.65—$17.63 lower than the $202.28 rate in Austin. Both use the same code, release and participation basis.
57513 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$202.28
$184.65
$17.63 lower than Austin
$193.31
$8.97 lower than Austin
$194.87
$7.41 lower than Austin
$193.80
$8.48 lower than Austin
$194.10
$8.18 lower than Austin
$200.32
$1.96 lower than Austin
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 57513 ranges from $173.75 in Arkansas to $251.85 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 57513
Office
$189.10
Facility
$126.97
$13.18 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 57513
Office
$217.43
Facility
$139.99
$15.15 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 57513
Office
$222.75
Facility
$145.63
$20.47 higher than Austin for the office setting.
Miami
Florida · 57513
Office
$218.75
Facility
$150.60
$16.47 higher than Austin for the office setting.
Chicago
Illinois · 57513
Office
$212.16
Facility
$146.36
$9.88 higher than Austin for the office setting.
Manhattan
New York · 57513
Office
$226.81
Facility
$150.74
$24.53 higher than Austin for the office setting.
Alaska*
Alaska · 57513
Office
$230.93
Facility
$161.21
$28.65 higher than Austin for the office setting.
Alabama
Alabama · 57513
Office
$176.27
Facility
$118.99
$26.01 lower than Austin for the office setting.
Arkansas
Arkansas · 57513
Office
$173.75
Facility
$117.51
$28.53 lower than Austin for the office setting.
Arizona
Arizona · 57513
Office
$190.99
Facility
$127.56
$11.29 lower than Austin for the office setting.
Bakersfield
California · 57513
Office
$204.83
Facility
$133.08
$2.55 higher than Austin for the office setting.
Chico
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
El Centro
California · 57513
Office
$203.94
Facility
$132.18
$1.66 higher than Austin for the office setting.
Fresno
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Hanford-Corcoran
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Madera
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Merced
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Modesto
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Napa
California · 57513
Office
$233.47
Facility
$147.19
$31.19 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 57513
Office
$216.02
Facility
$138.64
$13.74 higher than Austin for the office setting.
Redding
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Rest Of California
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · 57513
Office
$207.54
Facility
$135.79
$5.26 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · 57513
Office
$213.23
Facility
$137.09
$10.95 higher than Austin for the office setting.
Salinas
California · 57513
Office
$212.43
Facility
$136.55
$10.15 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · 57513
Office
$216.93
Facility
$138.63
$14.65 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57513
Office
$246.13
Facility
$153.82
$43.85 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57513
Office
$245.74
Facility
$153.44
$43.46 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57513
Office
$251.85
Facility
$157.45
$49.57 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57513
Office
$250.27
Facility
$155.87
$47.99 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · 57513
Office
$209.11
Facility
$134.54
$6.83 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · 57513
Office
$218.60
Facility
$139.06
$16.32 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · 57513
Office
$213.09
Facility
$136.75
$10.81 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · 57513
Office
$220.75
Facility
$140.36
$18.47 higher than Austin for the office setting.
Stockton
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Vallejo
California · 57513
Office
$232.91
Facility
$146.63
$30.63 higher than Austin for the office setting.
Visalia
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Yuba City
California · 57513
Office
$203.88
Facility
$132.13
$1.60 higher than Austin for the office setting.
Colorado
Colorado · 57513
Office
$202.45
Facility
$132.80
$0.17 higher than Austin for the office setting.
Connecticut
Connecticut · 57513
Office
$209.41
Facility
$138.91
$7.13 higher than Austin for the office setting.
Delaware
Delaware · 57513
Office
$194.11
Facility
$129.43
$8.17 lower than Austin for the office setting.
Fort Lauderdale
Florida · 57513
Office
$207.15
Facility
$140.84
$4.87 higher than Austin for the office setting.
Rest Of Florida
Florida · 57513
Office
$196.76
Facility
$134.17
$5.52 lower than Austin for the office setting.
Atlanta
Georgia · 57513
Office
$200.82
Facility
$134.30
$1.46 lower than Austin for the office setting.
Rest Of Georgia
Georgia · 57513
Office
$185.45
Facility
$127.05
$16.83 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · 57513
Office
$208.27
Facility
$133.84
$5.99 higher than Austin for the office setting.
Iowa
Iowa · 57513
Office
$179.22
Facility
$119.31
$23.06 lower than Austin for the office setting.
Idaho
Idaho · 57513
Office
$180.69
Facility
$120.46
$21.59 lower than Austin for the office setting.
East St. Louis
Illinois · 57513
Office
$198.19
Facility
$137.96
$4.09 lower than Austin for the office setting.
Rest Of Illinois
Illinois · 57513
Office
$192.21
Facility
$132.44
$10.07 lower than Austin for the office setting.
Suburban Chicago
Illinois · 57513
Office
$208.89
Facility
$141.66
$6.61 higher than Austin for the office setting.
Indiana
Indiana · 57513
Office
$181.68
Facility
$121.00
$20.60 lower than Austin for the office setting.
Kansas
Kansas · 57513
Office
$179.09
Facility
$119.91
$23.19 lower than Austin for the office setting.
Kentucky
Kentucky · 57513
Office
$181.94
Facility
$123.74
$20.34 lower than Austin for the office setting.
New Orleans
Louisiana · 57513
Office
$190.77
Facility
$129.17
$11.51 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · 57513
Office
$181.94
Facility
$124.00
$20.34 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · 57513
Office
$221.34
Facility
$143.17
$19.06 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · 57513
Office
$201.55
Facility
$132.62
$0.73 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · 57513
Office
$208.98
Facility
$138.73
$6.70 higher than Austin for the office setting.
Rest Of Maryland
Maryland · 57513
Office
$197.56
Facility
$131.31
$4.72 lower than Austin for the office setting.
Rest Of Maine
Maine · 57513
Office
$182.38
Facility
$122.15
$19.90 lower than Austin for the office setting.
Southern Maine
Maine · 57513
Office
$191.11
Facility
$126.24
$11.17 lower than Austin for the office setting.
Detroit
Michigan · 57513
Office
$199.93
Facility
$136.76
$2.35 lower than Austin for the office setting.
Rest Of Michigan
Michigan · 57513
Office
$187.28
Facility
$127.51
$15.00 lower than Austin for the office setting.
Minnesota
Minnesota · 57513
Office
$191.93
Facility
$124.56
$10.35 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · 57513
Office
$188.72
Facility
$127.25
$13.56 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · 57513
Office
$190.58
Facility
$128.26
$11.70 lower than Austin for the office setting.
Rest Of Missouri
Missouri · 57513
Office
$179.32
Facility
$122.89
$22.96 lower than Austin for the office setting.
Mississippi
Mississippi · 57513
Office
$176.53
Facility
$120.17
$25.75 lower than Austin for the office setting.
Montana**
Montana · 57513
Office
$196.37
Facility
$130.91
$5.91 lower than Austin for the office setting.
North Carolina
North Carolina · 57513
Office
$184.15
Facility
$123.07
$18.13 lower than Austin for the office setting.
North Dakota**
North Dakota · 57513
Office
$189.65
Facility
$124.19
$12.63 lower than Austin for the office setting.
Nebraska
Nebraska · 57513
Office
$179.97
Facility
$119.55
$22.31 lower than Austin for the office setting.
New Hampshire
New Hampshire · 57513
Office
$199.96
Facility
$131.81
$2.32 lower than Austin for the office setting.
Northern Nj
New Jersey · 57513
Office
$220.62
Facility
$144.68
$18.34 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · 57513
Office
$211.22
Facility
$139.73
$8.94 higher than Austin for the office setting.
New Mexico
New Mexico · 57513
Office
$188.59
Facility
$128.56
$13.69 lower than Austin for the office setting.
Nevada**
Nevada · 57513
Office
$194.62
Facility
$129.09
$7.66 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · 57513
Office
$233.17
Facility
$155.33
$30.89 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 57513
Office
$213.19
Facility
$141.50
$10.91 higher than Austin for the office setting.
Queens
New York · 57513
Office
$227.61
Facility
$150.23
$25.33 higher than Austin for the office setting.
Rest Of New York
New York · 57513
Office
$186.95
Facility
$124.75
$15.33 lower than Austin for the office setting.
Ohio
Ohio · 57513
Office
$185.91
Facility
$126.14
$16.37 lower than Austin for the office setting.
Oklahoma
Oklahoma · 57513
Office
$180.86
Facility
$122.39
$21.42 lower than Austin for the office setting.
Portland
Oregon · 57513
Office
$208.00
Facility
$135.27
$5.72 higher than Austin for the office setting.
Rest Of Oregon
Oregon · 57513
Office
$192.54
Facility
$127.33
$9.74 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · 57513
Office
$204.72
Facility
$136.57
$2.44 higher than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · 57513
Office
$185.80
Facility
$125.71
$16.48 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · 57513
Office
$197.56
Facility
$131.38
$4.72 lower than Austin for the office setting.
Rhode Island
Rhode Island · 57513
Office
$200.39
Facility
$132.76
$1.89 lower than Austin for the office setting.
South Carolina
South Carolina · 57513
Office
$185.45
Facility
$124.96
$16.83 lower than Austin for the office setting.
South Dakota**
South Dakota · 57513
Office
$188.86
Facility
$123.39
$13.42 lower than Austin for the office setting.
Tennessee
Tennessee · 57513
Office
$180.08
Facility
$120.57
$22.20 lower than Austin for the office setting.
Utah
Utah · 57513
Office
$187.94
Facility
$126.41
$14.34 lower than Austin for the office setting.
Virginia
Virginia · 57513
Office
$190.99
Facility
$126.64
$11.29 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · 57513
Office
$197.56
Facility
$131.38
$4.72 lower than Austin for the office setting.
Vermont
Vermont · 57513
Office
$189.57
Facility
$124.76
$12.71 lower than Austin for the office setting.
Rest Of Washington
Washington · 57513
Office
$200.95
Facility
$132.02
$1.33 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · 57513
Office
$225.09
Facility
$144.76
$22.81 higher than Austin for the office setting.
Wisconsin
Wisconsin · 57513
Office
$183.43
Facility
$120.72
$18.85 lower than Austin for the office setting.
West Virginia
West Virginia · 57513
Office
$185.36
Facility
$128.48
$16.92 lower than Austin for the office setting.
Wyoming**
Wyoming · 57513
Office
$193.44
Facility
$127.98
$8.84 lower than Austin for the office setting.
See how rates vary across the country
57513 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$173.75
$230.93
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $230.93 | 1 |
| AL | $176.27 | 1 |
| AR | $173.75 | 1 |
| AZ | $190.99 | 1 |
| CA | $203.88–$251.85 | 29 |
| CO | $202.45 | 1 |
| CT | $209.41 | 1 |
| DC | $222.75 | 1 |
| DE | $194.11 | 1 |
| FL | $196.76–$218.75 | 3 |
| GA | $185.45–$200.82 | 2 |
| GU | $208.27 | 1 |
| HI | $208.27 | 1 |
| IA | $179.22 | 1 |
| ID | $180.69 | 1 |
| IL | $192.21–$212.16 | 4 |
| IN | $181.68 | 1 |
| KS | $179.09 | 1 |
| KY | $181.94 | 1 |
| LA | $181.94–$190.77 | 2 |
| MA | $201.55–$221.34 | 2 |
| MD | $197.56–$222.75 | 3 |
| ME | $182.38–$191.11 | 2 |
| MI | $187.28–$199.93 | 2 |
| MN | $191.93 | 1 |
| MO | $179.32–$190.58 | 3 |
| MS | $176.53 | 1 |
| MT | $196.37 | 1 |
| NC | $184.15 | 1 |
| ND | $189.65 | 1 |
| NE | $179.97 | 1 |
| NH | $199.96 | 1 |
| NJ | $211.22–$220.62 | 2 |
| NM | $188.59 | 1 |
| NV | $194.62 | 1 |
| NY | $186.95–$233.17 | 5 |
| OH | $185.91 | 1 |
| OK | $180.86 | 1 |
| OR | $192.54–$208.00 | 2 |
| PA | $185.80–$204.72 | 2 |
| PR | $197.56 | 1 |
| RI | $200.39 | 1 |
| SC | $185.45 | 1 |
| SD | $188.86 | 1 |
| TN | $180.08 | 1 |
| TX | $184.65–$202.28 | 8 |
| UT | $187.94 | 1 |
| VA | $190.99–$222.75 | 2 |
| VI | $197.56 | 1 |
| VT | $189.57 | 1 |
| WA | $200.95–$225.09 | 2 |
| WI | $183.43 | 1 |
| WV | $185.36 | 1 |
| WY | $193.44 | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 57513 in Austin
Multiple payment areas
- 57513 in Barton Creek
- 57513 in Bee Cave
- 57513 in Briarcliff
- 57513 in Cedar Park
Multiple payment areas
- 57513 in Creedmoor
Multiple payment areas
- 57513 in Elgin
Multiple payment areas
- 57513 in Garfield
Why are the office and facility amounts different?
For 57513 in Austin, the physician’s office rate is $202.28 and the facility-setting rate is $133.02: a difference of $69.26.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 57513 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$222.51
$202.28 × 110% = $222.51
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57513 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,502
- Code
- 57513
- Physician work
- 1.90
- Practice expense
- 3.64
- Malpractice
- 0.34
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.90 | × 1.002 | 1.9038 |
| Practice expense | 3.64 | × 1.058 | 3.8511 |
| Malpractice | 0.34 | × 0.886 | 0.3012 |
| Total RVUs | 6.0562 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$202.28
Open 57513 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1.002 |
| Practice expense | 3.64 | 1.058 |
| Malpractice | 0.34 | 0.886 |
(1.9 × 1.002 + 3.64 × 1.058 + 0.34 × 0.886) × $33.4009 = $202.28
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1.002 |
| Practice expense | 1.68 | 1.058 |
| Malpractice | 0.34 | 0.886 |
(1.9 × 1.002 + 1.68 × 1.058 + 0.34 × 0.886) × $33.4009 = $133.02
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
57513 · Office / nonfacility
$202.28
Effective 2026-10-01
The base rate is $0.14 lower than on 2025-10-01, moving from $202.42 to $202.28 (0.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$202.42changed to$202.28
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.95 changed to 1.90
- Practice expense RVU 3.83 changed to 3.64
- Malpractice RVU 0.33 changed to 0.34
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $202.42
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
57513 billing questions
How does this differ from cervical cauterization or cryocautery?
Use 57513 when laser energy is the documented treatment method. Cervical cauterization and cryocautery are reported with their respective codes when those methods are used.
When would conization be a better fit?
Conization removes a cone-shaped tissue specimen, while laser ablation destroys targeted tissue. Choose the service that matches the procedure actually performed and documented.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in this procedure.
Can modifier 50 be reported?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this cervical procedure.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple procedure reduction. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
