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CMS RVU26D · Effective 2026-10-01

56515 in Beaumont

Office / nonfacility

$257.97

Base rate per service

Facility setting

$182.29

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

About 56515: Extensive vulvar lesion destruction

Reports extensive destruction of vulvar lesions, such as widespread lesions treated during a gynecologic procedure using a destructive technique.

This code describes extensive destruction of one or more lesions on the vulva. A gynecologist or other qualified clinician may use an appropriate destructive technique, such as laser treatment, electrosurgery, cryotherapy, or chemical destruction. A typical clinical setting is treatment of extensive vulvar condylomata; the code is selected for the documented extent of treatment, not for a particular device or technique.

The operative note should identify the vulvar sites treated, describe the extent of the lesions and work performed, and record the method used. Use the simple-lesion code when the treatment is not extensive. Related postoperative visits during the 10-day global 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% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 56515

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 RVU3.00 · 37%
  • Practice expense (office) RVU4.67 · 57%
  • Malpractice RVU0.51 · 6%

2.5K

Medicare services in 2024 · #2295 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.

56515 compared with similar codes

Office rates for Beaumont, from the same CMS release.

56501

Vulvar lesion destruction

Simple lesions

$173.18

Choose 56515 for extensive vulvar lesion destruction and 56501 for simple destruction. The documented extent of treatment separates the two.

56620

Vulvectomy

Simple, partial excision

No office rate

This code describes destruction of extensive vulvar lesions; 56620 describes partial simple vulvectomy, an excisional procedure.

56625

Vulvectomy

Complete, simple excision

No office rate

Use 56515 for destructive treatment of extensive lesions. Code 56625 describes complete simple vulvectomy, not lesion destruction.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 56515 is $280.52—$22.55 higher than the $257.97 rate in Beaumont. Both use the same code, release and participation basis.

56515 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $257.97

  2. Austin

    $280.52

    $22.55 higher than Beaumont

  3. Brazoria

    $268.87

    $10.90 higher than Beaumont

  4. Dallas

    $271.08

    $13.11 higher than Beaumont

  5. Fort Worth

    $269.74

    $11.77 higher than Beaumont

  6. Galveston

    $270.00

    $12.03 higher than Beaumont

  7. Houston

    $279.33

    $21.36 higher than Beaumont

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, 56515 ranges from $242.96 in Arkansas to $345.28 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 · 56515

    Office

    $263.61

    Facility

    $184.69

    $5.64 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 56515

    Office

    $300.15

    Facility

    $201.76

    $42.18 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 56515

    Office

    $308.32

    Facility

    $210.35

    $50.35 higher than Beaumont for the office setting.

  • Miami

    Florida · 56515

    Office

    $305.66

    Facility

    $219.08

    $47.69 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 56515

    Office

    $296.76

    Facility

    $213.18

    $38.79 higher than Beaumont for the office setting.

  • Manhattan

    New York · 56515

    Office

    $314.88

    Facility

    $218.24

    $56.91 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 56515

    Office

    $325.81

    Facility

    $237.24

    $67.84 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 56515

    Office

    $246.33

    Facility

    $173.56

    $11.64 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 56515

    Office

    $242.96

    Facility

    $171.52

    $15.01 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 56515

    Office

    $265.93

    Facility

    $185.34

    $7.96 higher than Beaumont for the office setting.

  • Bakersfield

    California · 56515

    Office

    $283.44

    Facility

    $192.28

    $25.47 higher than Beaumont for the office setting.

  • Chico

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • El Centro

    California · 56515

    Office

    $282.08

    Facility

    $190.93

    $24.11 higher than Beaumont for the office setting.

  • Fresno

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Madera

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Merced

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Modesto

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Napa

    California · 56515

    Office

    $320.75

    Facility

    $211.14

    $62.78 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 56515

    Office

    $297.99

    Facility

    $199.69

    $40.02 higher than Beaumont for the office setting.

  • Redding

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Rest Of California

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 56515

    Office

    $287.49

    Facility

    $196.34

    $29.52 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 56515

    Office

    $294.35

    Facility

    $197.62

    $36.38 higher than Beaumont for the office setting.

  • Salinas

    California · 56515

    Office

    $293.22

    Facility

    $196.83

    $35.25 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 56515

    Office

    $299.00

    Facility

    $199.53

    $41.03 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 56515

    Office

    $337.48

    Facility

    $220.21

    $79.51 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 56515

    Office

    $336.90

    Facility

    $219.63

    $78.93 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 56515

    Office

    $345.28

    Facility

    $225.35

    $87.31 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 56515

    Office

    $342.91

    Facility

    $222.99

    $84.94 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 56515

    Office

    $288.70

    Facility

    $193.97

    $30.73 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 56515

    Office

    $300.96

    Facility

    $199.91

    $42.99 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 56515

    Office

    $294.01

    Facility

    $197.04

    $36.04 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 56515

    Office

    $303.89

    Facility

    $201.75

    $45.92 higher than Beaumont for the office setting.

  • Stockton

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Vallejo

    California · 56515

    Office

    $319.92

    Facility

    $210.30

    $61.95 higher than Beaumont for the office setting.

  • Visalia

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Yuba City

    California · 56515

    Office

    $281.99

    Facility

    $190.84

    $24.02 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 56515

    Office

    $280.67

    Facility

    $192.18

    $22.70 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 56515

    Office

    $290.81

    Facility

    $201.24

    $32.84 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 56515

    Office

    $270.13

    Facility

    $187.96

    $12.16 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 56515

    Office

    $289.01

    Facility

    $204.76

    $31.04 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 56515

    Office

    $274.92

    Facility

    $195.42

    $16.95 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 56515

    Office

    $279.44

    Facility

    $194.94

    $21.47 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 56515

    Office

    $259.64

    Facility

    $185.46

    $1.67 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 56515

    Office

    $287.42

    Facility

    $192.86

    $29.45 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 56515

    Office

    $249.69

    Facility

    $173.59

    $8.28 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 56515

    Office

    $251.76

    Facility

    $175.25

    $6.21 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 56515

    Office

    $278.01

    Facility

    $201.50

    $20.04 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 56515

    Office

    $269.24

    Facility

    $193.31

    $11.27 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 56515

    Office

    $291.28

    Facility

    $205.87

    $33.31 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 56515

    Office

    $253.08

    Facility

    $175.98

    $4.89 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 56515

    Office

    $249.80

    Facility

    $174.61

    $8.17 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 56515

    Office

    $254.46

    Facility

    $180.52

    $3.51 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 56515

    Office

    $266.33

    Facility

    $188.07

    $8.36 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 56515

    Office

    $254.57

    Facility

    $180.96

    $3.40 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 56515

    Office

    $305.71

    Facility

    $206.41

    $47.74 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 56515

    Office

    $279.63

    Facility

    $192.06

    $21.66 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 56515

    Office

    $290.25

    Facility

    $201.01

    $32.28 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 56515

    Office

    $274.70

    Facility

    $190.53

    $16.73 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 56515

    Office

    $254.30

    Facility

    $177.79

    $3.67 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 56515

    Office

    $265.53

    Facility

    $183.11

    $7.56 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 56515

    Office

    $279.45

    Facility

    $199.19

    $21.48 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 56515

    Office

    $261.85

    Facility

    $185.91

    $3.88 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 56515

    Office

    $265.75

    Facility

    $180.17

    $7.78 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 56515

    Office

    $263.31

    Facility

    $185.22

    $5.34 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 56515

    Office

    $265.77

    Facility

    $186.59

    $7.80 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 56515

    Office

    $251.25

    Facility

    $179.56

    $6.72 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 56515

    Office

    $247.09

    Facility

    $175.48

    $10.88 lower than Beaumont for the office setting.

  • Montana**

    Montana · 56515

    Office

    $273.19

    Facility

    $190.02

    $15.22 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 56515

    Office

    $256.62

    Facility

    $179.02

    $1.35 lower than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 56515

    Office

    $263.10

    Facility

    $179.93

    $5.13 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 56515

    Office

    $250.61

    Facility

    $173.85

    $7.36 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 56515

    Office

    $277.49

    Facility

    $190.91

    $19.52 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 56515

    Office

    $305.65

    Facility

    $209.17

    $47.68 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 56515

    Office

    $293.23

    Facility

    $202.41

    $35.26 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 56515

    Office

    $263.70

    Facility

    $187.43

    $5.73 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 56515

    Office

    $270.53

    Facility

    $187.28

    $12.56 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 56515

    Office

    $323.71

    Facility

    $224.82

    $65.74 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 56515

    Office

    $296.12

    Facility

    $205.05

    $38.15 higher than Beaumont for the office setting.

  • Queens

    New York · 56515

    Office

    $315.55

    Facility

    $217.25

    $57.58 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 56515

    Office

    $260.36

    Facility

    $181.35

    $2.39 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 56515

    Office

    $259.79

    Facility

    $183.85

    $1.82 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 56515

    Office

    $252.73

    Facility

    $178.46

    $5.24 lower than Beaumont for the office setting.

  • Portland

    Oregon · 56515

    Office

    $287.78

    Facility

    $195.38

    $29.81 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 56515

    Office

    $267.54

    Facility

    $184.70

    $9.57 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 56515

    Office

    $284.71

    Facility

    $198.13

    $26.74 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 56515

    Office

    $259.49

    Facility

    $183.14

    $1.52 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 56515

    Office

    $274.68

    Facility

    $190.60

    $16.71 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 56515

    Office

    $278.43

    Facility

    $192.52

    $20.46 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 56515

    Office

    $258.81

    Facility

    $181.96

    $0.84 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 56515

    Office

    $261.91

    Facility

    $178.74

    $3.94 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 56515

    Office

    $251.14

    Facility

    $175.54

    $6.83 lower than Beaumont for the office setting.

  • Utah

    Utah · 56515

    Office

    $262.12

    Facility

    $183.94

    $4.15 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 56515

    Office

    $265.56

    Facility

    $183.81

    $7.59 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 56515

    Office

    $274.68

    Facility

    $190.60

    $16.71 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 56515

    Office

    $263.24

    Facility

    $180.91

    $5.27 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 56515

    Office

    $278.72

    Facility

    $191.14

    $20.75 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 56515

    Office

    $310.52

    Facility

    $208.47

    $52.55 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 56515

    Office

    $254.88

    Facility

    $175.21

    $3.09 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · 56515

    Office

    $260.13

    Facility

    $187.85

    $2.16 higher than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 56515

    Office

    $268.79

    Facility

    $185.62

    $10.82 higher than Beaumont for the office setting.

See how rates vary across the country

56515 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$242.96

$325.81

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$325.811
AL$246.331
AR$242.961
AZ$265.931
CA$281.99–$345.2829
CO$280.671
CT$290.811
DC$308.321
DE$270.131
FL$274.92–$305.663
GA$259.64–$279.442
GU$287.421
HI$287.421
IA$249.691
ID$251.761
IL$269.24–$296.764
IN$253.081
KS$249.801
KY$254.461
LA$254.57–$266.332
MA$279.63–$305.712
MD$274.70–$308.323
ME$254.30–$265.532
MI$261.85–$279.452
MN$265.751
MO$251.25–$265.773
MS$247.091
MT$273.191
NC$256.621
ND$263.101
NE$250.611
NH$277.491
NJ$293.23–$305.652
NM$263.701
NV$270.531
NY$260.36–$323.715
OH$259.791
OK$252.731
OR$267.54–$287.782
PA$259.49–$284.712
PR$274.681
RI$278.431
SC$258.811
SD$261.911
TN$251.141
TX$257.97–$280.528
UT$262.121
VA$265.56–$308.322
VI$274.681
VT$263.241
WA$278.72–$310.522
WI$254.881
WV$260.131
WY$268.791

Explore 56515 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 56515 in Beaumont, the physician’s office rate is $257.97 and the facility-setting rate is $182.29: a difference of $75.68.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 56515 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$283.77

$257.97 × 110% = $283.77

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.

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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 56515 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

6,409

Code
56515
Physician work
3.00
Practice expense
4.67
Malpractice
0.51

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 56515 in Beaumont
ComponentRVULocality factorAdjusted
Physician work3.00× 1.0003.0000
Practice expense4.67× 0.9104.2497
Malpractice0.51× 0.9290.4738
Total RVUs7.7235
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$257.97

Open 56515 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work31
Practice expense4.670.91
Malpractice0.510.929

(3 × 1 + 4.67 × 0.91 + 0.51 × 0.929) × $33.4009 = $257.97

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work31
Practice expense2.180.91
Malpractice0.510.929

(3 × 1 + 2.18 × 0.91 + 0.51 × 0.929) × $33.4009 = $182.29

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

56515 · Office / nonfacility

$257.97

Effective 2026-10-01

The base rate is $5.16 higher than on 2025-10-01, moving from $252.81 to $257.97 (2.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $252.81changed to$257.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.08 changed to 3.00
    • Practice expense RVU 4.72 changed to 4.67
    • Malpractice RVU 0.50 changed to 0.51
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $252.81

    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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$257.97$182.29RVU26D
2026-07-01$257.97$182.29RVU26C
2026-04-01$257.97$182.29RVU26B
2026-01-01$257.97$182.29RVU26A
2025-10-01$252.81$197.90RVU25D
2025-07-01$252.81$197.90RVU25C
2025-04-01$252.81$197.90RVU25B
2025-01-01$252.81$197.90RVU25A

56515 billing questions

How is this code distinguished from 56501?

56515 is for extensive vulvar lesion destruction. Use 56501 when the destruction is simple; document the treatment extent rather than relying only on lesion count.

Is the code reported once for each lesion?

It describes extensive treatment of vulvar lesion(s), rather than a separate unit for every lesion. Document the sites and overall extent treated in the session.

Should modifier 50 be appended for lesions on both sides?

No. Modifier 50 is inappropriate for this service, even when treatment involves both sides of the vulva.

Are related postoperative visits separately payable during the global period?

Related postoperative visits for 10 days are included in the procedure's global period.

How does Medicare handle another procedure performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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.

RVUs for 56515PPRRVU2026_Oct_nonQPP.csv, line 6,409 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet