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CMS RVU26D · Effective 2026-10-01

56441 in El Centro

Office / nonfacility

$188.38

Base rate per service

Facility setting

$142.62

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.

Gynecologic procedure

About 56441: Lysis of labial adhesions

Reports procedural separation of fused labial tissue, commonly for symptomatic labial adhesions when a clinician performs lysis in an office or procedure setting.

This service involves separating adhesions that join the labia, typically the labia minora. It is often performed for a child with symptomatic fusion, such as urine trapping, spraying, or local discomfort. A pediatric or general gynecologist, or another qualified clinician, may perform the procedure in an office or procedure setting; the technique and need for anesthesia depend on the patient and extent of the adhesion.

Report 56441 when the clinician actually performs lysis, not merely evaluates the adhesions or recommends conservative treatment. The note should identify the adhesion, clinical indication, and procedure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one 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. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 56441

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.97 · 36%
  • Practice expense (office) RVU3.15 · 58%
  • Malpractice RVU0.34 · 6%

653

Medicare services in 2024 · #3324 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.

56441 compared with similar codes

Office rates for El Centro, from the same CMS release.

56442

Hymenotomy

Hymenal opening incision

No office rate

56441 separates labial adhesions; 56442 is for a procedure involving the hymen. Identify the tissue being treated.

56405

Abscess drainage

Vulva or perineum

$151.33

56441 treats fused labial tissue. 56405 is for incision and drainage of a vulvar or perineal abscess.

56420

Abscess drainage

Bartholin gland

$191.37

56441 is lysis of labial adhesions; 56420 is incision and drainage of a Bartholin gland abscess.

56440

Cyst marsupialization

Bartholin gland

No office rate

56441 separates labial adhesions. 56440 addresses a Bartholin gland cyst with marsupialization, a different condition and procedure.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 56441 is $189.28—$0.90 higher than the $188.38 rate in El Centro. Both use the same code, release and participation basis.

56441 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $188.38

  2. Bakersfield

    $189.28

    $0.90 higher than El Centro

  3. Chico

    $188.32

    $0.06 lower than El Centro

  4. Fresno

    $188.32

    $0.06 lower than El Centro

  5. Hanford-Corcoran

    $188.32

    $0.06 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $200.50

    $12.12 higher than El Centro

  7. Madera

    $188.32

    $0.06 lower than El Centro

Other payment areas listed in California 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, 56441 ranges from $162.03 in Arkansas to $230.84 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

  • Merced

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Modesto

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Napa

    California · 56441

    Office

    $214.38

    Facility

    $159.36

    $26.00 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 56441

    Office

    $199.08

    Facility

    $149.73

    $10.70 higher than El Centro for the office setting.

  • Redding

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Rest Of California

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 56441

    Office

    $191.98

    Facility

    $146.23

    $3.60 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 56441

    Office

    $196.62

    Facility

    $148.06

    $8.24 higher than El Centro for the office setting.

  • Salinas

    California · 56441

    Office

    $195.87

    Facility

    $147.48

    $7.49 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 56441

    Office

    $199.76

    Facility

    $149.83

    $11.38 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 56441

    Office

    $225.61

    Facility

    $166.74

    $37.23 higher than El Centro for the office setting.

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

    California · 56441

    Office

    $225.23

    Facility

    $166.36

    $36.85 higher than El Centro for the office setting.

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

    California · 56441

    Office

    $230.84

    Facility

    $170.64

    $42.46 higher than El Centro for the office setting.

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

    California · 56441

    Office

    $229.26

    Facility

    $169.06

    $40.88 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 56441

    Office

    $192.84

    Facility

    $145.29

    $4.46 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 56441

    Office

    $201.10

    Facility

    $150.37

    $12.72 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 56441

    Office

    $196.41

    Facility

    $147.73

    $8.03 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 56441

    Office

    $203.06

    Facility

    $151.79

    $14.68 higher than El Centro for the office setting.

  • Stockton

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Vallejo

    California · 56441

    Office

    $213.83

    Facility

    $158.80

    $25.45 higher than El Centro for the office setting.

  • Visalia

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Yuba City

    California · 56441

    Office

    $188.32

    Facility

    $142.56

    $0.06 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 56441

    Office

    $205.93

    Facility

    $156.75

    $17.55 higher than El Centro for the office setting.

  • Miami

    Florida · 56441

    Office

    $204.05

    Facility

    $160.58

    $15.67 higher than El Centro for the office setting.

  • Chicago

    Illinois · 56441

    Office

    $198.06

    Facility

    $156.10

    $9.68 higher than El Centro for the office setting.

  • Manhattan

    New York · 56441

    Office

    $210.28

    Facility

    $161.76

    $21.90 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 56441

    Office

    $217.01

    Facility

    $172.54

    $28.63 higher than El Centro for the office setting.

  • Alabama

    Alabama · 56441

    Office

    $164.29

    Facility

    $127.76

    $24.09 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 56441

    Office

    $162.03

    Facility

    $126.16

    $26.35 lower than El Centro for the office setting.

  • Arizona

    Arizona · 56441

    Office

    $177.47

    Facility

    $137.02

    $10.91 lower than El Centro for the office setting.

  • Colorado

    Colorado · 56441

    Office

    $187.41

    Facility

    $142.98

    $0.97 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 56441

    Office

    $194.17

    Facility

    $149.21

    $5.79 higher than El Centro for the office setting.

  • Delaware

    Delaware · 56441

    Office

    $180.29

    Facility

    $139.04

    $8.09 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 56441

    Office

    $192.91

    Facility

    $150.62

    $4.53 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 56441

    Office

    $183.45

    Facility

    $143.54

    $4.93 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 56441

    Office

    $186.53

    Facility

    $144.11

    $1.85 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 56441

    Office

    $173.19

    Facility

    $135.94

    $15.19 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 56441

    Office

    $192.00

    Facility

    $144.53

    $3.62 higher than El Centro for the office setting.

  • Iowa

    Iowa · 56441

    Office

    $166.58

    Facility

    $128.38

    $21.80 lower than El Centro for the office setting.

  • Idaho

    Idaho · 56441

    Office

    $167.97

    Facility

    $129.56

    $20.41 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 56441

    Office

    $185.47

    Facility

    $147.06

    $2.91 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 56441

    Office

    $179.61

    Facility

    $141.49

    $8.77 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 56441

    Office

    $194.44

    Facility

    $151.56

    $6.06 higher than El Centro for the office setting.

  • Indiana

    Indiana · 56441

    Office

    $168.85

    Facility

    $130.15

    $19.53 lower than El Centro for the office setting.

  • Kansas

    Kansas · 56441

    Office

    $166.64

    Facility

    $128.89

    $21.74 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 56441

    Office

    $169.73

    Facility

    $132.61

    $18.65 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 56441

    Office

    $177.71

    Facility

    $138.42

    $10.67 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 56441

    Office

    $169.79

    Facility

    $132.84

    $18.59 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 56441

    Office

    $204.23

    Facility

    $154.38

    $15.85 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 56441

    Office

    $186.69

    Facility

    $142.73

    $1.69 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 56441

    Office

    $193.79

    Facility

    $148.99

    $5.41 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 56441

    Office

    $183.36

    Facility

    $141.11

    $5.02 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 56441

    Office

    $169.66

    Facility

    $131.25

    $18.72 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 56441

    Office

    $177.23

    Facility

    $135.86

    $11.15 lower than El Centro for the office setting.

  • Detroit

    Michigan · 56441

    Office

    $186.48

    Facility

    $146.19

    $1.90 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 56441

    Office

    $174.68

    Facility

    $136.56

    $13.70 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 56441

    Office

    $177.43

    Facility

    $134.46

    $10.95 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 56441

    Office

    $175.69

    Facility

    $136.49

    $12.69 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 56441

    Office

    $177.34

    Facility

    $137.59

    $11.04 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 56441

    Office

    $167.55

    Facility

    $131.56

    $20.83 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 56441

    Office

    $164.78

    Facility

    $128.83

    $23.60 lower than El Centro for the office setting.

  • Montana**

    Montana · 56441

    Office

    $182.35

    Facility

    $140.60

    $6.03 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 56441

    Office

    $171.22

    Facility

    $132.27

    $17.16 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 56441

    Office

    $175.62

    Facility

    $133.87

    $12.76 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 56441

    Office

    $167.20

    Facility

    $128.67

    $21.18 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 56441

    Office

    $185.26

    Facility

    $141.80

    $3.12 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 56441

    Office

    $204.12

    Facility

    $155.69

    $15.74 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 56441

    Office

    $195.78

    Facility

    $150.19

    $7.40 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 56441

    Office

    $175.92

    Facility

    $137.63

    $12.46 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 56441

    Office

    $180.58

    Facility

    $138.78

    $7.80 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 56441

    Office

    $216.20

    Facility

    $166.56

    $27.82 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 56441

    Office

    $197.71

    Facility

    $151.99

    $9.33 higher than El Centro for the office setting.

  • Queens

    New York · 56441

    Office

    $210.75

    Facility

    $161.40

    $22.37 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 56441

    Office

    $173.74

    Facility

    $134.07

    $14.64 lower than El Centro for the office setting.

  • Ohio

    Ohio · 56441

    Office

    $173.31

    Facility

    $135.19

    $15.07 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 56441

    Office

    $168.58

    Facility

    $131.29

    $19.80 lower than El Centro for the office setting.

  • Portland

    Oregon · 56441

    Office

    $192.19

    Facility

    $145.81

    $3.81 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 56441

    Office

    $178.58

    Facility

    $136.99

    $9.80 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 56441

    Office

    $190.06

    Facility

    $146.60

    $1.68 higher than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 56441

    Office

    $173.12

    Facility

    $134.79

    $15.26 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 56441

    Office

    $183.36

    Facility

    $141.15

    $5.02 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 56441

    Office

    $185.86

    Facility

    $142.74

    $2.52 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 56441

    Office

    $172.67

    Facility

    $134.09

    $15.71 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 56441

    Office

    $174.83

    Facility

    $133.08

    $13.55 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 56441

    Office

    $167.54

    Facility

    $129.58

    $20.84 lower than El Centro for the office setting.

  • Austin

    Texas · 56441

    Office

    $187.31

    Facility

    $143.14

    $1.07 lower than El Centro for the office setting.

  • Beaumont

    Texas · 56441

    Office

    $172.09

    Facility

    $134.10

    $16.29 lower than El Centro for the office setting.

  • Brazoria

    Texas · 56441

    Office

    $179.45

    Facility

    $138.07

    $8.93 lower than El Centro for the office setting.

  • Dallas

    Texas · 56441

    Office

    $180.93

    Facility

    $139.34

    $7.45 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 56441

    Office

    $180.02

    Facility

    $138.86

    $8.36 lower than El Centro for the office setting.

  • Galveston

    Texas · 56441

    Office

    $180.21

    Facility

    $138.75

    $8.17 lower than El Centro for the office setting.

  • Houston

    Texas · 56441

    Office

    $186.43

    Facility

    $144.97

    $1.95 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 56441

    Office

    $175.90

    Facility

    $136.28

    $12.48 lower than El Centro for the office setting.

  • Utah

    Utah · 56441

    Office

    $174.90

    Facility

    $135.65

    $13.48 lower than El Centro for the office setting.

  • Virginia

    Virginia · 56441

    Office

    $177.24

    Facility

    $136.20

    $11.14 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 56441

    Office

    $183.36

    Facility

    $141.15

    $5.02 lower than El Centro for the office setting.

  • Vermont

    Vermont · 56441

    Office

    $175.71

    Facility

    $134.37

    $12.67 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 56441

    Office

    $186.09

    Facility

    $142.12

    $2.29 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 56441

    Office

    $207.46

    Facility

    $156.24

    $19.08 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 56441

    Office

    $170.09

    Facility

    $130.09

    $18.29 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 56441

    Office

    $173.48

    Facility

    $137.20

    $14.90 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 56441

    Office

    $179.42

    Facility

    $137.67

    $8.96 lower than El Centro for the office setting.

See how rates vary across the country

56441 · 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.

$162.03

$217.01

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$217.011
AL$164.291
AR$162.031
AZ$177.471
CA$188.32–$230.8429
CO$187.411
CT$194.171
DC$205.931
DE$180.291
FL$183.45–$204.053
GA$173.19–$186.532
GU$192.001
HI$192.001
IA$166.581
ID$167.971
IL$179.61–$198.064
IN$168.851
KS$166.641
KY$169.731
LA$169.79–$177.712
MA$186.69–$204.232
MD$183.36–$205.933
ME$169.66–$177.232
MI$174.68–$186.482
MN$177.431
MO$167.55–$177.343
MS$164.781
MT$182.351
NC$171.221
ND$175.621
NE$167.201
NH$185.261
NJ$195.78–$204.122
NM$175.921
NV$180.581
NY$173.74–$216.205
OH$173.311
OK$168.581
OR$178.58–$192.192
PA$173.12–$190.062
PR$183.361
RI$185.861
SC$172.671
SD$174.831
TN$167.541
TX$172.09–$187.318
UT$174.901
VA$177.24–$205.932
VI$183.361
VT$175.711
WA$186.09–$207.462
WI$170.091
WV$173.481
WY$179.421

Explore 56441 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 56441 in El Centro, the physician’s office rate is $188.38 and the facility-setting rate is $142.62: a difference of $45.76.

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 56441 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$207.22

$188.38 × 110% = $207.22

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.

Compare your contract offer →

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 56441 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

6,406

Code
56441
Physician work
1.97
Practice expense
3.15
Malpractice
0.34

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 56441 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.97× 1.0172.0035
Practice expense3.15× 1.0963.4524
Malpractice0.34× 0.5410.1839
Total RVUs5.6398
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$188.38

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.971.017
Practice expense3.151.096
Malpractice0.340.541

(1.97 × 1.017 + 3.15 × 1.096 + 0.34 × 0.541) × $33.4009 = $188.38

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.971.017
Practice expense1.91.096
Malpractice0.340.541

(1.97 × 1.017 + 1.9 × 1.096 + 0.34 × 0.541) × $33.4009 = $142.62

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

56441 · Office / nonfacility

$188.38

Effective 2026-10-01

The base rate is $5.23 higher than on 2025-10-01, moving from $183.15 to $188.38 (2.9%).

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

    $183.15changed to$188.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.02 changed to 1.97
    • Malpractice RVU 0.30 changed to 0.34
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $183.15

    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$188.38$142.62RVU26D
2026-07-01$188.38$142.62RVU26C
2026-04-01$188.38$142.62RVU26B
2026-01-01$188.38$142.62RVU26A
2025-10-01$183.15$155.22RVU25D
2025-07-01$183.15$155.22RVU25C
2025-04-01$183.15$155.22RVU25B
2025-01-01$183.15$155.22RVU25A

56441 billing questions

When should 56441 be selected instead of 56442?

Use 56441 for separating labial adhesions. Code 56442 describes a procedure involving the hymen, not fused labial tissue.

Does the 10-day global period include follow-up visits?

Related postoperative visits during the 10-day global period are included in 56441.

Can modifier 50 be used for adhesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not append modifier 50.

How does a same-session procedure affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.

What documentation supports reporting 56441?

Document the labial adhesion, why procedural separation was indicated, and the lysis performed. An evaluation or treatment recommendation without lysis does not support this procedure code.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 56441PPRRVU2026_Oct_nonQPP.csv, line 6,406 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet