$162.65
Choose 56440 when the clinician marsupializes a Bartholin gland cyst by creating a persistent drainage opening. Choose 56420 for incision and drainage of a Bartholin gland abscess.
On this page
CMS RVU26D · Effective 2026-10-01
56440 Cyst marsupialization Medicare reimbursement rates in Alabama
Reports surgical creation of a lasting drainage opening for a Bartholin gland cyst, commonly selected for a symptomatic or recurrent cyst. Compare 56440 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 56440 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$150.03
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Gynecology procedure
About 56440: Bartholin gland cyst marsupialization
Reports surgical creation of a lasting drainage opening for a Bartholin gland cyst, commonly selected for a symptomatic or recurrent cyst.
CPT 56440 covers opening a Bartholin gland cyst and suturing its edges to the nearby mucosa to leave a persistent drainage opening. An obstetrician-gynecologist or other qualified clinician typically performs the procedure for a symptomatic cyst, including one that has recurred after prior treatment. It may be performed in an office procedure room or an outpatient facility.
Report 56440 when the documented treatment is marsupialization of a Bartholin gland cyst, rather than simple drainage of an abscess or removal of the cyst. The note should identify the Bartholin gland cyst and describe creation of the drainage opening. Medicare includes related postoperative visits during the 10-day 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 code; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 56440
- 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 RVU2.82 · 58%
- Practice expense (office) RVU1.60 · 33%
- Malpractice RVU0.48 · 10%
170
Medicare services in 2024 · #4476 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.
56440 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
56740 represents excision of a Bartholin gland cyst. 56440 leaves the cyst wall opening sutured to nearby mucosa for ongoing drainage rather than removing the cyst.
$131.09
56405 is for drainage of a vulvar or perineal abscess. 56440 is specific to marsupialization of a Bartholin gland cyst.
Compare 56440 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$150.03
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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 56440 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,405
- Code
- 56440
- Physician work
- 2.82
- Practice expense
- 1.60
- Malpractice
- 0.48
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.82 | × 1.000 | 2.8200 |
| Practice expense | 1.60 | × 0.875 | 1.4000 |
| Malpractice | 0.48 | × 0.566 | 0.2717 |
| Total RVUs | 4.4917 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$150.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.82 | 1 |
| Practice expense | 1.6 | 0.875 |
| Malpractice | 0.48 | 0.566 |
(2.82 × 1 + 1.6 × 0.875 + 0.48 × 0.566) × $33.4009 = $150.03
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.
56440 billing questions
How is 56440 different from 56420?
56440 is for marsupialization of a Bartholin gland cyst, creating a lasting drainage opening. 56420 describes incision and drainage of a Bartholin gland abscess.
Can 56420 also be reported for the opening made during marsupialization?
Do not separately report 56420 for the incision and drainage that are part of marsupialization of the same lesion.
What documentation supports 56440?
Document the Bartholin gland cyst and describe the marsupialization, including creation of the persistent drainage opening. A note describing only abscess drainage supports a different service.
Are postoperative visits separately reportable during the global period?
Related postoperative visits during the 10-day global period are included in 56440.
How does Medicare handle other procedures 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 modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for 56440. Medicare does not pay an assistant at surgery for this service.
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.
6,40255980,,Sex transformation f to m,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,YYY,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40356405,,I&d vulva/perineal abscess,A,,1.45,2.66,,1.79,,0.26,4.37,3.50,0,010,0.10,0.80,0.10,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40456420,,I&d bartholins gland abscess,A,,1.40,3.81,,1.36,,0.24,5.45,3.00,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40556440,,Mrsplzatn brthlns glnd cst,A,,2.82,1.60,NA,1.60,,0.48,4.90,4.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40656441,,Lysis of labial adhesions,A,,1.97,3.15,,1.90,,0.34,5.46,4.21,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40756442,,Hymenotomy,A,,0.66,0.53,NA,0.53,,0.12,1.31,1.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40856501,,Destroy vulva lesions sim,A,,1.54,3.75,,1.80,,0.25,5.54,3.59,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515