No office rate
56800 addresses plastic repair of the introitus. Choose 56810 when the operative repair is directed at the perineal body rather than the vaginal opening.
On this page
CMS RVU26D · Effective 2026-10-01
56810 Perineoplasty Medicare reimbursement rates in Minnesota
A nonobstetric perineoplasty reconstructs the perineal body for a documented defect or separation when repair is limited to perineal tissues. Compare 56810 office and facility rates across CMS payment localities in Minnesota.
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 56810 in Minnesota?
Minnesota 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
$226.72
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Gynecologic surgery
About 56810: Nonobstetric perineal body repair
A nonobstetric perineoplasty reconstructs the perineal body for a documented defect or separation when repair is limited to perineal tissues.
This procedure repairs and reconstructs the perineal body, the tissue between the vaginal opening and anus. Gynecologists, urogynecologists, and other surgeons may perform it for a nonobstetric perineal defect, such as separation or scarring after prior trauma or surgery. The operative target is the perineum, rather than an isolated vaginal-wall injury or the vaginal opening itself; the procedure may be performed in an operating room or another suitable surgical setting.
Report the code when the operative documentation supports nonobstetric repair confined to the perineum. Describe the defect and its cause, the tissues repaired, and the work performed; use a broader or different repair code when vaginal-wall repair or another distinct operative target is involved. CMS assigns a 10-day global period, so related postoperative visits during that 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% multiple-procedure reduction. Modifier 50 is inappropriate under the CMS bilateral rule. CMS permits assistant-at-surgery and co-surgeon payment, but not team-surgery payment.
CMS billing rules for 56810
- 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 may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.18 · 58%
- Practice expense (office) RVU2.33 · 32%
- Malpractice RVU0.71 · 10%
292
Medicare services in 2024 · #4014 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.
56810 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
57200 is for suture repair of a nonobstetric vaginal injury. Choose 56810 for a perineal defect without that vaginal-wall injury repair.
No office rate
57210 describes combined vaginal and perineal repair. Choose 56810 when the documented work is confined to the perineum.
No office rate
57250 addresses posterior vaginal wall repair for rectocele, sometimes with perineorrhaphy. It is not a substitute for isolated nonobstetric perineal-body repair.
Compare 56810 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
Minnesota →
Office / nonfacility
Unavailable
Facility
$226.72
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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 56810 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,425
- Code
- 56810
- Physician work
- 4.18
- Practice expense
- 2.33
- Malpractice
- 0.71
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.18 | × 1.000 | 4.1800 |
| Practice expense | 2.33 | × 1.029 | 2.3976 |
| Malpractice | 0.71 | × 0.296 | 0.2102 |
| Total RVUs | 6.7877 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$226.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.18 | 1 |
| Practice expense | 2.33 | 1.029 |
| Malpractice | 0.71 | 0.296 |
(4.18 × 1 + 2.33 × 1.029 + 0.71 × 0.296) × $33.4009 = $226.72
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.
56810 billing questions
How do I distinguish this from repair of a vaginal injury?
Use this code for repair focused on the perineal body. A repair directed at an injury of the vaginal wall is a different service, such as the nonobstetric vaginal-injury repair represented by 57200.
Is repair of the vaginal opening included?
The defining target is the perineum, not an isolated plastic repair of the introitus. If the operative work addresses both distinct areas, review the procedure details and applicable coding guidance before reporting separate services.
Are routine postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in this procedure's payment.
Can modifier 50 be used for a bilateral repair?
No. CMS identifies bilateral adjustment as inapplicable to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and for co-surgeons under this code. Team-surgery payment is 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.
6,42256740,,Exc bartholins gland/cyst,A,,4.76,2.84,NA,2.84,,0.87,8.47,8.47,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42356800,,Plastic repair introitus,A,,3.83,2.31,NA,2.31,,0.66,6.80,6.80,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42456805,,Clitoroplasty intersex state,A,,19.38,7.89,NA,7.89,,3.39,30.66,30.66,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42556810,,Perineoplasty rpr per nonob,A,,4.18,2.33,NA,2.33,,0.71,7.22,7.22,0,010,0.10,0.80,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42656820,,Colposcopy vulva,A,,1.46,2.10,,0.53,,0.27,3.83,2.26,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42756821,,Colposcopy vulva w/biopsy,A,,2.00,2.74,,0.65,,0.38,5.12,3.03,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42857000,,Colpotomy w/exploration,A,,2.94,1.90,NA,1.90,,0.50,5.34,5.34,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002