$247.09
Both codes describe vulvar lesion destruction. Choose 56501 for simple lesions and 56515 for extensive or complicated destruction.
On this page
CMS RVU26D · Effective 2026-10-01
56501 Vulvar lesion destruction Medicare reimbursement rates in Mississippi
Destruction of one or more simple vulvar lesions, such as external genital warts, by an appropriate method in an office or outpatient setting. Compare 56501 office and facility rates across CMS payment localities in Mississippi.
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 56501 in Mississippi?
Mississippi 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
$165.45
1 of 1 localities have a supported rate.
Payment area: Mississippi
One mapped payment locality.
Facility setting
$109.37
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 56501: Simple vulvar lesion destruction
Destruction of one or more simple vulvar lesions, such as external genital warts, by an appropriate method in an office or outpatient setting.
Report 56501 for destruction of one or more simple vulvar lesions, commonly external genital warts (condylomata), using a method such as cryotherapy, electrosurgery, laser, or chemical treatment. A gynecologist or other clinician may perform the procedure in an office or outpatient facility. The service treats the lesion rather than obtaining tissue for histologic diagnosis; when a lesion needs diagnostic sampling, a vulvar biopsy may be appropriate instead.
Choose this code for simple destruction; 56515 is the related code for extensive or complicated destruction. Document the lesion site, the method used, and the clinical basis for treatment. Medicare assigns a 10-day minor-procedure global period, so related postoperative visits during those 10 days are included. When another procedure subject to multiple-procedure rules is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Report without modifier 50. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 56501
- 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 RVU1.54 · 28%
- Practice expense (office) RVU3.75 · 68%
- Malpractice RVU0.25 · 5%
2.5K
Medicare services in 2024 · #2305 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.
56501 compared with similar codes
Office rates for Mississippi, from the same CMS release.
$84.72
56605 obtains tissue from a vulvar or perineal lesion for diagnosis; 56501 destroys the lesion without describing diagnostic sampling.
$98.64
17110 is for qualifying benign lesions outside the vulvar-specific code family. For simple vulvar lesion destruction, use 56501.
Compare 56501 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
Mississippi →
Office / nonfacility
$165.45
Facility
$109.37
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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 56501 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
6,408
- Code
- 56501
- Physician work
- 1.54
- Practice expense
- 3.75
- Malpractice
- 0.25
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.54 | × 1.000 | 1.5400 |
| Practice expense | 3.75 | × 0.861 | 3.2287 |
| Malpractice | 0.25 | × 0.739 | 0.1847 |
| Total RVUs | 4.9535 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Mississippi$165.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.54 | 1 |
| Practice expense | 3.75 | 0.861 |
| Malpractice | 0.25 | 0.739 |
(1.54 × 1 + 3.75 × 0.861 + 0.25 × 0.739) × $33.4009 = $165.45
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.54 | 1 |
| Practice expense | 1.8 | 0.861 |
| Malpractice | 0.25 | 0.739 |
(1.54 × 1 + 1.8 × 0.861 + 0.25 × 0.739) × $33.4009 = $109.37
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.
56501 billing questions
How do I choose between 56501 and 56515?
Use 56501 for simple vulvar lesion destruction. Use 56515 when the destruction is extensive or complicated; document the circumstances supporting that distinction.
Is 56501 reported once for multiple simple lesions?
The code describes destruction of lesion or lesions, so it is not reported once per lesion. Document the treated sites and the work performed.
Can I report a biopsy with 56501?
A biopsy is a diagnostic sampling service, while 56501 destroys the lesion. Report a biopsy only when tissue is separately sampled and the documentation supports that distinct service.
Should modifier 50 be appended for lesions on both sides?
No. Report the vulvar destruction without modifier 50.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure's Medicare payment.
How does Medicare handle another procedure performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay for an assistant at surgery, and co-surgeon or team-surgery billing 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.
6,40556440,,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
6,40956515,,Destroy vulva lesion/s compl,A,,3.00,4.67,,2.18,,0.51,8.18,5.69,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41056605,,Biopsy of vulva/perineum,A,,1.07,1.54,,0.29,,0.19,2.80,1.55,0,000,0.00,0.00,0.00,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41156606,,Biopsy of vulva/perineum,A,,0.54,0.54,,0.13,,0.09,1.17,0.76,0,ZZZ,0.00,0.00,0.00,0,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974