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See a sample rate comparisonCPT 56441 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Removal Of Genital Scar Tissue, Surgical Release Of Scar Tissue That Has Fused Together The Two Folds Of Skin (Labia) On Either Side Of The Vaginal Opening.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 56441 |
| Medicaid Fee Schedule | View Medicaid rates for 56441 |
National average reimbursement for CPT 56441 by major payers:
$215.22
$210.48
$233.42
$245.72
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CPT 56441
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$7,810.00Published rateAspen Surgery Center, LLC, Aspen Surgery Center
Aspen Surgery Center LLC
$2,300.00Published rateLubbock Vascular Access Center
Lubbock Interventional Nephrology Associates PA
$1,490.00Published rateDigestive Disease Center
$991.00Published rateMesa Az Endoscopy Asc LLC, Desert Endoscopy Center
The Mesa Az Endoscopy Asc, LLC
$606.00Published rate
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See a sample payer proposalCPT 56441 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 56441 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 56441 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 56405-CPT | Low | Drain Genital Cyst Or Abscess, Procedure To Drain An Abscess Or Cyst (Pocket Of Infection Or Fluid) On The External Genitals Or The Bartholins Gland (Either Side Of The Vagina). The Procedure May Involve Creating A Skin Pocket To Prevent Future Cysts Around The Gland. |
| 56420-CPT | Moderate | Drain Genital Cyst Or Abscess, Procedure To Drain An Abscess Or Cyst (Pocket Of Infection Or Fluid) On The External Genitals Or The Bartholins Gland (Either Side Of The Vagina). The Procedure May Involve Creating A Skin Pocket To Prevent Future Cysts Around The Gland. |
| 56440-CPT | Moderate | Drain Genital Cyst Or Abscess, Procedure To Drain An Abscess Or Cyst (Pocket Of Infection Or Fluid) On The External Genitals Or The Bartholins Gland (Either Side Of The Vagina). The Procedure May Involve Creating A Skin Pocket To Prevent Future Cysts Around The Gland. |
| 56441-CPT | Moderate | Removal Of Genital Scar Tissue, Surgical Release Of Scar Tissue That Has Fused Together The Two Folds Of Skin (Labia) On Either Side Of The Vaginal Opening. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 56441 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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