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See a sample rate comparisonCPT 56501 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.
Destruct Of Lesion(S) Vulva; Smple (Eg Laser Surg Electrosur, Destruction Of Lesion(S) Vulva; Simple (Eg Laser Surgery Electrosur
| 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 AG - Primary physician UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 56501 |
| Medicaid Fee Schedule | View Medicaid rates for 56501 |
National average reimbursement for CPT 56501 by major payers:
$206.06
$199.52
$225.78
$211.83
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CPT 56501
5 of 25 sample ratesHigher to lower in this preview
Surgery Center At Pelham, LLC
$2,400.00Published rateCarolinas Endoscopy Center LLC
$1,258.00Published rateOregon Ear Nose And Throat Surgery
$956.00Published rateRiver Forest Surgery Center LLC
$609.00Published rateTriad Surgery Center LLC
$461.00Published rate
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See a sample payer proposalCPT 56501 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 56501 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 56501 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 |
|---|---|---|
| 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. |
| 56442-CPT | Low | Procedure To Open The Hymen, The Procedure Surgically Cuts Through The Membrane Covering The Vaginal Opening (Hymen). This Opens The Vagina For Normal Post-Puberty Functions Such As Menstruation Childbirth And Sex. |
| 56501-CPT | Moderate | Destruct Of Lesion(S) Vulva; Smple (Eg Laser Surg Electrosur, Destruction Of Lesion(S) Vulva; Simple (Eg Laser Surgery Electrosur |
| 56515-CPT | Moderate | Destroy Vulva Lesion S Compl, Destruction Of Lesion S Vulva Extensive Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 56501 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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