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See a sample rate comparisonCPT 56515 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.
Destroy Vulva Lesion S Compl, Destruction Of Lesion S Vulva Extensive Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery
| 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 56515 |
| Medicaid Fee Schedule | View Medicaid rates for 56515 |
National average reimbursement for CPT 56515 by major payers:
$318.55
$320.33
$351.11
$342.20
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CPT 56515
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes South Pain Management Center LLC
$2,426.00Published rateTexas Orthopedics Surgery Center, LLC, Texas Orthopedics Surgery Center Limited Partnership, Ll
Texas Orthopedics Surgery Center LLC
$1,258.00Published rateMission Valley Hegihts Surgery Center, Mission Valley Outpatient Surgery Center
Poway Ca Multi-Specialty Asc LLC
$650.00Published rateCarolina Digestive Health Associates, PA, Carolina Digestive Endoscopy Center
Carolina Digestive Health Associates, PA
$519.00Published rateMatthew Anderson
Deaconess Hospital Inc
$189.86Published rate
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See a sample payer proposalCPT 56515 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 56515 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 56515 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 |
|---|---|---|
| 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 |
| 56605-CPT | Low | Female Genital Biopsy, Surgery On A Womans External Genitals Or Groin To Remove A Sample Of Tissue For Testing (Biopsy). |
| 56606-CPT | Low | Biopsy Of Vulva Or Perineum (, Biopsy Of Vulva Or Perineum (Separate Procedure)Eachseparate Additional Lesion (List Separately I N Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 56515 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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