# CPT 56605: Biopsy of vulva/perineum, one lesion

Medicare CPT 56605 pays $93.52 in a non-facility setting and $51.77 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $83.19 in Arkansas to $111.89 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/56605-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $93.52 |
| National facility | $51.77 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $111.89 | $67.42 |
| District of Columbia | $105.33 | $56.14 |
| New York | $103.45 | $56.87 |
| New Jersey | $102.37 | $55.36 |
| California | $101.32 | $51.92 |
| Washington | $100.51 | $52.92 |
| Massachusetts | $99.90 | $53.00 |
| Florida | $99.70 | $57.81 |
| Connecticut | $99.53 | $54.56 |
| Hawaii | $97.90 | $50.43 |
| Illinois | $97.69 | $57.35 |
| Maryland | $96.67 | $53.14 |
| Colorado | $95.85 | $51.43 |
| Rhode Island | $95.21 | $52.08 |
| New Hampshire | $94.84 | $51.38 |
| Oregon | $94.81 | $50.82 |
| Puerto Rico | $93.99 | $51.78 |
| Virgin Islands | $93.99 | $51.78 |
| Montana | $93.51 | $51.76 |
| Pennsylvania | $93.23 | $52.34 |
| Michigan | $92.98 | $53.77 |
| Nevada | $92.51 | $50.72 |
| Texas | $92.47 | $51.37 |
| Georgia | $92.46 | $52.63 |
| Delaware | $92.44 | $51.19 |
| Wyoming | $91.87 | $50.12 |
| Arizona | $91.01 | $50.56 |
| Virginia | $90.78 | $49.74 |
| Minnesota | $90.55 | $47.58 |
| New Mexico | $90.53 | $52.24 |
| Vermont | $89.87 | $48.54 |
| Utah | $89.79 | $50.54 |
| North Dakota | $89.75 | $48.00 |
| West Virginia | $89.52 | $53.24 |
| Louisiana | $89.35 | $51.23 |
| South Dakota | $89.31 | $47.56 |
| Missouri | $89.19 | $50.87 |
| Ohio | $89.10 | $50.98 |
| Maine | $88.87 | $48.97 |
| South Carolina | $88.66 | $50.08 |
| North Carolina | $87.79 | $48.83 |
| Kentucky | $87.27 | $50.16 |
| Wisconsin | $86.97 | $46.97 |
| Oklahoma | $86.60 | $49.32 |
| Indiana | $86.51 | $47.80 |
| Idaho | $86.06 | $47.65 |
| Tennessee | $85.90 | $47.95 |
| Nebraska | $85.61 | $47.08 |
| Kansas | $85.44 | $47.69 |
| Iowa | $85.32 | $47.12 |
| Mississippi | $84.72 | $48.77 |
| Alabama | $84.34 | $47.81 |
| Arkansas | $83.19 | $47.33 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 56605 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules