56442 Hymenotomy
Also known as: Hymenotomy, Hymen incision
Hymenotomy or hymenoplasty. A procedure to incise or revise the hymenal membrane.
In Plain Language
Surgical opening of hymen; Membrane opening procedure
Clinical Context
Performed for imperforate hymen or restrictive hymen causing menstrual obstruction, hematometra, or dyspareunia. Also used for hymenoplasty (repair).
RVU Breakdown
| Work RVU | 0.66 |
| Total RVU | 0.66 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.66, this code ranks in the 2nd percentile among Surgery codes — 12.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 56442?
CPT 56442 (Hymenotomy) is a Surgery code. Hymenotomy or hymenoplasty. A procedure to incise or revise the hymenal membrane.
What is the wRVU value for CPT 56442?
The work RVU for CPT 56442 is 0.66. This code is primarily used by Gynecology, Adolescent Gynecology.
When is CPT 56442 used?
Performed for imperforate hymen or restrictive hymen causing menstrual obstruction, hematometra, or dyspareunia. Also used for hymenoplasty (repair).
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.