56800 Plastic repair introitus
Also known as: Introital reconstruction, Introitus repair
Plastic repair of the introitus (vaginal opening). Reconstructive procedure to restore normal anatomy.
In Plain Language
Surgical repair of vaginal opening
Clinical Context
Used for introital stenosis, stricture, or anatomic abnormality. Restores sexual function and normal anatomy.
RVU Breakdown
| Work RVU | 3.83 |
| Total RVU | 3.83 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.83, this code ranks in the 26th percentile among Surgery codes — 2.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 56800?
CPT 56800 (Plastic repair introitus) is a Surgery code. Plastic repair of the introitus (vaginal opening). Reconstructive procedure to restore normal anatomy.
What is the wRVU value for CPT 56800?
The work RVU for CPT 56800 is 3.83. This code is primarily used by Plastic Surgery, Gynecology. It has a 10-day global period.
When is CPT 56800 used?
Used for introital stenosis, stricture, or anatomic abnormality. Restores sexual function and normal anatomy.
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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.