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CPT code 56620: Vulvectomy, simple, partial excision2026 Medicare rate & RVUs

Report a simple partial vulvectomy when the surgeon removes a portion of the vulva without the extent of a radical vulvectomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.4K Medicare services in 2024

Medicare pays $546.77 for 56620 nationally in a facility.

Medicare rate · 56620

Vulvectomy, simple, partial excision

Office or facility?

Work RVUs
7.34
Total RVUs
16.37
Global days
090

National rate · 2026

$546.77

Facility setting, before claim adjustments.

See every locality for 56620 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 56620 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 56620 covers

A simple partial vulvectomy removes a portion of vulvar tissue. A gynecologic surgeon typically performs it in an operating room for a localized vulvar condition requiring excision rather than diagnostic sampling alone. The operative note should identify the vulvar site and extent removed, the indication, and the procedure performed; the specimen can then be matched to the pathology record.

Select this code for a partial, simple excision, rather than a complete simple vulvectomy or a radical operation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 56620 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

56620 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$493.49
AlaskaUnavailable$663.03
ArizonaUnavailable$531.72
ArkansasUnavailable$486.90
Atlanta, GAUnavailable$561.66
Austin, TXUnavailable$556.08
Bakersfield, CAUnavailable$555.82
Baltimore area, MDUnavailable$580.98
Beaumont, TXUnavailable$520.59
Brazoria, TXUnavailable$535.38

56620 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
56620 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 56620 rate is calculated

Each of 56620’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 56620

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.34

7.34 RVUs× 1.000 GPCI

Practice expense7.52

7.52 RVUs× 1.000 GPCI

Malpractice1.51

1.51 RVUs× 1.000 GPCI

Adjusted RVUs

16.3700

Conversion factor

$33.4009

Medicare rate

$546.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 56620

56620 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 56620

Vulvectomy, simple, partial excision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.12/0.74/0.14Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 56620

Vulvectomy, simple, partial excision

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

56620 without 51 · national facility

$546.77

Vulvectomy, simple, partial excision

56620-51 · Second procedure: 50%

$273.39

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

56620 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 56620

    Vulvectomy, simple, partial excision7.34 wRVU

    Not priced

  • 56625

    Vulvectomy, complete, simple excision9.44 wRVU

    Not priced

  • 56630

    Vulvectomy, partial, without lymphadenectomy14.43 wRVU

    Not priced

  • 56605

    Vulvar biopsy, first lesion sampled1.07 wRVU

    $93.52

How to choose

56625VulvectomyComplete, simple excision
Both are simple vulvectomies; 56620 removes a portion, while 56625 is used when the simple removal is complete.
56630VulvectomyPartial, without lymphadenectomy
56630 describes a radical partial vulvectomy. Choose 56620 when the operative service is a simple partial excision, not a radical operation.
56605Vulvar biopsyFirst lesion sampled
56605 is for vulvar or perineal biopsy sampling. 56620 represents removal of a portion of the vulva, not a limited diagnostic biopsy.

Codes related to 56620

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 56620
CodeHow it relatesNational office range
Same family
56625Vulvectomy, complete, simple excisionSimple complete vulvectomy; differs from this code by extent of removal.No office rate
Used instead
56630Vulvectomy, partial, without lymphadenectomyRadical partial vulvectomy for an operation with greater extent than a simple partial excision.No office rate
56631Radical vulvectomy, unilateral inguinofemoral nodesRadical partial vulvectomy with unilateral inguinofemoral lymphadenectomy.No office rate
56632Radical vulvectomy, partial, bilateral nodesRadical partial vulvectomy with bilateral inguinofemoral lymphadenectomy.No office rate
56605Vulvar biopsy, first lesion sampledBiopsy for diagnostic tissue sampling rather than partial vulvar excision.$83.19–$117.24

56620 billing questions

How does 56620 differ from 56625?

56620 is for removal of part of the vulva. Use 56625 when the simple vulvectomy removes the vulva completely.

When is 56620 preferable to a vulvar biopsy code?

Use 56620 for a partial vulvar excision, rather than limited tissue sampling for diagnosis. Biopsy codes 56605 and 56606 describe sampling, not this partial vulvectomy.

Does the 90-day global include postoperative visits?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

Should modifier 50 be appended for bilateral excision?

No. The CMS bilateral adjustment does not apply to 56620, and modifier 50 is inappropriate for this code.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports reporting 56620?

Document the indication, vulvar site and extent excised, and the operation performed. The note should make clear that the procedure was partial and simple rather than complete or radical.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 56620PPRRVU2026_Oct_nonQPP.csv, line 6,412 (RVU26D)

Open CMS sourceHow we calculate rates

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