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

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, 2026One payment locality3.4K Medicare services in 2024

In West Virginia, Medicare pays $535.61 for 56620 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$535.61Hospital or facility

Check a contract rate as a % of Medicare · 56620 nationwide

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

We’ll open 56620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 56620 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How West Virginia compares for 56620

Across 109 of 109 payment localities, the facility rate for 56620 runs from $486.90 in Arkansas to $663.03 in Alaska. West Virginia pays $535.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

56620 in West Virginia vs other payment areas
  1. West Virginia · this page$535.61
  2. Los Angeles, CA · California$585.84+$50.23
  3. Washington, DC area · District of Columbia$610.42+$74.81
  4. Miami, FL · Florida$634.19+$98.58
  5. Chicago, IL · Illinois$615.06+$79.45
  6. Manhattan, NY · New York$632.71+$97.10
  7. Alaska · Alaska$663.03+$127.42

Other areas in West Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

56620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$493.49
ArkansasArkansas—$486.90
ArizonaArizona—$531.72
Bakersfield, CACalifornia—$555.82
Chico, CACalifornia—$551.65
El Centro, CACalifornia—$551.90
Fresno, CACalifornia—$551.65
Hanford, CACalifornia—$551.65

56620 rates by state

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

Explore a state

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

See 56620 in every payment locality

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.

The exact West Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,412

Code
56620
Physician work
7.34
Practice expense
7.52
Malpractice
1.51

GPCI2026.csv

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Facility calculation for 56620 in West Virginia
ComponentRVULocality factorAdjusted
Physician work7.34× 1.0007.3400
Practice expense7.52× 0.8696.5349
Malpractice1.51× 1.4312.1608
Total RVUs16.0357
Conversion factor× 33.4009

Facility rate, West Virginia$535.61

Facility: (7.34 × 1 + 7.52 × 0.869 + 1.51 × 1.431) × $33.4009 = $535.61

Open 56620 in the RVU calculator

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

How 56620 has changed in West Virginia

56620 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$535.61RVU26D
2026-07-01Not available in this setting$535.61RVU26C
2026-04-01Not available in this setting$535.61RVU26B
2026-01-01Not available in this setting$535.61RVU26A
2025-10-01Not available in this setting$547.60RVU25D
2025-07-01Not available in this setting$547.60RVU25C
2025-04-01Not available in this setting$547.60RVU25B
2025-01-01Not available in this setting$547.60RVU25A
2024-10-01Not available in this setting$565.54RVU24D
2024-07-01Not available in this setting$565.54RVU24C
2024-04-01Not available in this setting$565.54RVU24B
2024-03-09Not available in this setting$565.54RVU24AR
2024-01-01Not available in this setting$556.31RVU24A
2023-10-01Not available in this setting$567.30RVU23D
2023-07-01Not available in this setting$567.30RVU23C
2023-04-01Not available in this setting$567.30RVU23B
2023-01-01Not available in this setting$567.30RVU23A
2022-10-01Not available in this setting$571.50RVU22D
2022-07-01Not available in this setting$571.50RVU22C
2022-04-01Not available in this setting$571.50RVU22B
2022-01-01Not available in this setting$571.50RVU22A
2021-10-01Not available in this setting$558.40RVU21D
2021-07-01Not available in this setting$558.40RVU21C
2021-04-01Not available in this setting$558.40RVU21B
2021-01-01Not available in this setting$558.40RVU21A
2020-10-01Not available in this setting$547.86RVU20D
2020-07-01Not available in this setting$547.86RVU20C
2020-04-01Not available in this setting$547.86RVU20B
2020-01-01Not available in this setting$547.86RVU20A
2019-10-01Not available in this setting$539.37RVU19D
2019-07-01Not available in this setting$539.37RVU19C
2019-04-01Not available in this setting$539.37RVU19B
2019-01-01Not available in this setting$539.37RVU19A
2018-10-01Not available in this setting$522.27RVU18D
2018-07-01Not available in this setting$522.27RVU18C
2018-04-01Not available in this setting$522.27RVU18B
2018-01-01Not available in this setting$522.27RVU18AR1
2017-10-01Not available in this setting$516.61RVU17D
2017-07-01Not available in this setting$516.61RVU17C
2017-04-01Not available in this setting$516.61RVU17B
2017-01-01Not available in this setting$516.61RVU17A
2016-10-01Not available in this setting$511.35RVU16D
2016-07-01Not available in this setting$511.35RVU16C
2016-04-01Not available in this setting$511.35RVU16B
2016-01-01Not available in this setting$511.35RVU16A
2015-10-01Not available in this setting$512.89RVU15D
2015-07-01Not available in this setting$512.89RVU15C
2015-04-01Not available in this setting$510.34RVU15B
2015-01-01Not available in this setting$510.34RVU15A
2014-10-01Not available in this setting$501.82RVU14D
2014-07-01Not available in this setting$501.82RVU14C
2014-04-01Not available in this setting$501.82RVU14B
2014-01-01Not available in this setting$501.82RVU14A
2013-10-01Not available in this setting$491.00RVU13D
2013-07-01Not available in this setting$491.00RVU13C
2013-04-01Not available in this setting$491.00RVU13B
2013-01-01Not available in this setting$491.00RVU13AR

Price 56620 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

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)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 56620 pays in West Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 56620 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist