CPT code 56625: Vulvectomy, complete, simple excision2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $622.90 for 56625 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 56625 nationwide

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

What 56625 covers

A complete simple vulvectomy removes the vulva without the wider, deeper tissue resection associated with a radical vulvectomy. Gynecologists and gynecologic oncologists typically perform it in an operating room, often for extensive vulvar disease requiring removal of the full vulvar area rather than a limited excision. The operative report should establish that the excision was complete and describe its extent and depth.

Choose this code when the procedure is complete but simple; a partial excision or radical resection belongs to a different code. A groin lymphadenectomy is not represented by this service and may change code selection. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same 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. Assistant-at-surgery payment may be made; 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 Puerto Rico compares for 56625

Across 109 of 109 payment localities, the facility rate for 56625 runs from $555.37 in Arkansas to $764.80 in Alaska. Puerto Rico pays $622.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56625 rates by state

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

See 56625 in every payment locality

How the 56625 rate is calculated

Each of 56625’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.

Payment rules and modifiers for 56625

56625 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 56625

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

How 56625 has changed in Puerto Rico

Price 56625 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates