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CPT code 56632: Radical vulvectomy, partial, bilateral nodes2026 Medicare rate & RVUs

Reports radical removal of part of the vulva together with bilateral inguinofemoral lymphadenectomy, typically for surgical treatment of vulvar cancer.

CMS RVU26DEffective Oct 1, 2026109 payment localities221 Medicare services in 2024

Medicare pays $1,337.37 for 56632 nationally in a facility.

Medicare rate · 56632

Radical vulvectomy, partial, bilateral nodes

Office or facility?

Work RVUs
21.31
Total RVUs
40.04
Global days
090

National rate · 2026

$1,337.37

Facility setting, before claim adjustments.

See every locality for 56632 →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 56632 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 56632 covers

This operation removes a portion of the vulva with a radical surgical margin and includes removal of inguinofemoral lymph nodes on both sides. It is typically performed by a gynecologic oncologist in an operating room for vulvar malignancy when the planned resection is partial rather than complete. The lymph-node dissection is part of the service represented by this code.

Select this code when the operative report supports radical partial vulvar resection and bilateral inguinofemoral lymphadenectomy; document the resection extent and the nodal dissection performed on each side. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available, and co-surgeons are permitted; 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 56632 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

56632 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,211.28
AlaskaUnavailable$1,654.26
ArizonaUnavailable$1,300.47
ArkansasUnavailable$1,195.85
Atlanta, GAUnavailable$1,378.19
Austin, TXUnavailable$1,348.42
Bakersfield, CAUnavailable$1,335.48
Baltimore area, MDUnavailable$1,419.85
Beaumont, TXUnavailable$1,284.01
Brazoria, TXUnavailable$1,304.74

56632 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
56632 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 56632 rate is calculated

Each of 56632’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 · 56632

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.31

21.31 RVUs× 1.000 GPCI

Practice expense14.09

14.09 RVUs× 1.000 GPCI

Malpractice4.64

4.64 RVUs× 1.000 GPCI

Adjusted RVUs

40.0400

Conversion factor

$33.4009

Medicare rate

$1,337.37

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

Payment rules and modifiers for 56632

56632 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 56632

Radical vulvectomy, partial, bilateral nodes

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)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)2Permitted.
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 · 56632

Radical vulvectomy, partial, bilateral nodes

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

56632 without 51 · national facility

$1,337.37

Radical vulvectomy, partial, bilateral nodes

56632-51 · Second procedure: 50%

$668.69

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

56632 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 56632

    Radical vulvectomy, partial, bilateral nodes21.31 wRVU

    Not priced

  • 56630

    Vulvectomy, partial, without lymphadenectomy14.43 wRVU

    Not priced

  • 56631

    Radical vulvectomy, unilateral inguinofemoral nodes18.52 wRVU

    Not priced

  • 56633

    Vulvectomy, radical, complete19.13 wRVU

    Not priced

  • 56637

    Radical vulvectomy, complete, bilateral nodes24.13 wRVU

    Not priced

How to choose

56630VulvectomyPartial, without lymphadenectomy
Both describe radical partial vulvectomy, but 56630 does not include inguinofemoral lymphadenectomy. Use 56632 when bilateral groin-node dissection is performed as part of the operation.
56631Radical vulvectomyUnilateral inguinofemoral nodes
56631 pairs radical partial vulvectomy with unilateral inguinofemoral lymphadenectomy; 56632 represents dissection on both sides.
56633VulvectomyRadical, complete
56633 is for radical complete vulvectomy without the included bilateral node dissection. This code describes partial resection with bilateral inguinofemoral lymphadenectomy.
56637Radical vulvectomyComplete, bilateral nodes
Both include bilateral inguinofemoral lymphadenectomy, but 56637 is for radical complete vulvectomy; this code is for radical partial vulvectomy.

Codes related to 56632

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

Codes related to 56632
CodeHow it relatesNational office range
Same family
56630Vulvectomy, partial, without lymphadenectomyRadical partial vulvectomy without the bilateral inguinofemoral lymphadenectomy included here.No office rate
56631Radical vulvectomy, unilateral inguinofemoral nodesRadical partial vulvectomy with unilateral rather than bilateral inguinofemoral lymphadenectomy.No office rate
56633Vulvectomy, radical, completeRadical complete vulvectomy without included inguinofemoral lymphadenectomy.No office rate
56634Radical vulvectomy, complete, unilateral node dissectionRadical complete vulvectomy with unilateral inguinofemoral lymphadenectomy.No office rate
56637Radical vulvectomy, complete, bilateral nodesRadical complete vulvectomy with bilateral inguinofemoral lymphadenectomy.No office rate

56632 billing questions

When should this code be selected instead of 56631?

Use 56632 when the radical partial vulvectomy includes inguinofemoral lymphadenectomy on both sides. Code 56631 represents the unilateral lymphadenectomy version.

Is the bilateral lymphadenectomy separately reported?

The bilateral inguinofemoral lymphadenectomy is included in this combined service; it is not a separate add-on represented by this code.

Should modifier 50 be appended?

The code is already priced as bilateral, and modifier 50 does not increase payment.

What operative documentation supports this code?

Document that the vulvar resection was radical and partial, and describe inguinofemoral lymph-node dissection on both sides.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be paid for this operation?

Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team surgery is not permitted.

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 56632PPRRVU2026_Oct_nonQPP.csv, line 6,416 (RVU26D)

Open CMS sourceHow we calculate rates

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