CPT code 56632: Radical vulvectomy, partial, bilateral nodes2026 Medicare rate & RVUs in New Mexico
Reports radical removal of part of the vulva together with bilateral inguinofemoral lymphadenectomy, typically for surgical treatment of vulvar cancer.
In New Mexico, Medicare pays $1,329.46 for 56632 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 56632 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How New Mexico compares for 56632
Across 109 of 109 payment localities, the facility rate for 56632 runs from $1,195.85 in Arkansas to $1,654.26 in Alaska. New Mexico pays $1,329.46. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,329.46
- Los Angeles, CA · California$1,400.60+$71.14
- Washington, DC area · District of Columbia$1,477.09+$147.63
- Miami, FL · Florida$1,593.63+$264.17
- Chicago, IL · Illinois$1,545.41+$215.95
- Manhattan, NY · New York$1,549.98+$220.52
- Alaska · Alaska$1,654.26+$324.80
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,211.28 |
| ArkansasArkansas | — | $1,195.85 |
| ArizonaArizona | — | $1,300.47 |
| Bakersfield, CACalifornia | — | $1,335.48 |
| Chico, CACalifornia | — | $1,322.74 |
| El Centro, CACalifornia | — | $1,323.52 |
| Fresno, CACalifornia | — | $1,322.74 |
| Hanford, CACalifornia | — | $1,322.74 |
| Madera, CACalifornia | — | $1,322.74 |
| Merced, CACalifornia | — | $1,322.74 |
| Modesto, CACalifornia | — | $1,322.74 |
| Napa, CACalifornia | — | $1,455.62 |
| Oxnard, CACalifornia | — | $1,384.53 |
| Redding, CACalifornia | — | $1,322.74 |
| Rest of CaliforniaCalifornia | — | $1,322.74 |
| Riverside, CACalifornia | — | $1,372.58 |
| Sacramento, CACalifornia | — | $1,367.80 |
| Salinas, CACalifornia | — | $1,362.35 |
| San Diego, CACalifornia | — | $1,379.99 |
| Marin County, CACalifornia | — | $1,514.10 |
| San Francisco, CACalifornia | — | $1,508.83 |
| San Benito County, CACalifornia | — | $1,551.77 |
| Santa Clara County, CACalifornia | — | $1,530.23 |
| San Luis Obispo, CACalifornia | — | $1,342.98 |
| Santa Cruz, CACalifornia | — | $1,381.59 |
| Santa Maria, CACalifornia | — | $1,363.51 |
| Santa Rosa, CACalifornia | — | $1,394.12 |
| Stockton, CACalifornia | — | $1,322.74 |
| Vallejo, CACalifornia | — | $1,448.03 |
| Visalia, CACalifornia | — | $1,322.74 |
| Yuba City, CACalifornia | — | $1,322.74 |
| ColoradoColorado | — | $1,342.09 |
| ConnecticutConnecticut | — | $1,420.39 |
| DelawareDelaware | — | $1,319.63 |
| Fort Lauderdale, FLFlorida | — | $1,468.71 |
| Rest of FloridaFlorida | — | $1,394.62 |
| Atlanta, GAGeorgia | — | $1,378.19 |
| Rest of GeorgiaGeorgia | — | $1,316.30 |
| Hawaii, Guam, HIHawaii | — | $1,336.60 |
| IowaIowa | — | $1,203.92 |
| IdahoIdaho | — | $1,218.05 |
| East St. Louis, ILIllinois | — | $1,456.87 |
| Rest of IllinoisIllinois | — | $1,383.68 |
| Suburban Chicago, ILIllinois | — | $1,474.71 |
| IndianaIndiana | — | $1,223.36 |
| KansasKansas | — | $1,215.32 |
| KentuckyKentucky | — | $1,271.96 |
| New Orleans, LALouisiana | — | $1,330.68 |
| Rest of LouisianaLouisiana | — | $1,276.74 |
| Metropolitan Boston, MAMassachusetts | — | $1,440.81 |
| Rest of MassachusettsMassachusetts | — | $1,342.24 |
| Baltimore area, MDMaryland | — | $1,419.85 |
| Rest of MarylandMaryland | — | $1,337.43 |
| Rest of MaineMaine | — | $1,241.14 |
| Southern Maine, MEMaine | — | $1,275.95 |
| Detroit, MIMichigan | — | $1,427.22 |
| Rest of MichiganMichigan | — | $1,316.42 |
| MinnesotaMinnesota | — | $1,241.91 |
| Metropolitan Kansas City, MOMissouri | — | $1,305.10 |
| Metropolitan St. Louis, MOMissouri | — | $1,315.09 |
| Rest of MissouriMissouri | — | $1,268.40 |
| MississippiMississippi | — | $1,231.51 |
| MontanaMontana | — | $1,337.06 |
| North CarolinaNorth Carolina | — | $1,249.89 |
| North DakotaNorth Dakota | — | $1,245.31 |
| NebraskaNebraska | — | $1,204.74 |
| New HampshireNew Hampshire | — | $1,337.29 |
| Northern New JerseyNew Jersey | — | $1,468.05 |
| Rest of New JerseyNew Jersey | — | $1,424.17 |
| NevadaNevada | — | $1,311.96 |
| NYC suburbs and Long Island, NYNew York | — | $1,604.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,446.66 |
| Queens, NYNew York | — | $1,537.08 |
| Rest of New YorkNew York | — | $1,267.81 |
| OhioOhio | — | $1,297.67 |
| OklahomaOklahoma | — | $1,252.46 |
| Portland, OROregon | — | $1,361.32 |
| Rest of OregonOregon | — | $1,289.46 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,399.39 |
| Rest of PennsylvaniaPennsylvania | — | $1,290.26 |
| Puerto RicoPuerto Rico | — | $1,340.22 |
| Rhode IslandRhode Island | — | $1,349.69 |
| South CarolinaSouth Carolina | — | $1,278.36 |
| South DakotaSouth Dakota | — | $1,234.47 |
| TennesseeTennessee | — | $1,222.79 |
| Austin, TXTexas | — | $1,348.42 |
| Beaumont, TXTexas | — | $1,284.01 |
| Brazoria, TXTexas | — | $1,304.74 |
| Dallas, TXTexas | — | $1,319.89 |
| Fort Worth, TXTexas | — | $1,317.20 |
| Galveston, TXTexas | — | $1,313.12 |
| Houston, TXTexas | — | $1,398.04 |
| Rest of TexasTexas | — | $1,298.34 |
| UtahUtah | — | $1,293.33 |
| VirginiaVirginia | — | $1,283.81 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,340.22 |
| VermontVermont | — | $1,256.11 |
| Rest of WashingtonWashington | — | $1,334.53 |
| King County, WAWashington | — | $1,451.43 |
| WisconsinWisconsin | — | $1,210.36 |
| West VirginiaWest Virginia | — | $1,342.52 |
| WyomingWyoming | — | $1,297.08 |
56632 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,416
- Code
- 56632
- Physician work
- 21.31
- Practice expense
- 14.09
- Malpractice
- 4.64
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.31 | × 1.000 | 21.3100 |
| Practice expense | 14.09 | × 0.917 | 12.9205 |
| Malpractice | 4.64 | × 1.201 | 5.5726 |
| Total RVUs | 39.8032 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1329.46
Facility: (21.31 × 1 + 14.09 × 0.917 + 4.64 × 1.201) × $33.4009 = $1329.46
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.12/0.74/0.14 | Share 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.
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%).
How 56632 has changed in New Mexico
56632 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,329.46 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,329.46 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,329.46 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,329.46 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,369.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,369.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,369.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,369.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,411.01 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,411.01 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,411.01 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,411.01 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,387.98 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,419.91 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,419.91 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,419.91 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,419.91 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,434.80 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,434.80 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,434.80 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,434.80 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,418.08 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,418.08 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,418.08 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,418.08 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,429.76 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,429.76 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,429.76 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,429.76 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,467.47 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,467.47 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,467.47 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,467.47 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,437.64 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,437.64 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,437.64 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,437.64 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,422.63 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,422.63 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,422.63 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,422.63 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,402.03 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,402.03 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,402.03 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,402.03 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,413.18 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,413.18 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,406.14 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,406.14 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,349.73 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,349.73 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,349.73 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,349.73 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,306.18 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,306.18 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,306.18 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,306.18 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
Fee sheets · Coming soon
Put 56632 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist