CPT code 56633: Vulvectomy, radical, complete2026 Medicare rate & RVUs in New Mexico
Reported for radical removal of the entire vulva, typically to treat vulvar cancer when the operation does not include inguinofemoral lymphadenectomy.
In New Mexico, Medicare pays $1,147.94 for 56633 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 56633 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 56633 covers
A radical complete vulvectomy removes the entire vulva along with deeper tissue as required for the surgical margins. Gynecologic oncologists typically perform it in an operating room for extensive vulvar disease, including cancer requiring a more radical excision than a simple vulvectomy. This code represents the vulvar operation without inguinofemoral lymphadenectomy; codes in the same family identify procedures that include lymph node dissection.
Choose this code when the operative report supports both complete removal and radical depth, rather than a partial or simple vulvectomy. Document the extent of vulvar excision and whether inguinofemoral nodes were removed. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare may pay an assistant at surgery and permits co-surgeons; 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 56633
Across 109 of 109 payment localities, the facility rate for 56633 runs from $1,030.37 in Arkansas to $1,431.47 in Alaska. New Mexico pays $1,147.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,147.94
- Los Angeles, CA · California$1,197.87+$49.93
- Washington, DC area · District of Columbia$1,267.15+$119.21
- Miami, FL · Florida$1,379.89+$231.95
- Chicago, IL · Illinois$1,338.23+$190.29
- Manhattan, NY · New York$1,333.79+$185.85
- Alaska · Alaska$1,431.47+$283.53
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,043.45 |
| ArkansasArkansas | — | $1,030.37 |
| ArizonaArizona | — | $1,118.98 |
| Bakersfield, CACalifornia | — | $1,143.77 |
| Chico, CACalifornia | — | $1,132.27 |
| El Centro, CACalifornia | — | $1,132.97 |
| Fresno, CACalifornia | — | $1,132.27 |
| Hanford, CACalifornia | — | $1,132.27 |
| Madera, CACalifornia | — | $1,132.27 |
| Merced, CACalifornia | — | $1,132.27 |
| Modesto, CACalifornia | — | $1,132.27 |
| Napa, CACalifornia | — | $1,240.28 |
| Oxnard, CACalifornia | — | $1,183.45 |
| Redding, CACalifornia | — | $1,132.27 |
| Rest of CaliforniaCalifornia | — | $1,132.27 |
| Riverside, CACalifornia | — | $1,177.28 |
| Sacramento, CACalifornia | — | $1,169.32 |
| Salinas, CACalifornia | — | $1,164.64 |
| San Diego, CACalifornia | — | $1,178.60 |
| Marin County, CACalifornia | — | $1,288.07 |
| San Francisco, CACalifornia | — | $1,283.31 |
| San Benito County, CACalifornia | — | $1,320.32 |
| Santa Clara County, CACalifornia | — | $1,300.87 |
| San Luis Obispo, CACalifornia | — | $1,148.26 |
| Santa Cruz, CACalifornia | — | $1,179.07 |
| Santa Maria, CACalifornia | — | $1,165.33 |
| Santa Rosa, CACalifornia | — | $1,189.65 |
| Stockton, CACalifornia | — | $1,132.27 |
| Vallejo, CACalifornia | — | $1,233.42 |
| Visalia, CACalifornia | — | $1,132.27 |
| Yuba City, CACalifornia | — | $1,132.27 |
| ColoradoColorado | — | $1,151.47 |
| ConnecticutConnecticut | — | $1,221.45 |
| DelawareDelaware | — | $1,135.26 |
| Fort Lauderdale, FLFlorida | — | $1,268.57 |
| Rest of FloridaFlorida | — | $1,204.70 |
| Atlanta, GAGeorgia | — | $1,186.66 |
| Rest of GeorgiaGeorgia | — | $1,137.38 |
| Hawaii, Guam, HIHawaii | — | $1,142.67 |
| IowaIowa | — | $1,034.67 |
| IdahoIdaho | — | $1,047.17 |
| East St. Louis, ILIllinois | — | $1,262.83 |
| Rest of IllinoisIllinois | — | $1,197.11 |
| Suburban Chicago, ILIllinois | — | $1,273.21 |
| IndianaIndiana | — | $1,051.59 |
| KansasKansas | — | $1,045.56 |
| KentuckyKentucky | — | $1,097.50 |
| New Orleans, LALouisiana | — | $1,147.76 |
| Rest of LouisianaLouisiana | — | $1,102.03 |
| Metropolitan Boston, MAMassachusetts | — | $1,233.58 |
| Rest of MassachusettsMassachusetts | — | $1,152.18 |
| Baltimore area, MDMaryland | — | $1,221.19 |
| Rest of MarylandMaryland | — | $1,150.04 |
| Rest of MaineMaine | — | $1,068.02 |
| Southern Maine, MEMaine | — | $1,095.67 |
| Detroit, MIMichigan | — | $1,233.66 |
| Rest of MichiganMichigan | — | $1,136.37 |
| MinnesotaMinnesota | — | $1,062.92 |
| Metropolitan Kansas City, MOMissouri | — | $1,124.77 |
| Metropolitan St. Louis, MOMissouri | — | $1,133.10 |
| Rest of MissouriMissouri | — | $1,095.72 |
| MississippiMississippi | — | $1,062.46 |
| MontanaMontana | — | $1,150.38 |
| North CarolinaNorth Carolina | — | $1,075.23 |
| North DakotaNorth Dakota | — | $1,067.53 |
| NebraskaNebraska | — | $1,034.99 |
| New HampshireNew Hampshire | — | $1,148.41 |
| Northern New JerseyNew Jersey | — | $1,259.91 |
| Rest of New JerseyNew Jersey | — | $1,224.00 |
| NevadaNevada | — | $1,127.66 |
| NYC suburbs and Long Island, NYNew York | — | $1,381.75 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,244.12 |
| Queens, NYNew York | — | $1,321.07 |
| Rest of New YorkNew York | — | $1,090.51 |
| OhioOhio | — | $1,119.44 |
| OklahomaOklahoma | — | $1,079.67 |
| Portland, OROregon | — | $1,166.32 |
| Rest of OregonOregon | — | $1,107.61 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,204.41 |
| Rest of PennsylvaniaPennsylvania | — | $1,112.48 |
| Puerto RicoPuerto Rico | — | $1,152.65 |
| Rhode IslandRhode Island | — | $1,159.95 |
| South CarolinaSouth Carolina | — | $1,101.42 |
| South DakotaSouth Dakota | — | $1,057.73 |
| TennesseeTennessee | — | $1,052.03 |
| Austin, TXTexas | — | $1,157.55 |
| Beaumont, TXTexas | — | $1,107.27 |
| Brazoria, TXTexas | — | $1,121.64 |
| Dallas, TXTexas | — | $1,135.05 |
| Fort Worth, TXTexas | — | $1,133.15 |
| Galveston, TXTexas | — | $1,129.10 |
| Houston, TXTexas | — | $1,205.79 |
| Rest of TexasTexas | — | $1,118.13 |
| UtahUtah | — | $1,114.08 |
| VirginiaVirginia | — | $1,103.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,152.65 |
| VermontVermont | — | $1,077.81 |
| Rest of WashingtonWashington | — | $1,145.22 |
| King County, WAWashington | — | $1,241.39 |
| WisconsinWisconsin | — | $1,038.20 |
| West VirginiaWest Virginia | — | $1,162.28 |
| WyomingWyoming | — | $1,114.27 |
56633 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 56633 rate is calculated
Each of 56633’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 · 56633
RVUs × geographic indexes × conversion factor
Work19.13
19.13 RVUs× 1.000 GPCI
Practice expense11.13
11.13 RVUs× 1.000 GPCI
Malpractice4.19
4.19 RVUs× 1.000 GPCI
Adjusted RVUs
34.4500
Conversion factor
$33.4009
Medicare rate
$1,150.66
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
6,417
- Code
- 56633
- Physician work
- 19.13
- Practice expense
- 11.13
- Malpractice
- 4.19
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.13 | × 1.000 | 19.1300 |
| Practice expense | 11.13 | × 0.917 | 10.2062 |
| Malpractice | 4.19 | × 1.201 | 5.0322 |
| Total RVUs | 34.3684 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1147.94
Facility: (19.13 × 1 + 11.13 × 0.917 + 4.19 × 1.201) × $33.4009 = $1147.94
Payment rules and modifiers for 56633
56633 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 56633
Vulvectomy, radical, complete
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 56633
Vulvectomy, radical, complete
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
56633 without 51 · national facility
$1,150.66
Vulvectomy, radical, complete
56633-51 · Second procedure: 50%
$575.33
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 56633 has changed in New Mexico
56633 · 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 | $1,147.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,147.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,147.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,147.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,112.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,112.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,112.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,112.02 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,221.67 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,221.67 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,221.67 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,221.67 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,201.73 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,222.49 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,222.49 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,222.49 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,222.49 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,234.01 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,234.01 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,234.01 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,234.01 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,226.23 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,226.23 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,226.23 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,226.23 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,244.21 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,244.21 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,244.21 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,244.21 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,277.35 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,277.35 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,277.35 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,277.35 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,261.46 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,261.46 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,261.46 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,261.46 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,251.42 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,251.42 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,251.42 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,251.42 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,239.57 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,239.57 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,239.57 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,239.57 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,242.96 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,242.96 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,236.78 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,236.78 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,193.03 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,193.03 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,193.03 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,193.03 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,148.83 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,148.83 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,148.83 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,148.83 | 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
56633 billing questions
How does this differ from a simple complete vulvectomy?
This code represents complete removal with radical depth and margins. A simple complete vulvectomy is selected when the operation is complete but does not involve radical excision.
Can this code be reported when inguinofemoral nodes are removed?
Use the corresponding code for a radical complete vulvectomy that includes unilateral or bilateral inguinofemoral lymphadenectomy. Code 56633 represents the vulvar excision without that node dissection.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code; the operation is not reported with modifier 50.
What documentation supports complete radical excision?
The operative report should establish that the entire vulva was removed and describe the radical depth and extent of excision. It should also clarify whether inguinofemoral lymphadenectomy was performed.
How does the 90-day global affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those included services are part of the surgical global package.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery and permits co-surgeons for this procedure. Team-surgery reporting 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
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