CPT code 56634: Radical vulvectomy, complete, unilateral node dissection2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,226.86 for 56634 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 56634 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 56634 covers

This operation removes the vulva by a radical approach and includes inguinofemoral lymphadenectomy on one side. It is generally performed in an operating room by a gynecologic oncologist or other surgeon treating vulvar cancer when the planned resection is complete and regional node surgery is indicated. The code distinguishes this service from complete radical vulvectomy without node dissection and from the bilateral node-dissection version.

Select the code from the operative plan and report: documentation should establish complete radical vulvar resection and which inguinofemoral side was dissected. The lymphadenectomy is included in this service. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Report the unilateral service as described; modifier 50 is inappropriate. CMS permits payment for an assistant at surgery and co-surgeons, but not team surgery.

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 56634

Across 109 of 109 payment localities, the facility rate for 56634 runs from $1,096.86 in Arkansas to $1,521.31 in Alaska. New Mexico pays $1,226.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

56634 rates by state

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

See 56634 in every payment locality

How the 56634 rate is calculated

Each of 56634’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 56634

56634 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 56634

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

How 56634 has changed in New Mexico

Price 56634 for an earlier date of service

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

Browse all communities in New Mexico

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