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Billing code 56625: VulvectomyMedicare rate & RVUs

Reports complete removal of vulvar tissue by a simple rather than radical approach, without coding a groin lymphadenectomy as part of the service.

CMS RVU26DEffective Oct 1, 2026109 payment localities113 Medicare services in 2024

Medicare pays $621.26 for 56625 nationally in a facility.

Medicare rate · 56625

Vulvectomy

Swap in your local Medicare rate.

Work RVUs
9.44
Total RVUs
18.60
Global days
090

National rate · 2026

$621.26

Facility setting, before claim adjustments.

See every locality for 56625 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 56625 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 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.

Where 56625 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

56625 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$562.58
Alaska*Unavailable$764.80
ArizonaUnavailable$604.30
ArkansasUnavailable$555.37
AtlantaUnavailable$639.33
AustinUnavailable$628.26
BakersfieldUnavailable$624.41
Baltimore/Surr. CntysUnavailable$659.48
BeaumontUnavailable$594.98
BrazoriaUnavailable$607.07

56625 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
56625 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 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.

How the rate is built · 56625

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 9.44Practice expense 7.18Malpractice 1.98

18.6000 adjusted RVUs×$33.4009 conversion factor=$621.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 56625

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

CMS payment indicators · 56625

Vulvectomy

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 56625

Vulvectomy

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

56625 without 51 · national facility

$621.26

Vulvectomy

56625-51 · Second procedure: 50%

$310.63

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

56625 compared with similar codes

Compare codes

56625 vs 56620 vs 56630 vs 56633 vs 56640: national Medicare rates

Swap in your local Medicare rate.

  • 56625
    Vulvectomy · 9.44 wRVU
    —
  • 56620
    Vulvectomy · 7.34 wRVU
    —
  • 56630
    Vulvectomy · 14.43 wRVU
    —
  • 56633
    Vulvectomy · 19.13 wRVU
    —
  • 56640
    Radical vulvectomy · 24.16 wRVU
    —

How to choose

56620Vulvectomy
Use 56620 for a simple partial vulvectomy. Code 56625 represents complete removal by a simple approach.
56630Vulvectomy
Use 56630 when the vulvectomy is radical but partial. Code 56625 is complete and simple, not radical.
56633Vulvectomy
Both represent complete vulvectomy, but 56633 is radical. The documented depth and extent of resection distinguish it from 56625.
56640Radical vulvectomy
Use 56640 for radical complete vulvectomy with lymphadenectomy; 56625 describes a complete simple vulvectomy without that nodal service.

Codes related to 56625

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

Codes related to 56625
CodeHow it relatesNational office range
Same family
56620VulvectomySimple partial vulvectomy; differs in the amount of vulvar tissue removed.No office rate
Used instead
56630VulvectomyRadical partial vulvectomy, selected for a radical approach involving only part of the vulva.No office rate
56633VulvectomyRadical complete vulvectomy, distinguished by the radical extent of resection.No office rate
56640Radical vulvectomyRadical complete vulvectomy with lymphadenectomy, when the operative service includes that nodal dissection.No office rate

56625 billing questions

How is this code different from a partial simple vulvectomy?

This code represents removal of the complete vulvar area. Use the partial code when the operation removes only part of the vulva.

Does this code include groin lymph node dissection?

No. A groin lymphadenectomy is not represented by this code; the operative extent and nodal procedure affect selection among the radical vulvectomy codes.

Should modifier 50 be reported for bilateral vulvar work?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What postoperative care is included in the global period?

The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

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 56625PPRRVU2026_Oct_nonQPP.csv, line 6,413 (RVU26D)

Open CMS sourceHow we calculate rates

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