No office rate
56625 represents complete but simple vulvar removal. Choose 56633 when the documentation supports radical excision and deeper margins.
On this page
CMS RVU26D · Effective 2026-10-01
56633 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1132.97
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gynecologic surgery
About 56633: Radical complete vulvectomy
Reported for radical removal of the entire vulva, typically to treat vulvar cancer when the operation does not include inguinofemoral lymphadenectomy.
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.
CMS billing rules for 56633
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.13 · 56%
- Practice expense (office) RVU11.13 · 32%
- Malpractice RVU4.19 · 12%
108
Medicare services in 2024 · #4824 by national volume
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.
56633 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
56630 is a radical partial vulvectomy. Choose 56633 when the radical excision encompasses the entire vulva.
No office rate
56634 includes unilateral inguinofemoral lymphadenectomy with radical complete vulvectomy; 56633 represents the vulvar operation without that node dissection.
No office rate
56637 includes bilateral inguinofemoral lymphadenectomy with radical complete vulvectomy; 56633 does not include the node dissection.
The same code, a different location
How does El Centro compare?
56633 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Modesto
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Napa
California · 56633
Office
Unavailable
Facility
$1240.28
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 56633
Office
Unavailable
Facility
$1183.45
No comparable office rate is available.
Redding
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Rest Of California
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 56633
Office
Unavailable
Facility
$1177.28
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 56633
Office
Unavailable
Facility
$1169.32
No comparable office rate is available.
Salinas
California · 56633
Office
Unavailable
Facility
$1164.64
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 56633
Office
Unavailable
Facility
$1178.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 56633
Office
Unavailable
Facility
$1288.07
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 56633
Office
Unavailable
Facility
$1283.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 56633
Office
Unavailable
Facility
$1320.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 56633
Office
Unavailable
Facility
$1300.87
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 56633
Office
Unavailable
Facility
$1148.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 56633
Office
Unavailable
Facility
$1179.07
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 56633
Office
Unavailable
Facility
$1165.33
No comparable office rate is available.
Santa Rosa-Petaluma
California · 56633
Office
Unavailable
Facility
$1189.65
No comparable office rate is available.
Stockton
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Vallejo
California · 56633
Office
Unavailable
Facility
$1233.42
No comparable office rate is available.
Visalia
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Yuba City
California · 56633
Office
Unavailable
Facility
$1132.27
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 56633
Office
Unavailable
Facility
$1267.15
No comparable office rate is available.
Miami
Florida · 56633
Office
Unavailable
Facility
$1379.89
No comparable office rate is available.
Chicago
Illinois · 56633
Office
Unavailable
Facility
$1338.23
No comparable office rate is available.
Manhattan
New York · 56633
Office
Unavailable
Facility
$1333.79
No comparable office rate is available.
Alaska*
Alaska · 56633
Office
Unavailable
Facility
$1431.47
No comparable office rate is available.
Alabama
Alabama · 56633
Office
Unavailable
Facility
$1043.45
No comparable office rate is available.
Arkansas
Arkansas · 56633
Office
Unavailable
Facility
$1030.37
No comparable office rate is available.
Arizona
Arizona · 56633
Office
Unavailable
Facility
$1118.98
No comparable office rate is available.
Colorado
Colorado · 56633
Office
Unavailable
Facility
$1151.47
No comparable office rate is available.
Connecticut
Connecticut · 56633
Office
Unavailable
Facility
$1221.45
No comparable office rate is available.
Delaware
Delaware · 56633
Office
Unavailable
Facility
$1135.26
No comparable office rate is available.
Fort Lauderdale
Florida · 56633
Office
Unavailable
Facility
$1268.57
No comparable office rate is available.
Rest Of Florida
Florida · 56633
Office
Unavailable
Facility
$1204.70
No comparable office rate is available.
Atlanta
Georgia · 56633
Office
Unavailable
Facility
$1186.66
No comparable office rate is available.
Rest Of Georgia
Georgia · 56633
Office
Unavailable
Facility
$1137.38
No comparable office rate is available.
Hawaii, Guam
Hawaii · 56633
Office
Unavailable
Facility
$1142.67
No comparable office rate is available.
Iowa
Iowa · 56633
Office
Unavailable
Facility
$1034.67
No comparable office rate is available.
Idaho
Idaho · 56633
Office
Unavailable
Facility
$1047.17
No comparable office rate is available.
East St. Louis
Illinois · 56633
Office
Unavailable
Facility
$1262.83
No comparable office rate is available.
Rest Of Illinois
Illinois · 56633
Office
Unavailable
Facility
$1197.11
No comparable office rate is available.
Suburban Chicago
Illinois · 56633
Office
Unavailable
Facility
$1273.21
No comparable office rate is available.
Indiana
Indiana · 56633
Office
Unavailable
Facility
$1051.59
No comparable office rate is available.
Kansas
Kansas · 56633
Office
Unavailable
Facility
$1045.56
No comparable office rate is available.
Kentucky
Kentucky · 56633
Office
Unavailable
Facility
$1097.50
No comparable office rate is available.
New Orleans
Louisiana · 56633
Office
Unavailable
Facility
$1147.76
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 56633
Office
Unavailable
Facility
$1102.03
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 56633
Office
Unavailable
Facility
$1233.58
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 56633
Office
Unavailable
Facility
$1152.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 56633
Office
Unavailable
Facility
$1221.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 56633
Office
Unavailable
Facility
$1150.04
No comparable office rate is available.
Rest Of Maine
Maine · 56633
Office
Unavailable
Facility
$1068.02
No comparable office rate is available.
Southern Maine
Maine · 56633
Office
Unavailable
Facility
$1095.67
No comparable office rate is available.
Detroit
Michigan · 56633
Office
Unavailable
Facility
$1233.66
No comparable office rate is available.
Rest Of Michigan
Michigan · 56633
Office
Unavailable
Facility
$1136.37
No comparable office rate is available.
Minnesota
Minnesota · 56633
Office
Unavailable
Facility
$1062.92
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 56633
Office
Unavailable
Facility
$1124.77
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 56633
Office
Unavailable
Facility
$1133.10
No comparable office rate is available.
Rest Of Missouri
Missouri · 56633
Office
Unavailable
Facility
$1095.72
No comparable office rate is available.
Mississippi
Mississippi · 56633
Office
Unavailable
Facility
$1062.46
No comparable office rate is available.
Montana**
Montana · 56633
Office
Unavailable
Facility
$1150.38
No comparable office rate is available.
North Carolina
North Carolina · 56633
Office
Unavailable
Facility
$1075.23
No comparable office rate is available.
North Dakota**
North Dakota · 56633
Office
Unavailable
Facility
$1067.53
No comparable office rate is available.
Nebraska
Nebraska · 56633
Office
Unavailable
Facility
$1034.99
No comparable office rate is available.
New Hampshire
New Hampshire · 56633
Office
Unavailable
Facility
$1148.41
No comparable office rate is available.
Northern Nj
New Jersey · 56633
Office
Unavailable
Facility
$1259.91
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 56633
Office
Unavailable
Facility
$1224.00
No comparable office rate is available.
New Mexico
New Mexico · 56633
Office
Unavailable
Facility
$1147.94
No comparable office rate is available.
Nevada**
Nevada · 56633
Office
Unavailable
Facility
$1127.66
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 56633
Office
Unavailable
Facility
$1381.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 56633
Office
Unavailable
Facility
$1244.12
No comparable office rate is available.
Queens
New York · 56633
Office
Unavailable
Facility
$1321.07
No comparable office rate is available.
Rest Of New York
New York · 56633
Office
Unavailable
Facility
$1090.51
No comparable office rate is available.
Ohio
Ohio · 56633
Office
Unavailable
Facility
$1119.44
No comparable office rate is available.
Oklahoma
Oklahoma · 56633
Office
Unavailable
Facility
$1079.67
No comparable office rate is available.
Portland
Oregon · 56633
Office
Unavailable
Facility
$1166.32
No comparable office rate is available.
Rest Of Oregon
Oregon · 56633
Office
Unavailable
Facility
$1107.61
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 56633
Office
Unavailable
Facility
$1204.41
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 56633
Office
Unavailable
Facility
$1112.48
No comparable office rate is available.
Puerto Rico
Puerto Rico · 56633
Office
Unavailable
Facility
$1152.65
No comparable office rate is available.
Rhode Island
Rhode Island · 56633
Office
Unavailable
Facility
$1159.95
No comparable office rate is available.
South Carolina
South Carolina · 56633
Office
Unavailable
Facility
$1101.42
No comparable office rate is available.
South Dakota**
South Dakota · 56633
Office
Unavailable
Facility
$1057.73
No comparable office rate is available.
Tennessee
Tennessee · 56633
Office
Unavailable
Facility
$1052.03
No comparable office rate is available.
Austin
Texas · 56633
Office
Unavailable
Facility
$1157.55
No comparable office rate is available.
Beaumont
Texas · 56633
Office
Unavailable
Facility
$1107.27
No comparable office rate is available.
Brazoria
Texas · 56633
Office
Unavailable
Facility
$1121.64
No comparable office rate is available.
Dallas
Texas · 56633
Office
Unavailable
Facility
$1135.05
No comparable office rate is available.
Fort Worth
Texas · 56633
Office
Unavailable
Facility
$1133.15
No comparable office rate is available.
Galveston
Texas · 56633
Office
Unavailable
Facility
$1129.10
No comparable office rate is available.
Houston
Texas · 56633
Office
Unavailable
Facility
$1205.79
No comparable office rate is available.
Rest Of Texas
Texas · 56633
Office
Unavailable
Facility
$1118.13
No comparable office rate is available.
Utah
Utah · 56633
Office
Unavailable
Facility
$1114.08
No comparable office rate is available.
Virginia
Virginia · 56633
Office
Unavailable
Facility
$1103.20
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 56633
Office
Unavailable
Facility
$1152.65
No comparable office rate is available.
Vermont
Vermont · 56633
Office
Unavailable
Facility
$1077.81
No comparable office rate is available.
Rest Of Washington
Washington · 56633
Office
Unavailable
Facility
$1145.22
No comparable office rate is available.
Seattle (King Cnty)
Washington · 56633
Office
Unavailable
Facility
$1241.39
No comparable office rate is available.
Wisconsin
Wisconsin · 56633
Office
Unavailable
Facility
$1038.20
No comparable office rate is available.
West Virginia
West Virginia · 56633
Office
Unavailable
Facility
$1162.28
No comparable office rate is available.
Wyoming**
Wyoming · 56633
Office
Unavailable
Facility
$1114.27
No comparable office rate is available.
See how rates vary across the country
56633 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 56633 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1246.27
$1132.97 × 110% = $1246.27
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 56633 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
6,417
- Code
- 56633
- Physician work
- 19.13
- Practice expense
- 11.13
- Malpractice
- 4.19
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.13 | × 1.017 | 19.4552 |
| Practice expense | 11.13 | × 1.096 | 12.1985 |
| Malpractice | 4.19 | × 0.541 | 2.2668 |
| Total RVUs | 33.9205 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$1132.97
Open 56633 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.13 | 1.017 |
| Practice expense | 11.13 | 1.096 |
| Malpractice | 4.19 | 0.541 |
(19.13 × 1.017 + 11.13 × 1.096 + 4.19 × 0.541) × $33.4009 = $1132.97
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1132.97 | RVU26D |
| 2026-07-01 | Not available in this setting | $1132.97 | RVU26C |
| 2026-04-01 | Not available in this setting | $1132.97 | RVU26B |
| 2026-01-01 | Not available in this setting | $1132.97 | RVU26A |
| 2025-10-01 | Not available in this setting | $1128.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $1128.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $1128.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $1128.96 | RVU25A |
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,41456630,,Vulvectomy radical partial,A,,14.43,9.27,NA,9.27,,3.18,26.88,26.88,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41556631,,Vlvctmy rad prtl uni lymphad,A,,18.52,10.65,NA,10.65,,4.05,33.22,33.22,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41656632,,Vlvctmy rad prtl bi lymphad,A,,21.31,14.09,NA,14.09,,4.64,40.04,40.04,0,090,0.12,0.74,0.14,2,2,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41756633,,Vulvectomy radical complete,A,,19.13,11.13,NA,11.13,,4.19,34.45,34.45,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41856634,,Vlvctmy rad comp uni lymphad,A,,20.14,11.99,NA,11.99,,4.66,36.79,36.79,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41956637,,Vlvctmy rad comp bi lymphad,A,,24.13,13.16,NA,13.16,,5.59,42.88,42.88,0,090,0.12,0.74,0.14,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,42056640,,Vlvctmy rad comp w/lymphadec,A,,24.16,13.13,NA,13.13,,5.59,42.88,42.88,0,090,0.12,0.74,0.14,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664