CPT code 56625: Vulvectomy2026 Medicare rate & RVUs in Guam
Reports complete removal of vulvar tissue by a simple rather than radical approach, without coding a groin lymphadenectomy as part of the service.
CMS doesn’t publish an office rate for 56625 in Guam.
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 9 sections
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.
56625 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $626.27 |
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
Work9.44
9.44 RVUs× 1.000 GPCI
Practice expense7.18
7.18 RVUs× 1.000 GPCI
Malpractice1.98
1.98 RVUs× 1.000 GPCI
Adjusted RVUs
18.6000
Conversion factor
$33.4009
Medicare rate
$621.26
Every GPCI starts 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
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 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.
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%).
56625 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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