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 Vulvectomy Medicare reimbursement rates in Idaho
Reported for radical removal of the entire vulva, typically to treat vulvar cancer when the operation does not include inguinofemoral lymphadenectomy. Compare 56633 office and facility rates across CMS payment localities in Idaho.
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.
What does Medicare pay for 56633 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1047.17
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Idaho, 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.
Compare 56633 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$1047.17
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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 Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,417
- Code
- 56633
- Physician work
- 19.13
- Practice expense
- 11.13
- Malpractice
- 4.19
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.13 | × 1.000 | 19.1300 |
| Practice expense | 11.13 | × 0.920 | 10.2396 |
| Malpractice | 4.19 | × 0.473 | 1.9819 |
| Total RVUs | 31.3515 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$1047.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.13 | 1 |
| Practice expense | 11.13 | 0.92 |
| Malpractice | 4.19 | 0.473 |
(19.13 × 1 + 11.13 × 0.92 + 4.19 × 0.473) × $33.4009 = $1047.17
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.
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
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772