No office rate
Both are simple vulvectomies; 56620 removes a portion, while 56625 is used when the simple removal is complete.
On this page
CMS RVU26D · Effective 2026-10-01
56620 Vulvectomy Medicare reimbursement rates in Iowa
Report a simple partial vulvectomy when the surgeon removes a portion of the vulva without the extent of a radical vulvectomy. Compare 56620 office and facility rates across CMS payment localities in Iowa.
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 56620 in Iowa?
Iowa 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
$495.01
1 of 1 localities have a supported rate.
Payment area: Iowa
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 56620: Simple partial vulvectomy
Report a simple partial vulvectomy when the surgeon removes a portion of the vulva without the extent of a radical vulvectomy.
A simple partial vulvectomy removes a portion of vulvar tissue. A gynecologic surgeon typically performs it in an operating room for a localized vulvar condition requiring excision rather than diagnostic sampling alone. The operative note should identify the vulvar site and extent removed, the indication, and the procedure performed; the specimen can then be matched to the pathology record.
Select this code for a partial, simple excision, rather than a complete simple vulvectomy or a radical operation. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one 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 for this code. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 56620
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.34 · 45%
- Practice expense (office) RVU7.52 · 46%
- Malpractice RVU1.51 · 9%
3.4K
Medicare services in 2024 · #2103 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.
56620 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
56630 describes a radical partial vulvectomy. Choose 56620 when the operative service is a simple partial excision, not a radical operation.
$85.32
56605 is for vulvar or perineal biopsy sampling. 56620 represents removal of a portion of the vulva, not a limited diagnostic biopsy.
Compare 56620 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
Iowa →
Office / nonfacility
Unavailable
Facility
$495.01
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 56620 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,412
- Code
- 56620
- Physician work
- 7.34
- Practice expense
- 7.52
- Malpractice
- 1.51
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.34 | × 1.000 | 7.3400 |
| Practice expense | 7.52 | × 0.915 | 6.8808 |
| Malpractice | 1.51 | × 0.397 | 0.5995 |
| Total RVUs | 14.8203 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$495.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.34 | 1 |
| Practice expense | 7.52 | 0.915 |
| Malpractice | 1.51 | 0.397 |
(7.34 × 1 + 7.52 × 0.915 + 1.51 × 0.397) × $33.4009 = $495.01
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.
56620 billing questions
How does 56620 differ from 56625?
56620 is for removal of part of the vulva. Use 56625 when the simple vulvectomy removes the vulva completely.
When is 56620 preferable to a vulvar biopsy code?
Use 56620 for a partial vulvar excision, rather than limited tissue sampling for diagnosis. Biopsy codes 56605 and 56606 describe sampling, not this partial vulvectomy.
Does the 90-day global include postoperative visits?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Should modifier 50 be appended for bilateral excision?
No. The CMS bilateral adjustment does not apply to 56620, and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting 56620?
Document the indication, vulvar site and extent excised, and the operation performed. The note should make clear that the procedure was partial and simple rather than complete or radical.
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.
6,40956515,,Destroy vulva lesion/s compl,A,,3.00,4.67,,2.18,,0.51,8.18,5.69,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41056605,,Biopsy of vulva/perineum,A,,1.07,1.54,,0.29,,0.19,2.80,1.55,0,000,0.00,0.00,0.00,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41156606,,Biopsy of vulva/perineum,A,,0.54,0.54,,0.13,,0.09,1.17,0.76,0,ZZZ,0.00,0.00,0.00,0,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41256620,,Vulvectomy simple partial,A,,7.34,7.52,NA,7.52,,1.51,16.37,16.37,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41356625,,Vulvectomy simple complete,A,,9.44,7.18,NA,7.18,,1.98,18.60,18.60,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,41456630,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136