No office rate
Both describe radical partial vulvectomy, but 56630 does not include inguinofemoral lymphadenectomy. Use 56632 when bilateral groin-node dissection is performed as part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
56632 Radical vulvectomy Medicare reimbursement rates in Iowa
Reports radical removal of part of the vulva together with bilateral inguinofemoral lymphadenectomy, typically for surgical treatment of vulvar cancer. Compare 56632 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 56632 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
$1203.92
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 oncology surgery
About 56632: Radical partial vulvectomy with bilateral node dissection
Reports radical removal of part of the vulva together with bilateral inguinofemoral lymphadenectomy, typically for surgical treatment of vulvar cancer.
This operation removes a portion of the vulva with a radical surgical margin and includes removal of inguinofemoral lymph nodes on both sides. It is typically performed by a gynecologic oncologist in an operating room for vulvar malignancy when the planned resection is partial rather than complete. The lymph-node dissection is part of the service represented by this code.
Select this code when the operative report supports radical partial vulvar resection and bilateral inguinofemoral lymphadenectomy; document the resection extent and the nodal dissection performed on each side. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available, and co-surgeons are permitted; team surgery is not permitted.
CMS billing rules for 56632
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU21.31 · 53%
- Practice expense (office) RVU14.09 · 35%
- Malpractice RVU4.64 · 12%
221
Medicare services in 2024 · #4233 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.
56632 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
56631 pairs radical partial vulvectomy with unilateral inguinofemoral lymphadenectomy; 56632 represents dissection on both sides.
No office rate
56633 is for radical complete vulvectomy without the included bilateral node dissection. This code describes partial resection with bilateral inguinofemoral lymphadenectomy.
No office rate
Both include bilateral inguinofemoral lymphadenectomy, but 56637 is for radical complete vulvectomy; this code is for radical partial vulvectomy.
Compare 56632 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
$1203.92
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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 56632 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,416
- Code
- 56632
- Physician work
- 21.31
- Practice expense
- 14.09
- Malpractice
- 4.64
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.31 | × 1.000 | 21.3100 |
| Practice expense | 14.09 | × 0.915 | 12.8924 |
| Malpractice | 4.64 | × 0.397 | 1.8421 |
| Total RVUs | 36.0444 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1203.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.31 | 1 |
| Practice expense | 14.09 | 0.915 |
| Malpractice | 4.64 | 0.397 |
(21.31 × 1 + 14.09 × 0.915 + 4.64 × 0.397) × $33.4009 = $1203.92
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.
56632 billing questions
When should this code be selected instead of 56631?
Use 56632 when the radical partial vulvectomy includes inguinofemoral lymphadenectomy on both sides. Code 56631 represents the unilateral lymphadenectomy version.
Is the bilateral lymphadenectomy separately reported?
The bilateral inguinofemoral lymphadenectomy is included in this combined service; it is not a separate add-on represented by this code.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment.
What operative documentation supports this code?
Document that the vulvar resection was radical and partial, and describe inguinofemoral lymph-node dissection on both sides.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be paid for this operation?
Assistant-at-surgery payment may be available, and co-surgeons are permitted. Team surgery 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.
6,41356625,,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
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
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