Billing code 56620: VulvectomyMedicare rate & RVUs in Ohio
Report a simple partial vulvectomy when the surgeon removes a portion of the vulva without the extent of a radical vulvectomy.
CMS doesn’t publish an office rate for 56620 in Ohio.
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 56620 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $525.32 |
How the 56620 rate is calculated
Each of 56620’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 · 56620
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.34Practice expense 7.52Malpractice 1.51
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 56620
56620 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 56620
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 · 56620
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
56620 without 51 · national facility
$546.77
Vulvectomy
56620-51 · Second procedure: 50%
$273.39
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%).
56620 compared with similar codes
Compare codes
56620 vs 56625 vs 56630 vs 56605: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 56625Vulvectomy
- Both are simple vulvectomies; 56620 removes a portion, while 56625 is used when the simple removal is complete.
- 56630Vulvectomy
- 56630 describes a radical partial vulvectomy. Choose 56620 when the operative service is a simple partial excision, not a radical operation.
- 56605Vulvar biopsy
- 56605 is for vulvar or perineal biopsy sampling. 56620 represents removal of a portion of the vulva, not a limited diagnostic biopsy.
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 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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