No office rate
Use 56620 for a simple partial vulvar excision. This code is for a radical partial excision involving deeper underlying tissue.
On this page
CMS RVU26D · Effective 2026-10-01
56630 Vulvectomy Medicare reimbursement rates in Rhode Island
Reports radical removal of part of the vulva, including surrounding tissue, without inguinofemoral lymphadenectomy, typically for vulvar disease requiring excision. Compare 56630 office and facility rates across CMS payment localities in Rhode Island.
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 56630 in Rhode Island?
Rhode Island 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
$905.72
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 56630: Radical partial vulvectomy
Reports radical removal of part of the vulva, including surrounding tissue, without inguinofemoral lymphadenectomy, typically for vulvar disease requiring excision.
A gynecologic surgeon, often a gynecologic oncologist, performs this operation to remove a portion of the vulva along with deeper underlying tissue and a surrounding margin. It is most often used to treat vulvar cancer when the planned excision is radical but does not include inguinofemoral lymph node dissection. The service is generally performed in an operating room, with the operative report documenting the anatomic extent of the vulvar excision and whether nodes were dissected.
Choose this code for a radical partial excision without lymphadenectomy; a simple partial excision is less extensive, while adding unilateral or bilateral inguinofemoral lymphadenectomy changes the code. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For procedures 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 not appropriate for this service. CMS may pay for an assistant at surgery; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 56630
- 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 RVU14.43 · 54%
- Practice expense (office) RVU9.27 · 34%
- Malpractice RVU3.18 · 12%
836
Medicare services in 2024 · #3110 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.
56630 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
Use 56631 when the radical partial excision includes unilateral inguinofemoral lymphadenectomy; this code describes the excision without that node dissection.
No office rate
Use 56632 when the radical partial excision includes bilateral inguinofemoral lymphadenectomy. This code does not include lymphadenectomy.
No office rate
Use 56633 for radical excision of the complete vulva. This code is for a radical excision of only a portion.
Compare 56630 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$905.72
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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 56630 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,414
- Code
- 56630
- Physician work
- 14.43
- Practice expense
- 9.27
- Malpractice
- 3.18
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.43 | × 1.019 | 14.7042 |
| Practice expense | 9.27 | × 1.033 | 9.5759 |
| Malpractice | 3.18 | × 0.892 | 2.8366 |
| Total RVUs | 27.1166 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$905.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.43 | 1.019 |
| Practice expense | 9.27 | 1.033 |
| Malpractice | 3.18 | 0.892 |
(14.43 × 1.019 + 9.27 × 1.033 + 3.18 × 0.892) × $33.4009 = $905.72
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.
56630 billing questions
How does this differ from a simple partial vulvectomy?
This code represents a radical excision that includes deeper underlying tissue and surrounding tissue. A simple partial vulvectomy is less extensive.
Can this code be reported when inguinofemoral nodes are dissected?
No. Select the radical partial vulvectomy code that reflects unilateral or bilateral inguinofemoral lymphadenectomy when that dissection is performed.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this service; use the code matching the operation and any lymphadenectomy performed.
Are related postoperative visits included?
Yes. The 90-day global period includes related postoperative care, as well as the day-before preoperative visit.
Can an assistant or co-surgeon be reported?
CMS may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation, while team-surgery payment 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.
6,41156606,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537