Billing code 56632: Radical vulvectomyMedicare rate & RVUs in Utah
Reports radical removal of part of the vulva together with bilateral inguinofemoral lymphadenectomy, typically for surgical treatment of vulvar cancer.
CMS doesn’t publish an office rate for 56632 in Utah.
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 56632 covers
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.
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 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,293.33 |
How the 56632 rate is calculated
Each of 56632’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 · 56632
RVUs × geographic indexes × conversion factor
Work21.31
21.31 RVUs× 1.000 GPCI
Practice expense14.09
14.09 RVUs× 1.000 GPCI
Malpractice4.64
4.64 RVUs× 1.000 GPCI
Adjusted RVUs
40.0400
Conversion factor
$33.4009
Medicare rate
$1,337.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 56632
56632 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 56632
Radical 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) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| 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 · 56632
Radical 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
56632 without 51 · national facility
$1,337.37
Radical vulvectomy
56632-51 · Second procedure: 50%
$668.69
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%).
56632 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 56630Vulvectomy
- 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.
- 56631Radical vulvectomy
- 56631 pairs radical partial vulvectomy with unilateral inguinofemoral lymphadenectomy; 56632 represents dissection on both sides.
- 56633Vulvectomy
- 56633 is for radical complete vulvectomy without the included bilateral node dissection. This code describes partial resection with bilateral inguinofemoral lymphadenectomy.
- 56637Radical vulvectomy
- Both include bilateral inguinofemoral lymphadenectomy, but 56637 is for radical complete vulvectomy; this code is for radical partial vulvectomy.
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 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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