56634 Vlvctmy radiation complicated uni lymphad
Also known as: Radical complete vulvectomy with unilateral node dissection
Radical vulvectomy with complete tissue removal and unilateral lymphadenectomy. Removes entire vulva with lymph node dissection on one side.
In Plain Language
Complete deep vulva removal with one-sided lymph nodes
Clinical Context
Used for extensive central vulvar carcinoma with unilateral nodal involvement. Balances oncologic control with reduced surgical morbidity.
RVU Breakdown
| Work RVU | 20.14 |
| Total RVU | 20.14 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 20.14, this code ranks in the 82nd percentile among Surgery codes — 2.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 56634?
CPT 56634 (Vlvctmy radiation complicated uni lymphad) is a Surgery code. Radical vulvectomy with complete tissue removal and unilateral lymphadenectomy. Removes entire vulva with lymph node dissection on one side.
What is the wRVU value for CPT 56634?
The work RVU for CPT 56634 is 20.14. This code is primarily used by Gynecologic Oncology. It has a 90-day global period.
When is CPT 56634 used?
Used for extensive central vulvar carcinoma with unilateral nodal involvement. Balances oncologic control with reduced surgical morbidity.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.