56637 Vlvctmy radiation complicated bi lymphad
Also known as: Radical complete vulvectomy with bilateral node dissection
Radical vulvectomy with complete tissue removal and bilateral lymphadenectomy. Removes entire vulva with lymph node dissection on both sides.
In Plain Language
Complete deep vulva removal with both-sided lymph nodes
Clinical Context
Standard approach for most primary vulvar carcinomas. Provides comprehensive staging and treatment of regional nodes.
RVU Breakdown
| Work RVU | 24.13 |
| Total RVU | 24.13 |
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 24.13, this code ranks in the 88th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 56637?
CPT 56637 (Vlvctmy radiation complicated bi lymphad) is a Surgery code. Radical vulvectomy with complete tissue removal and bilateral lymphadenectomy. Removes entire vulva with lymph node dissection on both sides.
What is the wRVU value for CPT 56637?
The work RVU for CPT 56637 is 24.13. This code is primarily used by Gynecologic Oncology. It has a 90-day global period.
When is CPT 56637 used?
Standard approach for most primary vulvar carcinomas. Provides comprehensive staging and treatment of regional nodes.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.