56640 Vlvctmy radiation complicated with lymphadec
Also known as: Radical vulvectomy with pelvic node dissection
Radical vulvectomy with complete tissue removal and pelvic lymphadenectomy. Removes entire vulva with dissection of pelvic lymph nodes.
Clinical Context
Used when vulvar carcinoma has involved inguinal nodes or when extensive pelvic nodal disease is present. Highest morbidity but most comprehensive staging.
RVU Breakdown
| Work RVU | 24.16 |
| Practice Expense RVU | 13.13 |
| Malpractice RVU | 5.59 |
| Total RVU | 42.88 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.