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.
In Plain Language
Complete deep vulva removal with deep 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 |
| Total RVU | 24.16 |
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 24.16, 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 56640?
CPT 56640 (Vlvctmy radiation complicated with lymphadec) is a Surgery code. Radical vulvectomy with complete tissue removal and pelvic lymphadenectomy. Removes entire vulva with dissection of pelvic lymph nodes.
What is the wRVU value for CPT 56640?
The work RVU for CPT 56640 is 24.16. This code is primarily used by Gynecologic Oncology. It has a 90-day global period.
When is CPT 56640 used?
Used when vulvar carcinoma has involved inguinal nodes or when extensive pelvic nodal disease is present. Highest morbidity but most comprehensive staging.
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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.