2025 CPT code 56632
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Female Genital System - Excision Procedures on the Vulva, Perineum and Introitus Surgery Feed
Radical partial vulvectomy with bilateral inguinofemoral lymphadenectomy.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT manual for specific modifier guidelines.Modifier -50 may be used for bilateral procedures.
Medical necessity for this procedure is established by the presence of a vulvar malignancy requiring surgical resection and lymph node assessment for staging and treatment purposes.The extent of surgery is dictated by the size, location, and aggressiveness of the tumor.
The surgical procedure is performed by a gynecologist, gynecologic oncologist, or surgeon experienced in vulvar surgery. Responsibilities include pre-operative planning, informed consent, surgical technique, post-operative care, and follow-up.
- Surgery
- Surgical Procedures on the Female Genital System > Excision Procedures on the Vulva, Perineum and Introitus
In simple words: This surgery removes part of the vulva and lymph nodes in the groin area to treat cancer. The doctor removes the cancerous part of the vulva and surrounding tissue to make sure all the cancer is gone. They also take out lymph nodes to check if the cancer has spread.
This surgical procedure involves the removal of a portion (less than 80%) of the vulva and the bilateral inguinofemoral lymph nodes.The extent of vulvar tissue resection depends on the location and size of the malignancy.It may include removal of adjacent deep fascia, lower abdominal tissue, and/or perineal tissue to ensure clear margins.The procedure typically begins with lymph node dissection in the groin, followed by vulvar excision. Hemostasis is achieved with ligation of the pudendal vessels and electrocautery.Wound closure is accomplished with absorbable sutures, possibly supplemented by a skin graft if necessary. A Foley catheter is often placed.
Example 1: A 60-year-old female patient presents with a 2cm invasive squamous cell carcinoma of the right labia majora.A radical partial vulvectomy with bilateral inguinofemoral lymphadenectomy is performed. Sentinel node biopsy is not performed., A 55-year-old female presents with a large, locally advanced vulvar melanoma. A radical partial vulvectomy with bilateral inguinofemoral lymphadenectomy and skin grafting are performed., A 72-year-old female presents with recurrent vulvar cancer following prior treatment. A radical partial vulvectomy with bilateral inguinofemoral lymphadenectomy is indicated.
** This code is for a radical partial vulvectomy, meaning less than 80% of the vulva is removed.For complete removal, use a different code. Always refer to the latest CPT guidelines for correct coding.
- Revenue Code: P1G (Major Procedure - Other)
- RVU: The relative value units (RVUs) for CPT code 56632 vary based on geographic location, facility type, and other factors.Consult the appropriate fee schedules for current RVU values.
- Global Days: The global period for this procedure is not explicitly defined in available sources.Refer to payer-specific guidelines for determination of the global surgical period.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not typically applicable to this code.
- Fee Schedule: Historical fee schedule data is not available in this dataset. Consult your payer's historical fee schedules for this code.
- Specialties:Gynecology, Gynecologic Oncology, Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center