Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 CPT code 56632

Radical partial vulvectomy with bilateral inguinofemoral lymphadenectomy.

Adhere to the latest CPT coding guidelines and official coding manuals for accurate reporting.Follow the guidelines provided in the CPT manual's Surgery section.

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.

IMPORTANT:For partial radical vulvectomy with inguinofemoral lymph node biopsy without complete inguinofemoral lymphadenectomy, use 56630 in conjunction with 38531.

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.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.