CPT 56634: Radical Vulvectomy with Unilateral Inguinofemoral Lymph Node Removal
CPT code 56634 denotes a radical vulvectomy, a major gynecologic oncology operation performed to remove all or part of the vulva for malignant disease and to excise unilateral inguinofemoral lymph nodes. As an extensive resective procedure often requiring inpatient surgical care, this code captures services with substantial clinical complexity and resource use. Nationally, accurate coding for radical vulvectomy affects surgical quality measurement, hospital reimbursement, and oncology care pathways.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and typical sites of service, plus what to expect in terms of documentation and coding considerations tied to major gynecologic oncologic surgery. The publication also summarizes benchmark metrics, common claim modifiers supplied in the input, and relevant policy considerations that frequently influence coverage and payment for extensive vulvar surgery.
This summary is intended for clinicians, coding professionals, and policy analysts seeking a national-level briefing on the clinical meaning and billing context of CPT code 56634, including the role the code plays in surgical oncology workflows and hospital billing lines. Data not available in the input are identified where applicable.
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Billing Code Overview
CPT code 56634 represents a radical vulvectomy, a surgical procedure to remove all or part of the vulva to treat malignant disease. The operation includes unilateral removal of the inguinofemoral lymph nodes and may include removal of the clitoris depending on disease extent. As a radical oncologic procedure, tissue adjacent to the malignancy is removed to achieve clear margins.
Service Type: Major gynecologic oncologic surgery
Typical Site of Service: Inpatient hospital surgical setting