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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 56633 |
| Medicaid Fee Schedule | View Medicaid rates for 56633 |
National average reimbursement for CPT 56633 by major payers:

$1,510.69

$1,588.16

$1,598.25

$1,954.58
Choose a payer to see a sample of rates for CPT 56633.
The Outpatient Center Of Boynton Beach, Ltd.
Ssc Holdings LLC
Pioneer Ambulatory Surgery Center LLC
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Rate Benchmarking
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See a sample payer proposalCPT 56633 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 56633 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 56633 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 56630-CPT | High | External Genital Surgery, Surgery To Remove Cancerous Tissue That Has Advanced Deeply Into The Genital Structure. This Procedure Involves Complete Removal Of The Vulva Along With Some Deeper Tissue And Lymph Nodes. Reconstructive Surgery Will Be Required. |
| 56631-CPT | High | External Genital Surgery, Surgery To Remove Cancerous Tissue That Has Advanced Deeply Into The Genital Structure. This Procedure Involves Complete Removal Of The Vulva Along With Some Deeper Tissue And Lymph Nodes. Reconstructive Surgery Will Be Required. |
| 56632-CPT | High | External Genital Surgery, Surgery To Remove Cancerous Tissue That Has Advanced Deeply Into The Genital Structure. This Procedure Involves Complete Removal Of The Vulva Along With Some Deeper Tissue And Lymph Nodes. Reconstructive Surgery Will Be Required. |
| 56633-CPT | High | Removal Of Female Genitals, Surgery To Remove A Womans Entire Genital Structure Including Tissue Deep In The Groin And Abdomen. The Procedure May Remove Lymph Nodes As Well. Reconstructive Surgery Will Be Required. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 56633. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 56633 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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