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CPT 56631 RVU Values & Medicare Payment 2026

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Code-level payment context

review the code record, calculate payment with fixed assumptions, compare locality or setting effects, and route into benchmark review when needed.

Input: CPT 56631, setting, participant status, and locality
Source basis: CMS 2026 CPT/HCPCS RVU components, typical setting, 2026 conversion factor assumption, GPCI locality examples, and related-code mapping.
Result boundary: The page does not validate code selection, payer-specific edits, modifier rules, or documentation support.

Compare locality impactKeep the code fixed and change geography only.Next action Check specialty benchmarkUse wRVU context after the code-level payment review.Next action

RVU payment profile

CPT 56631 is calculated with its CMS 2026 RVU components, the National Average GPCI locality, the non-facility practice expense setting, and the non-QPP conversion factor.

wRVU

18.52

Total RVU

33.22

Medicare payment

$1,109.58

CPT 56631 setting and related-code comparison

Compare the same CPT under both PE settings, then review adjacent codes using National Average GPCI and the selected 2026 conversion factor.

Setting	Work RVU	PE RVU	MP RVU	Total RVU	Payment
Non-facility	18.52	10.65	4.05	33.22	$1,109.58
Facility	18.52	10.65	4.05	33.22	$1,109.58

Setting note: CPT 56631 keeps the same work RVU across this comparison, while practice expense RVU changes from 10.65 non-facility PE RVU to 10.65 facility PE RVU. Use one setting consistently when comparing localities or adjacent CPT codes.

Related CPT	Descriptor	wRVU	Typical setting	National payment
CPT 56625	Vulvectomy simple complete	9.44	Non-facility	$621.26
CPT 56630	Vulvectomy radical partial	14.43	Non-facility	$897.82
CPT 56632	Vlvctmy rad prtl bi lymphad	21.31	Non-facility	$1,337.37
CPT 56633	Vulvectomy radical complete	19.13	Non-facility	$1,150.66
CPT 99214	Office o/p est mod 30 min	1.92	Non-facility	$135.61

CPT RVU and Medicare payment calculator

Search a CPT code, choose geography and participation status, then review work RVU, PE RVU, MP RVU, total RVU, and estimated Medicare payment. Use work RVU for productivity context and total RVU for Medicare payment estimates.

Inputs

CPT code or keyword

GPCI locality

Setting

Conversion factor

Results

Estimated Medicare payment

$1,109.58

33.22 total RVU in National Average, National.

wRVU

18.52

PE RVU

10.65

MP RVU

4.05

Total RVU

33.22

Non-QPP

$1,109.58

QPP

$1,115.11

QPP delta

$5.53

How to use this result

Payment estimate: use total RVU and non-QPP $33.4009 for Medicare payment review.
Productivity review: use work RVU separately; total RVU is not a physician productivity target.
Before relying on it: confirm office / non-facility, National Average, and payer-specific billing rules.

Review

Calculation formula

Total RVU = work RVU x GPCI work + PE RVU x GPCI PE + MP RVU x GPCI MP. Payment = total RVU x selected 2026 conversion factor. Non-QPP uses $33.4009 and QPP uses $33.5675.

Selected calculation assumptions

CPT: 56631
Setting: office / non-facility
Conversion factor: non-QPP $33.4009
Work GPCI: 1.000
PE GPCI: 1.000
MP GPCI: 1.000

Professional use

Source-aware calculation path

Keep this CPT, setting, locality, and conversion factor fixed when moving into geography, contract, or benchmark review.

Next tool action

Compare GPCI Review contract Check benchmark

Next CPT checks

Related CPT codes

56625 56630 56632 56633 99214

Same specialty checks

Try nearby specialty codes without leaving the calculator

CPT 56631: 33.22 total RVU, $1,109.58 Medicare payment (National Average, NON-QPP)

Payment by representative localities

Locality	wRVU	Total RVU	Medicare Payment
National: National Average	18.52	33.22	$1,109.58
California: San Francisco	18.52	35.99	$1,202.26
California: Los Angeles	18.52	34.21	$1,142.76
New York: Manhattan	18.52	38.50	$1,286.06
New York: Rest of New York	18.52	34.76	$1,161.07
Texas: Dallas	18.52	32.77	$1,094.51
Texas: Houston	18.52	34.82	$1,162.90
Florida: Miami	18.52	39.85	$1,331.00

CPT 56631 code profile

CMS 2026 Physician Fee Schedule inputs for this CPT/HCPCS code, including the site-of-service assumption used for the payment examples on this page.

Descriptor

Vlvctmy rad prtl uni lymphad

Work RVU

18.52

PE RVU

10.65

MP RVU

4.05

Typical setting: Office / non-facility
Specialty mapping: Emergency Medicine
Related codes: 56625, 56630, 56632, 56633, 99214

Interpretation notes

RVU components are payment inputs, not clinical coding guidance. Confirm code selection, modifiers, payer policy, and documentation requirements through the official CMS source files or billing review. Locality-adjusted estimates should be interpreted with the selected setting, GPCI locality, and QPP status held constant.

Emergency Medicine benchmarks CPT 56625 CPT 56630 CPT 56632 CPT 56633 CPT 99214

CPT FAQ

Common RVU and payment questions for CPT 56631.

What is the wRVU for CPT 56631?

The imported CMS 2026 Physician Fee Schedule source files list 18.52 work RVU for CPT 56631.

What is the national payment estimate for CPT 56631?

Using national GPCI and the 2026 non-QPP conversion factor, the estimate is $1,109.58.

Does locality change the payment?

Yes. GPCI values adjust work, practice expense, and malpractice components by geography.