No office rate
54512 describes excision of a testicular lesion; 54522 is appropriate when the surgeon performs a partial orchiectomy, removing a portion of the testis.
On this page
CMS RVU26D · Effective 2026-10-01
54522 Partial orchiectomy Medicare reimbursement rates
A urologist removes a localized portion of testicular tissue while preserving the remaining testis, typically for a selected focal mass requiring surgical treatment. Compare 54522 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 54522?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 54522 pays more and less
Urologic surgery
About 54522: Partial testis removal with tissue preservation
A urologist removes a localized portion of testicular tissue while preserving the remaining testis, typically for a selected focal mass requiring surgical treatment.
A urologist removes a localized portion of testicular tissue and preserves the remainder of the testis. This approach may be selected for a small intratesticular mass when testis-sparing surgery is appropriate, including cases where retaining testicular tissue is clinically important. The operation is generally performed in an operating room; the removed tissue is evaluated to guide care and establish the diagnosis.
Report this code when the operation removes part of the testis, rather than only sampling tissue or removing the entire testis. The operative report should identify the side, the extent of tissue removed, and the tissue-preserving intent. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, CMS pays 150%. In the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54522
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.99 · 62%
- Practice expense (office) RVU4.74 · 30%
- Malpractice RVU1.29 · 8%
24
Medicare services in 2024 · #5820 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
54522 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
54520 is for removal of the testis. Use 54522 when testicular tissue is removed but the remainder of the testis is preserved.
No office rate
54530 describes radical orchiectomy through an inguinal approach, with removal of the whole testis; 54522 is the tissue-preserving partial operation.
See how rates vary across the country
54522 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 54522 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $496.59 |
| Alaska* | Office Unavailable | Facility $692.86 |
| Arizona | Office Unavailable | Facility $523.97 |
| Arkansas | Office Unavailable | Facility $491.86 |
| Atlanta | Office Unavailable | Facility $547.28 |
| Austin | Office Unavailable | Facility $540.02 |
| Bakersfield | Office Unavailable | Facility $539.77 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $562.19 |
| Beaumont | Office Unavailable | Facility $517.77 |
| Brazoria | Office Unavailable | Facility $526.85 |
| Chicago | Office Unavailable | Facility $594.01 |
| Chico | Office Unavailable | Facility $535.96 |
| Colorado | Office Unavailable | Facility $539.78 |
| Connecticut | Office Unavailable | Facility $562.99 |
| Dallas | Office Unavailable | Facility $531.33 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $586.15 |
| Delaware | Office Unavailable | Facility $530.50 |
| Detroit | Office Unavailable | Facility $559.10 |
| East St. Louis | Office Unavailable | Facility $566.11 |
| El Centro | Office Unavailable | Facility $536.18 |
| Fort Lauderdale | Office Unavailable | Facility $571.96 |
| Fort Worth | Office Unavailable | Facility $530.31 |
| Fresno | Office Unavailable | Facility $535.96 |
| Galveston | Office Unavailable | Facility $529.23 |
| Hanford-Corcoran | Office Unavailable | Facility $535.96 |
| Hawaii, Guam | Office Unavailable | Facility $538.63 |
| Houston | Office Unavailable | Facility $552.84 |
| Idaho | Office Unavailable | Facility $499.71 |
| Indiana | Office Unavailable | Facility $501.38 |
| Iowa | Office Unavailable | Facility $495.64 |
| Kansas | Office Unavailable | Facility $498.51 |
| Kentucky | Office Unavailable | Facility $513.85 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $563.26 |
| Madera | Office Unavailable | Facility $535.96 |
| Manhattan | Office Unavailable | Facility $607.33 |
| Merced | Office Unavailable | Facility $535.96 |
| Metropolitan Boston | Office Unavailable | Facility $574.74 |
| Metropolitan Kansas City | Office Unavailable | Facility $524.43 |
| Metropolitan Philadelphia | Office Unavailable | Facility $555.90 |
| Metropolitan St. Louis | Office Unavailable | Facility $527.57 |
| Miami | Office Unavailable | Facility $607.45 |
| Minnesota | Office Unavailable | Facility $509.34 |
| Mississippi | Office Unavailable | Facility $501.83 |
| Modesto | Office Unavailable | Facility $535.96 |
| Montana** | Office Unavailable | Facility $535.00 |
| Napa | Office Unavailable | Facility $585.25 |
| Nebraska | Office Unavailable | Facility $496.09 |
| Nevada** | Office Unavailable | Facility $528.05 |
| New Hampshire | Office Unavailable | Facility $536.19 |
| New Mexico | Office Unavailable | Facility $530.60 |
| New Orleans | Office Unavailable | Facility $531.60 |
| North Carolina | Office Unavailable | Facility $508.92 |
| North Dakota** | Office Unavailable | Facility $509.49 |
| Northern Nj | Office Unavailable | Facility $584.37 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $623.29 |
| Ohio | Office Unavailable | Facility $521.65 |
| Oklahoma | Office Unavailable | Facility $508.53 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $557.00 |
| Portland | Office Unavailable | Facility $546.96 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $574.19 |
| Puerto Rico | Office Unavailable | Facility $536.18 |
| Queens | Office Unavailable | Facility $604.30 |
| Redding | Office Unavailable | Facility $535.96 |
| Rest Of California | Office Unavailable | Facility $535.96 |
| Rest Of Florida | Office Unavailable | Facility $549.79 |
| Rest Of Georgia | Office Unavailable | Facility $526.26 |
| Rest Of Illinois | Office Unavailable | Facility $545.57 |
| Rest Of Louisiana | Office Unavailable | Facility $515.07 |
| Rest Of Maine | Office Unavailable | Facility $506.13 |
| Rest Of Maryland | Office Unavailable | Facility $536.79 |
| Rest Of Massachusetts | Office Unavailable | Facility $540.07 |
| Rest Of Michigan | Office Unavailable | Facility $526.87 |
| Rest Of Missouri | Office Unavailable | Facility $512.11 |
| Rest Of New Jersey | Office Unavailable | Facility $567.17 |
| Rest Of New York | Office Unavailable | Facility $514.37 |
| Rest Of Oregon | Office Unavailable | Facility $521.65 |
| Rest Of Pennsylvania | Office Unavailable | Facility $519.73 |
| Rest Of Texas | Office Unavailable | Facility $522.83 |
| Rest Of Washington | Office Unavailable | Facility $537.51 |
| Rhode Island | Office Unavailable | Facility $541.99 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $549.95 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $552.91 |
| Salinas | Office Unavailable | Facility $550.61 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $556.39 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $608.38 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $606.92 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $621.77 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $615.78 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $542.77 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $556.14 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $550.71 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $561.20 |
| Seattle (King Cnty) | Office Unavailable | Facility $579.82 |
| South Carolina | Office Unavailable | Facility $516.59 |
| South Dakota** | Office Unavailable | Facility $506.47 |
| Southern Maine | Office Unavailable | Facility $517.76 |
| Stockton | Office Unavailable | Facility $535.96 |
| Suburban Chicago | Office Unavailable | Facility $574.96 |
| Tennessee | Office Unavailable | Facility $500.73 |
| Utah | Office Unavailable | Facility $521.19 |
| Vallejo | Office Unavailable | Facility $583.14 |
| Vermont | Office Unavailable | Facility $512.21 |
| Virgin Islands | Office Unavailable | Facility $536.18 |
| Virginia | Office Unavailable | Facility $519.72 |
| Visalia | Office Unavailable | Facility $535.96 |
| West Virginia | Office Unavailable | Facility $532.91 |
| Wisconsin | Office Unavailable | Facility $498.62 |
| Wyoming** | Office Unavailable | Facility $523.88 |
| Yuba City | Office Unavailable | Facility $535.96 |
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54522 billing questions
When should this be reported instead of a testicular biopsy?
Report 54522 when the surgeon removes a portion of the testis as treatment, rather than taking tissue samples for diagnosis. The operative report should support the extent of the resection.
How does this differ from excision of a testicular lesion?
Choose 54522 when the procedure is a partial orchiectomy involving removal of part of the testis. Choose 54512 when the documented operation is excision of a lesion and does not constitute partial orchiectomy.
How is bilateral partial orchiectomy reported?
Use modifier 50 for bilateral reporting. CMS pays the bilateral procedure at 150%.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,30954505,,Biopsy of testis,A,,3.41,1.94,NA,1.94,,0.43,5.78,5.78,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31054512,,Excise lesion testis,A,,9.10,4.39,NA,4.39,,1.19,14.68,14.68,0,090,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31154520,,Removal of testis,A,,5.17,3.25,NA,3.25,,0.73,9.15,9.15,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31254522,,Orchiectomy partial,A,,9.99,4.74,NA,4.74,,1.29,16.02,16.02,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31354530,,Removal of testis,A,,8.25,4.69,NA,4.69,,1.11,14.05,14.05,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31454535,,Extensive testis surgery,A,,12.86,5.66,NA,5.66,,1.65,20.17,20.17,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31554550,,Exploration for testis,A,,8.20,4.25,NA,4.25,,1.07,13.52,13.52,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00