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Billing code 54530: OrchiectomyMedicare rate & RVUs

Radical inguinal orchiectomy removes a testis and spermatic cord, typically for a suspected testicular malignancy, through an inguinal approach.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.1K Medicare services in 2024

Medicare pays $469.28 for 54530 nationally in a facility.

Medicare rate · 54530

Orchiectomy

Swap in your local Medicare rate.

Work RVUs
8.25
Total RVUs
14.05
Global days
090

National rate · 2026

$469.28

Facility setting, before claim adjustments.

See every locality for 54530 → · Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 54530 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 54530 covers

An inguinal radical orchiectomy removes the testis and spermatic cord through a groin incision, with the cord divided high in the inguinal canal. Urologists most often perform it in an operating room when a testicular mass is suspected to be malignant; the specimen is removed without entering through the scrotum. The operation may be performed on one side or both, depending on the clinical plan.

Report 54530 for the radical inguinal operation, rather than a simple orchiectomy, partial removal, or diagnostic biopsy. The operative report should establish the inguinal approach, radical removal of the testis and cord, and laterality. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. For bilateral surgery, modifier 50 is paid at 150%. When other procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS may pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

Where 54530 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

54530 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$433.61
Alaska*Unavailable$600.60
ArizonaUnavailable$459.09
ArkansasUnavailable$429.21
AtlantaUnavailable$480.07
AustinUnavailable$474.69
BakersfieldUnavailable$475.06
Baltimore/Surr. CntysUnavailable$493.91
BeaumontUnavailable$452.55
BrazoriaUnavailable$461.92

54530 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

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View every state and territory as a table
54530 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 54530 rate is calculated

Each of 54530’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 54530

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.25Practice expense 4.69Malpractice 1.11

14.0500 adjusted RVUs×$33.4009 conversion factor=$469.28

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 54530

54530 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54530

Orchiectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 54530

Orchiectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

54530 without 50 · national facility

$469.28

Orchiectomy

54530-50 · Bilateral: 150%

$703.92

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

54530 compared with similar codes

Compare codes

54530 vs 54520 vs 54522 vs 54535 vs 54505: national Medicare rates

Swap in your local Medicare rate.

  • 54530
    Orchiectomy · 8.25 wRVU
    —
  • 54520
    Testis removal · 5.17 wRVU
    —
  • 54522
    Partial orchiectomy · 9.99 wRVU
    —
  • 54535
    Radical orchiectomy · 12.86 wRVU
    —
  • 54505
    Testicular biopsy · 3.41 wRVU
    —

How to choose

54520Testis removal
54520 describes simple orchiectomy. Use 54530 when the operation is radical, performed through an inguinal approach, and includes removal of the spermatic cord.
54522Partial orchiectomy
54522 is for partial orchiectomy, preserving some testicular tissue. 54530 is for radical removal of the testis and spermatic cord.
54535Radical orchiectomy
54535 is the related radical tumor procedure with abdominal exploration. 54530 describes the inguinal radical operation without that exploration.
54505Testicular biopsy
54505 reports an incisional testicular biopsy for tissue sampling; 54530 reports radical removal of the testis and cord.

Codes related to 54530

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 54530
CodeHow it relatesNational office range
Used instead
54520Testis removalSimple orchiectomy is reported for testis removal that does not meet the radical inguinal procedure.No office rate
54522Partial orchiectomyPartial orchiectomy removes part of the testis rather than the entire testis and cord.No office rate
Same family
54535Radical orchiectomyRelated radical tumor surgery that includes abdominal exploration.No office rate

54530 billing questions

How is 54530 different from a simple orchiectomy?

54530 describes radical removal through an inguinal approach, including the spermatic cord. A simple orchiectomy is a different operation and does not represent this radical tumor procedure.

Can 54530 be reported for partial removal of a testis?

No. Use the code for partial orchiectomy when only part of the testis is removed; 54530 represents radical removal of the testis and spermatic cord.

What documentation supports reporting 54530?

The operative report should support the inguinal approach and radical removal of the testis and spermatic cord, and identify the side or sides treated.

How is bilateral surgery handled?

For bilateral surgery, CMS pays 54530 with modifier 50 at 150%.

Are related postoperative visits separately payable?

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 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 54530PPRRVU2026_Oct_nonQPP.csv, line 6,313 (RVU26D)

Open CMS sourceHow we calculate rates

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