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Billing code 54600: Testicular torsion repairMedicare rate & RVUs

Surgical detorsion of an acutely twisted testis, with fixation when performed, is reported for operative treatment of testicular torsion.

CMS RVU26DEffective Oct 1, 2026109 payment localities36 Medicare services in 2024

Medicare pays $417.18 for 54600 nationally in a facility.

Medicare rate · 54600

Testicular torsion repair

Swap in your local Medicare rate.

Work RVUs
7.45
Total RVUs
12.49
Global days
090

National rate · 2026

$417.18

Facility setting, before claim adjustments.

See every locality for 54600 → · 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 54600 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 54600 covers

This service treats acute testicular torsion by surgically untwisting the spermatic cord and restoring the testis to its normal position. The surgeon may also secure the affected testis and the opposite testis to reduce the risk of another torsion. Urologists most often perform the operation urgently in a hospital or other surgical facility after evaluation for acute scrotal pain and suspected torsion.

Report 54600 when the operative work reduces torsion; fixation performed as part of that treatment is included. The operative report should identify the affected side, confirm torsion, and describe the reduction and any fixation. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral reporting with modifier 50, CMS pays 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 does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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 54600 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

54600 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$386.23
Alaska*Unavailable$536.06
ArizonaUnavailable$408.34
ArkansasUnavailable$382.41
AtlantaUnavailable$426.55
AustinUnavailable$421.92
BakersfieldUnavailable$422.45
Baltimore/Surr. CntysUnavailable$438.71
BeaumontUnavailable$402.64
BrazoriaUnavailable$410.89

54600 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.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
54600 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 54600 rate is calculated

Each of 54600’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 · 54600

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.45Practice expense 4.08Malpractice 0.96

12.4900 adjusted RVUs×$33.4009 conversion factor=$417.18

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

Payment rules and modifiers for 54600

54600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54600

Testicular torsion repair

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
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 · 54600

Testicular torsion repair

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

54600 without 50 · national facility

$417.18

Testicular torsion repair

54600-50 · Bilateral: 150%

$625.77

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

54600 compared with similar codes

Compare codes

54600 vs 54620 vs 54640 vs 54692 vs 54660: national Medicare rates

Swap in your local Medicare rate.

  • 54600
    Testicular torsion repair · 7.45 wRVU
    —
  • 54620
    Testicular suspension · 5.08 wRVU
    —
  • 54640
    Orchiopexy · 7.54 wRVU
    —
  • 54692
    Laparoscopic orchiopexy · 13.4 wRVU
    —
  • 54660
    Testicular revision · 5.6 wRVU
    —

How to choose

54620Testicular suspension
54600 treats active torsion and may include fixation. 54620 is fixation of a testis when torsion is not being reduced.
54640Orchiopexy
54600 surgically untwists a torsed testis. 54640 is an orchiopexy for an undescended testis approached through the inguinal or scrotal route.
54692Laparoscopic orchiopexy
54600 treats testicular torsion. 54692 is laparoscopic orchiopexy for an intra-abdominal undescended testis.
54660Testicular revision
54600 reduces acute torsion. 54660 describes revision of a testis rather than detorsion.

Codes related to 54600

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

Codes related to 54600
CodeHow it relatesNational office range
Used instead
54620Testicular suspensionTestis fixation without active torsion; fixation during torsion reduction is included in 54600.No office rate
54640OrchiopexyOrchiopexy for an undescended testis rather than surgical reduction of acute torsion.No office rate
54692Laparoscopic orchiopexyLaparoscopic orchiopexy for an intra-abdominal undescended testis, not torsion reduction.No office rate

54600 billing questions

When should 54600 be chosen instead of an orchiopexy code?

Use 54600 when the operation surgically reduces active testicular torsion. Orchiopexy codes such as 54640 or 54692 describe operations for an undescended testis, not reduction of torsion.

Can fixation be reported separately from 54600?

Fixation performed as part of the torsion operation is included in 54600. The operative note should describe whether fixation was performed and on which side.

How does CMS handle bilateral reporting?

CMS lists this as a bilateral procedure; modifier 50 is paid at 150% when the service is performed bilaterally. Document the work performed on each side.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Are assistant surgeons or co-surgeons payable?

CMS does not pay an assistant at surgery for 54600. Co-surgeons and team surgery are not permitted.

How is 54600 affected by another procedure in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

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 54600PPRRVU2026_Oct_nonQPP.csv, line 6,317 (RVU26D)

Open CMS sourceHow we calculate rates

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