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Billing code 54620: Testicular suspensionMedicare rate & RVUs

Reports an operation that suspends a testis in its intended position; distinguish it from orchiopexy for an undescended or intra-abdominal testis.

CMS RVU26DEffective Oct 1, 2026109 payment localities14 Medicare services in 2024

Medicare pays $272.55 for 54620 nationally in a facility.

Medicare rate · 54620

Testicular suspension

Work RVUs
5.08
Total RVUs
8.16
Global days
010

National rate · 2026

$272.55

Facility setting, before claim adjustments.

See every locality for 54620 →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 54620 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 54620 covers

A urologist or other qualified surgeon performs this operation to suspend a testis in the intended position. The operative report should make clear what was suspended, the side, the clinical reason, and the final position. This is a specific testicular operation, not a general label for every procedure that fixes or relocates a testis.

Report 54620 when the documented operation is testicular suspension, rather than an orchiopexy selected for an undescended testis or a procedure addressing acute torsion. Include the indication, operative steps, and laterality in the record. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; 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 54620 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

54620 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$252.98
Alaska*Unavailable$352.92
ArizonaUnavailable$266.91
ArkansasUnavailable$250.58
AtlantaUnavailable$278.72
AustinUnavailable$275.12
BakersfieldUnavailable$275.08
Baltimore/Surr. CntysUnavailable$286.34
BeaumontUnavailable$263.71
BrazoriaUnavailable$268.40

54620 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
54620 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 54620 rate is calculated

Each of 54620’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 · 54620

RVUs × geographic indexes × conversion factor

Work5.08

5.08 RVUs× 1.000 GPCI

Practice expense2.43

2.43 RVUs× 1.000 GPCI

Malpractice0.65

0.65 RVUs× 1.000 GPCI

Adjusted RVUs

8.1600

Conversion factor

$33.4009

Medicare rate

$272.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 54620

54620 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54620

Testicular suspension

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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 · 54620

Testicular suspension

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

54620 without 50 · national facility

$272.55

Testicular suspension

54620-50 · Bilateral: 150%

$408.83

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

54620 compared with similar codes

Compare codes · National

4 codes, side by side

  • 54620

    Testicular suspension5.08 wRVU

    Not priced

  • 54640

    Orchiopexy7.54 wRVU

    Not priced

  • 54650

    Orchiopexy12.08 wRVU

    Not priced

  • 54600

    Testicular torsion repair7.45 wRVU

    Not priced

How to choose

54640Orchiopexy
54640 describes orchiopexy through an inguinal or scrotal approach for an undescended testis. Choose 54620 when the documented service is testicular suspension instead.
54650Orchiopexy
54650 applies to orchiopexy for an intra-abdominal testis. It is not the code for a separately documented testicular suspension.
54600Testicular torsion repair
54600 is for surgical reduction of testicular torsion. Report 54620 when suspension, rather than torsion reduction, is the operation documented.

Codes related to 54620

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

Codes related to 54620
CodeHow it relatesNational office range
Used instead
54640OrchiopexyOrchiopexy by inguinal or scrotal approach for an undescended testis.No office rate
54650OrchiopexyOrchiopexy for an intra-abdominal testis, including the specified operative approach.No office rate
54600Testicular torsion repairSurgical treatment of testicular torsion, rather than suspension as the documented procedure.No office rate

54620 billing questions

How is 54620 different from orchiopexy for an undescended testis?

Use 54620 when the documented operation is suspension of the testis. Orchiopexy codes apply when the operative approach and circumstances match treatment of an undescended testis.

Does the 10-day global period include postoperative visits?

Yes. Related postoperative visits during the 10 days after the procedure are included in the global period.

How is bilateral suspension reported?

When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.

Can an assistant or co-surgeon be reported?

CMS does not pay assistant-at-surgery services for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and the other procedures at 50% under the standard multiple procedure reduction.

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 54620PPRRVU2026_Oct_nonQPP.csv, line 6,318 (RVU26D)

Open CMS sourceHow we calculate rates

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