No office rate
Both address an intra-abdominal undescended testis, but 54650 is for the abdominal approach; 54692 is for operative laparoscopy.
On this page
CMS RVU26D · Effective 2026-10-01
54692 Laparoscopic orchiopexy Medicare reimbursement rates
Report 54692 when a surgeon uses operative laparoscopy to locate and fix an intra-abdominal undescended testis into the scrotum. Compare 54692 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 54692?
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 54692 pays more and less
Urology surgery
About 54692: Laparoscopic orchiopexy for intra-abdominal testis
Report 54692 when a surgeon uses operative laparoscopy to locate and fix an intra-abdominal undescended testis into the scrotum.
A urologist, often a pediatric urologist, performs this operation for an undescended testis located within the abdomen. Through laparoscopic access, the surgeon identifies and mobilizes the testis and positions it in the scrotum. The operative report should establish the intra-abdominal location and describe the laparoscopic approach and fixation performed.
Select 54692 for laparoscopic orchiopexy, not solely because diagnostic laparoscopy was used. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 54692
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.40 · 66%
- Practice expense (office) RVU5.26 · 26%
- Malpractice RVU1.72 · 8%
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.
54692 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Use 54640 when orchiopexy is performed through an inguinal or scrotal approach, rather than laparoscopically for an intra-abdominal testis.
No office rate
54690 describes laparoscopic orchiectomy, which removes the testis; 54692 fixes the testis in the scrotum.
See how rates vary across the country
54692 · 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 54692 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 $633.82 |
| Alaska* | Office Unavailable | Facility $890.12 |
| Arizona | Office Unavailable | Facility $666.99 |
| Arkansas | Office Unavailable | Facility $628.08 |
| Atlanta | Office Unavailable | Facility $696.41 |
| Austin | Office Unavailable | Facility $685.25 |
| Bakersfield | Office Unavailable | Facility $683.62 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $714.31 |
| Beaumont | Office Unavailable | Facility $660.82 |
| Brazoria | Office Unavailable | Facility $670.07 |
| Chicago | Office Unavailable | Facility $759.12 |
| Chico | Office Unavailable | Facility $678.53 |
| Colorado | Office Unavailable | Facility $684.74 |
| Connecticut | Office Unavailable | Facility $715.25 |
| Dallas | Office Unavailable | Facility $675.88 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $742.64 |
| Delaware | Office Unavailable | Facility $675.04 |
| Detroit | Office Unavailable | Facility $713.97 |
| East St. Louis | Office Unavailable | Facility $724.91 |
| El Centro | Office Unavailable | Facility $678.82 |
| Fort Lauderdale | Office Unavailable | Facility $729.41 |
| Fort Worth | Office Unavailable | Facility $674.87 |
| Fresno | Office Unavailable | Facility $678.53 |
| Galveston | Office Unavailable | Facility $673.18 |
| Hanford-Corcoran | Office Unavailable | Facility $678.53 |
| Hawaii, Guam | Office Unavailable | Facility $680.59 |
| Houston | Office Unavailable | Facility $704.66 |
| Idaho | Office Unavailable | Facility $636.38 |
| Indiana | Office Unavailable | Facility $638.36 |
| Iowa | Office Unavailable | Facility $631.13 |
| Kansas | Office Unavailable | Facility $635.35 |
| Kentucky | Office Unavailable | Facility $656.33 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $711.91 |
| Madera | Office Unavailable | Facility $678.53 |
| Manhattan | Office Unavailable | Facility $771.48 |
| Merced | Office Unavailable | Facility $678.53 |
| Metropolitan Boston | Office Unavailable | Facility $726.82 |
| Metropolitan Kansas City | Office Unavailable | Facility $668.67 |
| Metropolitan Philadelphia | Office Unavailable | Facility $707.06 |
| Metropolitan St. Louis | Office Unavailable | Facility $672.39 |
| Miami | Office Unavailable | Facility $775.75 |
| Minnesota | Office Unavailable | Facility $645.36 |
| Mississippi | Office Unavailable | Facility $641.30 |
| Modesto | Office Unavailable | Facility $678.53 |
| Montana** | Office Unavailable | Facility $680.60 |
| Napa | Office Unavailable | Facility $736.51 |
| Nebraska | Office Unavailable | Facility $631.45 |
| Nevada** | Office Unavailable | Facility $671.29 |
| New Hampshire | Office Unavailable | Facility $680.73 |
| New Mexico | Office Unavailable | Facility $677.68 |
| New Orleans | Office Unavailable | Facility $678.16 |
| North Carolina | Office Unavailable | Facility $648.20 |
| North Dakota** | Office Unavailable | Facility $646.59 |
| Northern Nj | Office Unavailable | Facility $740.92 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $791.79 |
| Ohio | Office Unavailable | Facility $665.89 |
| Oklahoma | Office Unavailable | Facility $649.10 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $703.56 |
| Portland | Office Unavailable | Facility $692.67 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $729.61 |
| Puerto Rico | Office Unavailable | Facility $681.78 |
| Queens | Office Unavailable | Facility $766.72 |
| Redding | Office Unavailable | Facility $678.53 |
| Rest Of California | Office Unavailable | Facility $678.53 |
| Rest Of Florida | Office Unavailable | Facility $701.88 |
| Rest Of Georgia | Office Unavailable | Facility $672.77 |
| Rest Of Illinois | Office Unavailable | Facility $697.77 |
| Rest Of Louisiana | Office Unavailable | Facility $658.09 |
| Rest Of Maine | Office Unavailable | Facility $644.94 |
| Rest Of Maryland | Office Unavailable | Facility $682.58 |
| Rest Of Massachusetts | Office Unavailable | Facility $685.52 |
| Rest Of Michigan | Office Unavailable | Facility $672.84 |
| Rest Of Missouri | Office Unavailable | Facility $654.97 |
| Rest Of New Jersey | Office Unavailable | Facility $720.35 |
| Rest Of New York | Office Unavailable | Facility $654.86 |
| Rest Of Oregon | Office Unavailable | Facility $662.95 |
| Rest Of Pennsylvania | Office Unavailable | Facility $663.14 |
| Rest Of Texas | Office Unavailable | Facility $666.18 |
| Rest Of Washington | Office Unavailable | Facility $682.11 |
| Rhode Island | Office Unavailable | Facility $688.81 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $697.19 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $698.80 |
| Salinas | Office Unavailable | Facility $695.86 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $702.26 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $764.18 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $762.23 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $780.94 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $772.96 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $686.08 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $701.23 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $695.75 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $707.54 |
| Seattle (King Cnty) | Office Unavailable | Facility $732.46 |
| South Carolina | Office Unavailable | Facility $658.74 |
| South Dakota** | Office Unavailable | Facility $642.56 |
| Southern Maine | Office Unavailable | Facility $657.93 |
| Stockton | Office Unavailable | Facility $678.53 |
| Suburban Chicago | Office Unavailable | Facility $732.94 |
| Tennessee | Office Unavailable | Facility $638.12 |
| Utah | Office Unavailable | Facility $664.31 |
| Vallejo | Office Unavailable | Facility $733.70 |
| Vermont | Office Unavailable | Facility $650.57 |
| Virgin Islands | Office Unavailable | Facility $681.78 |
| Virginia | Office Unavailable | Facility $660.83 |
| Visalia | Office Unavailable | Facility $678.53 |
| West Virginia | Office Unavailable | Facility $682.46 |
| Wisconsin | Office Unavailable | Facility $633.58 |
| Wyoming** | Office Unavailable | Facility $665.77 |
| Yuba City | Office Unavailable | Facility $678.53 |
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54692 billing questions
How does 54692 differ from 54650?
54692 describes laparoscopic orchiopexy for an intra-abdominal testis. Use 54650 for the abdominal approach rather than the laparoscopic approach.
Can 54692 be reported for bilateral orchiopexy?
For bilateral surgery, report modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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.
6,32254670,,Repair testis injury,A,,6.48,4.02,NA,4.02,,0.84,11.34,11.34,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32354680,,Relocation of testis(es),A,,13.69,5.86,NA,5.86,,1.76,21.31,21.31,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32454690,,Laparoscopy orchiectomy,A,,11.41,4.89,NA,4.89,,1.46,17.76,17.76,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32554692,,Laparoscopy orchiopexy,A,,13.40,5.26,NA,5.26,,1.72,20.38,20.38,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32654699,,Unlisted laps px testis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32754700,,I&d epdidyms tstis&/scrot sp,A,,3.38,2.13,NA,2.13,,0.48,5.99,5.99,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32854800,,Biopsy of epididymis,A,,2.27,0.78,NA,0.78,,0.28,3.33,3.33,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00