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Billing code 55150: ScrotectomyMedicare rate & RVUs

Removal of scrotal tissue, reported for extensive disease or tissue destruction when the operative service goes beyond a localized lesion excision or abscess drainage.

CMS RVU26DEffective Oct 1, 2026109 payment localities530 Medicare services in 2024

Medicare pays $455.59 for 55150 nationally in a facility.

Medicare rate · 55150

Scrotectomy

Swap in your local Medicare rate.

Work RVUs
7.94
Total RVUs
13.64
Global days
090

National rate · 2026

$455.59

Facility setting, before claim adjustments.

See every locality for 55150 → · 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 55150 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 55150 covers

This service removes scrotal tissue rather than draining a collection, exploring the scrotum, or excising only a discrete lesion. Urologists and other surgeons may perform it for extensive disease or severely damaged tissue, including tissue loss associated with Fournier gangrene or extensive hidradenitis. The operative report should make clear the extent of tissue removed and why removal was required; a localized lesion alone points to a different service.

Report 55150 for the scrotal removal actually performed, and document any distinct procedures performed during the same session. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; 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 55150 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

55150 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$420.64
Alaska*Unavailable$582.02
ArizonaUnavailable$445.61
ArkansasUnavailable$416.33
AtlantaUnavailable$466.10
AustinUnavailable$460.96
BakersfieldUnavailable$461.34
Baltimore/Surr. CntysUnavailable$479.65
BeaumontUnavailable$439.14
BrazoriaUnavailable$448.39

55150 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
55150 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 55150 rate is calculated

Each of 55150’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 · 55150

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.94Practice expense 4.62Malpractice 1.08

13.6400 adjusted RVUs×$33.4009 conversion factor=$455.59

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

Payment rules and modifiers for 55150

55150 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 55150

Scrotectomy

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)0The 150% bilateral adjustment doesn’t apply.
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 · 55150

Scrotectomy

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 51 · payment effect

With and without the modifier

55150 without 51 · national facility

$455.59

Scrotectomy

55150-51 · Second procedure: 50%

$227.80

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

55150 compared with similar codes

Compare codes

55150 vs 55120 vs 55100 vs 55110 vs 55175: national Medicare rates

Swap in your local Medicare rate.

  • 55150
    Scrotectomy · 7.94 wRVU
    —
  • 55120
    Scrotal lesion · 5.58 wRVU
    —
  • 55100
    Scrotal abscess drainage · 2.39 wRVU
    $248.17
  • 55110
    Scrotal exploration · 6.17 wRVU
    —
  • 55175
    Scrotal revision · 5.72 wRVU
    —

How to choose

55120Scrotal lesion
55120 is for a localized scrotal lesion. 55150 is used when the operative service removes scrotal tissue more broadly.
55100Scrotal abscess drainage
55100 describes drainage of a scrotal abscess; 55150 describes removal of scrotal tissue, not drainage alone.
55110Scrotal exploration
55110 describes scrotal exploration. Choose 55150 when the documented operation removes scrotal tissue.
55175Scrotal revision
55175 is a scrotal revision procedure. It concerns revision or repair, whereas 55150 concerns tissue removal.

Codes related to 55150

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

Codes related to 55150
CodeHow it relatesNational office range
Used instead
55120Scrotal lesionFor removal of a localized scrotal lesion rather than broader scrotal tissue excision.No office rate
55100Scrotal abscess drainageFor drainage of a scrotal abscess when the service is drainage rather than tissue removal.$220.07–$319.86
55110Scrotal explorationFor scrotal exploration when exploration, rather than tissue removal, is the operative service.No office rate

55150 billing questions

How does 55150 differ from 55120?

55150 describes removal of scrotal tissue. Use 55120 when the operative service is removal of a localized scrotal lesion rather than broader tissue excision.

Can 55150 be reported for abscess drainage?

Not when the service is drainage of a scrotal abscess without removal of scrotal tissue. The drainage procedure is described by 55100.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for 55150 because of its descriptor or anatomy.

What postoperative care is included?

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?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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

CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are paid at 50%.

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 55150PPRRVU2026_Oct_nonQPP.csv, line 6,343 (RVU26D)

Open CMS sourceHow we calculate rates

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