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Billing code 55600: VesiculotomyMedicare rate & RVUs

An uncomplicated operative incision into a seminal vesicle, reported when the surgeon treats the gland without documenting a complicated vesiculotomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $389.79 for 55600 nationally in a facility.

Medicare rate · 55600

Vesiculotomy

Swap in your local Medicare rate.

Work RVUs
6.83
Total RVUs
11.67
Global days
090

National rate · 2026

$389.79

Facility setting, before claim adjustments.

See every locality for 55600 → · 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 55600 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 55600 covers

Vesiculotomy is an operative incision into a seminal vesicle, a gland behind the bladder that contributes fluid to semen. A urologist performs the procedure to access or treat a seminal-vesicle problem while leaving the gland in place, rather than removing it. This uncommon male genitourinary operation is generally performed in an operating room. The operative report should identify the indication, the treated side, and the work performed.

Report 55600 when the documentation supports an uncomplicated vesiculotomy; use 55605 when the operation is documented as complicated. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; 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 55600 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

55600 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$360.50
Alaska*Unavailable$499.25
ArizonaUnavailable$381.46
ArkansasUnavailable$356.88
AtlantaUnavailable$398.50
AustinUnavailable$394.57
BakersfieldUnavailable$395.33
Baltimore/Surr. CntysUnavailable$410.06
BeaumontUnavailable$375.80
BrazoriaUnavailable$383.96

55600 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
55600 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 55600 rate is calculated

Each of 55600’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 · 55600

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.83Practice expense 3.96Malpractice 0.88

11.6700 adjusted RVUs×$33.4009 conversion factor=$389.79

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

Payment rules and modifiers for 55600

55600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 55600

Vesiculotomy

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)0Not paid without supporting documentation.
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 · 55600

Vesiculotomy

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

55600 without 50 · national facility

$389.79

Vesiculotomy

55600-50 · Bilateral: 150%

$584.69

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

55600 compared with similar codes

Compare codes

55600 vs 55605 vs 55650 vs 55680: national Medicare rates

Swap in your local Medicare rate.

  • 55600
    Vesiculotomy · 6.83 wRVU
    —
  • 55605
    Vesiculotomy · 8.54 wRVU
    —
  • 55650
    Vesiculectomy · 12.33 wRVU
    —
  • 55680
    Seminal vesicle surgery · 5.53 wRVU
    —

How to choose

55605Vesiculotomy
Both codes describe vesiculotomy. Choose 55600 for the uncomplicated service and 55605 when the operative service is documented as complicated.
55650Vesiculectomy
55600 involves an incision into the seminal vesicle; 55650 represents removal of the seminal vesicle.
55680Seminal vesicle surgery
55600 describes vesiculotomy, while 55680 is used for excision of a lesion of the seminal vesicle.

Codes related to 55600

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

Codes related to 55600
CodeHow it relatesNational office range
Same family
55605VesiculotomyUse for a vesiculotomy documented as complicated rather than at the uncomplicated level.No office rate
Used instead
55650VesiculectomyRemoval of the seminal vesicle is excisional surgery, not an incision that leaves the gland in place.No office rate
55680Seminal vesicle surgeryUse for excision of a seminal-vesicle lesion rather than incision of the vesicle.No office rate

55600 billing questions

How is 55600 distinguished from 55605?

Use 55600 for a vesiculotomy documented as uncomplicated. Use 55605 when the operative service is documented as complicated.

Does 55600 include removal of the seminal vesicle?

No. Vesiculotomy describes an incision that leaves the gland in place; removal is represented by a different procedure code.

What postoperative care is included?

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

How is a bilateral procedure reported?

For a bilateral vesiculotomy, report modifier 50; Medicare pays the procedure at 150%.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is allowed only with documentation of medical necessity. 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 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 55600PPRRVU2026_Oct_nonQPP.csv, line 6,357 (RVU26D)

Open CMS sourceHow we calculate rates

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