No office rate
54512 describes excision of a testicular lesion; 54522 is appropriate when the surgeon performs a partial orchiectomy, removing a portion of the testis.
On this page
CMS RVU26D · Effective 2026-10-01
54522 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$517.77
Base rate per service
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.
Urologic surgery
About 54522: Partial testis removal with tissue preservation
A urologist removes a localized portion of testicular tissue while preserving the remaining testis, typically for a selected focal mass requiring surgical treatment.
A urologist removes a localized portion of testicular tissue and preserves the remainder of the testis. This approach may be selected for a small intratesticular mass when testis-sparing surgery is appropriate, including cases where retaining testicular tissue is clinically important. The operation is generally performed in an operating room; the removed tissue is evaluated to guide care and establish the diagnosis.
Report this code when the operation removes part of the testis, rather than only sampling tissue or removing the entire testis. The operative report should identify the side, the extent of tissue removed, and the tissue-preserving intent. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, CMS pays 150%. In the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54522
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.99 · 62%
- Practice expense (office) RVU4.74 · 30%
- Malpractice RVU1.29 · 8%
24
Medicare services in 2024 · #5820 by national volume
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.
54522 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
54520 is for removal of the testis. Use 54522 when testicular tissue is removed but the remainder of the testis is preserved.
No office rate
54530 describes radical orchiectomy through an inguinal approach, with removal of the whole testis; 54522 is the tissue-preserving partial operation.
The same code, a different location
How does Beaumont compare?
54522 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 54522
Office
Unavailable
Facility
$522.83
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 54522
Office
Unavailable
Facility
$563.26
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 54522
Office
Unavailable
Facility
$586.15
No comparable office rate is available.
Miami
Florida · 54522
Office
Unavailable
Facility
$607.45
No comparable office rate is available.
Chicago
Illinois · 54522
Office
Unavailable
Facility
$594.01
No comparable office rate is available.
Manhattan
New York · 54522
Office
Unavailable
Facility
$607.33
No comparable office rate is available.
Alaska*
Alaska · 54522
Office
Unavailable
Facility
$692.86
No comparable office rate is available.
Alabama
Alabama · 54522
Office
Unavailable
Facility
$496.59
No comparable office rate is available.
Arkansas
Arkansas · 54522
Office
Unavailable
Facility
$491.86
No comparable office rate is available.
Arizona
Arizona · 54522
Office
Unavailable
Facility
$523.97
No comparable office rate is available.
Bakersfield
California · 54522
Office
Unavailable
Facility
$539.77
No comparable office rate is available.
Chico
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
El Centro
California · 54522
Office
Unavailable
Facility
$536.18
No comparable office rate is available.
Fresno
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Hanford-Corcoran
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Madera
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Merced
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Modesto
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Napa
California · 54522
Office
Unavailable
Facility
$585.25
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54522
Office
Unavailable
Facility
$557.00
No comparable office rate is available.
Redding
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Rest Of California
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54522
Office
Unavailable
Facility
$549.95
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54522
Office
Unavailable
Facility
$552.91
No comparable office rate is available.
Salinas
California · 54522
Office
Unavailable
Facility
$550.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54522
Office
Unavailable
Facility
$556.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54522
Office
Unavailable
Facility
$608.38
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54522
Office
Unavailable
Facility
$606.92
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54522
Office
Unavailable
Facility
$621.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54522
Office
Unavailable
Facility
$615.78
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54522
Office
Unavailable
Facility
$542.77
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54522
Office
Unavailable
Facility
$556.14
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54522
Office
Unavailable
Facility
$550.71
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54522
Office
Unavailable
Facility
$561.20
No comparable office rate is available.
Stockton
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Vallejo
California · 54522
Office
Unavailable
Facility
$583.14
No comparable office rate is available.
Visalia
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Yuba City
California · 54522
Office
Unavailable
Facility
$535.96
No comparable office rate is available.
Colorado
Colorado · 54522
Office
Unavailable
Facility
$539.78
No comparable office rate is available.
Connecticut
Connecticut · 54522
Office
Unavailable
Facility
$562.99
No comparable office rate is available.
Delaware
Delaware · 54522
Office
Unavailable
Facility
$530.50
No comparable office rate is available.
Fort Lauderdale
Florida · 54522
Office
Unavailable
Facility
$571.96
No comparable office rate is available.
Rest Of Florida
Florida · 54522
Office
Unavailable
Facility
$549.79
No comparable office rate is available.
Atlanta
Georgia · 54522
Office
Unavailable
Facility
$547.28
No comparable office rate is available.
Rest Of Georgia
Georgia · 54522
Office
Unavailable
Facility
$526.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54522
Office
Unavailable
Facility
$538.63
No comparable office rate is available.
Iowa
Iowa · 54522
Office
Unavailable
Facility
$495.64
No comparable office rate is available.
Idaho
Idaho · 54522
Office
Unavailable
Facility
$499.71
No comparable office rate is available.
East St. Louis
Illinois · 54522
Office
Unavailable
Facility
$566.11
No comparable office rate is available.
Rest Of Illinois
Illinois · 54522
Office
Unavailable
Facility
$545.57
No comparable office rate is available.
Suburban Chicago
Illinois · 54522
Office
Unavailable
Facility
$574.96
No comparable office rate is available.
Indiana
Indiana · 54522
Office
Unavailable
Facility
$501.38
No comparable office rate is available.
Kansas
Kansas · 54522
Office
Unavailable
Facility
$498.51
No comparable office rate is available.
Kentucky
Kentucky · 54522
Office
Unavailable
Facility
$513.85
No comparable office rate is available.
New Orleans
Louisiana · 54522
Office
Unavailable
Facility
$531.60
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54522
Office
Unavailable
Facility
$515.07
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54522
Office
Unavailable
Facility
$574.74
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54522
Office
Unavailable
Facility
$540.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54522
Office
Unavailable
Facility
$562.19
No comparable office rate is available.
Rest Of Maryland
Maryland · 54522
Office
Unavailable
Facility
$536.79
No comparable office rate is available.
Rest Of Maine
Maine · 54522
Office
Unavailable
Facility
$506.13
No comparable office rate is available.
Southern Maine
Maine · 54522
Office
Unavailable
Facility
$517.76
No comparable office rate is available.
Detroit
Michigan · 54522
Office
Unavailable
Facility
$559.10
No comparable office rate is available.
Rest Of Michigan
Michigan · 54522
Office
Unavailable
Facility
$526.87
No comparable office rate is available.
Minnesota
Minnesota · 54522
Office
Unavailable
Facility
$509.34
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54522
Office
Unavailable
Facility
$524.43
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54522
Office
Unavailable
Facility
$527.57
No comparable office rate is available.
Rest Of Missouri
Missouri · 54522
Office
Unavailable
Facility
$512.11
No comparable office rate is available.
Mississippi
Mississippi · 54522
Office
Unavailable
Facility
$501.83
No comparable office rate is available.
Montana**
Montana · 54522
Office
Unavailable
Facility
$535.00
No comparable office rate is available.
North Carolina
North Carolina · 54522
Office
Unavailable
Facility
$508.92
No comparable office rate is available.
North Dakota**
North Dakota · 54522
Office
Unavailable
Facility
$509.49
No comparable office rate is available.
Nebraska
Nebraska · 54522
Office
Unavailable
Facility
$496.09
No comparable office rate is available.
New Hampshire
New Hampshire · 54522
Office
Unavailable
Facility
$536.19
No comparable office rate is available.
Northern Nj
New Jersey · 54522
Office
Unavailable
Facility
$584.37
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54522
Office
Unavailable
Facility
$567.17
No comparable office rate is available.
New Mexico
New Mexico · 54522
Office
Unavailable
Facility
$530.60
No comparable office rate is available.
Nevada**
Nevada · 54522
Office
Unavailable
Facility
$528.05
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54522
Office
Unavailable
Facility
$623.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54522
Office
Unavailable
Facility
$574.19
No comparable office rate is available.
Queens
New York · 54522
Office
Unavailable
Facility
$604.30
No comparable office rate is available.
Rest Of New York
New York · 54522
Office
Unavailable
Facility
$514.37
No comparable office rate is available.
Ohio
Ohio · 54522
Office
Unavailable
Facility
$521.65
No comparable office rate is available.
Oklahoma
Oklahoma · 54522
Office
Unavailable
Facility
$508.53
No comparable office rate is available.
Portland
Oregon · 54522
Office
Unavailable
Facility
$546.96
No comparable office rate is available.
Rest Of Oregon
Oregon · 54522
Office
Unavailable
Facility
$521.65
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54522
Office
Unavailable
Facility
$555.90
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54522
Office
Unavailable
Facility
$519.73
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54522
Office
Unavailable
Facility
$536.18
No comparable office rate is available.
Rhode Island
Rhode Island · 54522
Office
Unavailable
Facility
$541.99
No comparable office rate is available.
South Carolina
South Carolina · 54522
Office
Unavailable
Facility
$516.59
No comparable office rate is available.
South Dakota**
South Dakota · 54522
Office
Unavailable
Facility
$506.47
No comparable office rate is available.
Tennessee
Tennessee · 54522
Office
Unavailable
Facility
$500.73
No comparable office rate is available.
Utah
Utah · 54522
Office
Unavailable
Facility
$521.19
No comparable office rate is available.
Virginia
Virginia · 54522
Office
Unavailable
Facility
$519.72
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54522
Office
Unavailable
Facility
$536.18
No comparable office rate is available.
Vermont
Vermont · 54522
Office
Unavailable
Facility
$512.21
No comparable office rate is available.
Rest Of Washington
Washington · 54522
Office
Unavailable
Facility
$537.51
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54522
Office
Unavailable
Facility
$579.82
No comparable office rate is available.
Wisconsin
Wisconsin · 54522
Office
Unavailable
Facility
$498.62
No comparable office rate is available.
West Virginia
West Virginia · 54522
Office
Unavailable
Facility
$532.91
No comparable office rate is available.
Wyoming**
Wyoming · 54522
Office
Unavailable
Facility
$523.88
No comparable office rate is available.
See how rates vary across the country
54522 · 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 54522 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$569.55
$517.77 × 110% = $569.55
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 54522 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
6,312
- Code
- 54522
- Physician work
- 9.99
- Practice expense
- 4.74
- Malpractice
- 1.29
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.99 | × 1.000 | 9.9900 |
| Practice expense | 4.74 | × 0.910 | 4.3134 |
| Malpractice | 1.29 | × 0.929 | 1.1984 |
| Total RVUs | 15.5018 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$517.77
Open 54522 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.99 | 1 |
| Practice expense | 4.74 | 0.91 |
| Malpractice | 1.29 | 0.929 |
(9.99 × 1 + 4.74 × 0.91 + 1.29 × 0.929) × $33.4009 = $517.77
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
54522 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $517.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $517.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $517.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $517.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $551.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $551.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $551.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $551.52 | RVU25A |
54522 billing questions
When should this be reported instead of a testicular biopsy?
Report 54522 when the surgeon removes a portion of the testis as treatment, rather than taking tissue samples for diagnosis. The operative report should support the extent of the resection.
How does this differ from excision of a testicular lesion?
Choose 54522 when the procedure is a partial orchiectomy involving removal of part of the testis. Choose 54512 when the documented operation is excision of a lesion and does not constitute partial orchiectomy.
How is bilateral partial orchiectomy reported?
Use modifier 50 for bilateral reporting. CMS pays the bilateral procedure at 150%.
Are related postoperative visits included?
Yes. 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?
CMS may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation; team surgery is 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.
6,30954505,,Biopsy of testis,A,,3.41,1.94,NA,1.94,,0.43,5.78,5.78,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31054512,,Excise lesion testis,A,,9.10,4.39,NA,4.39,,1.19,14.68,14.68,0,090,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31154520,,Removal of testis,A,,5.17,3.25,NA,3.25,,0.73,9.15,9.15,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31254522,,Orchiectomy partial,A,,9.99,4.74,NA,4.74,,1.29,16.02,16.02,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31354530,,Removal of testis,A,,8.25,4.69,NA,4.69,,1.11,14.05,14.05,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31454535,,Extensive testis surgery,A,,12.86,5.66,NA,5.66,,1.65,20.17,20.17,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31554550,,Exploration for testis,A,,8.20,4.25,NA,4.25,,1.07,13.52,13.52,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871