No office rate
Use 54535 for the abdominal approach to radical tumor removal. Use 54530 when the radical operation is performed through the inguinal approach.
On this page
CMS RVU26D · Effective 2026-10-01
54535 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$673.58
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 54535: Radical orchiectomy by abdominal approach
Reports radical removal of a testis for tumor through an abdominal approach, including situations in which the affected testis is located intra-abdominally.
A urologist performs this operation to remove a testis for a tumor through an abdominal approach, with dissection of the associated spermatic cord. It may be used when the affected testis is intra-abdominal. The operation is performed in an operating room and is more extensive than removing a localized testicular lesion or only part of the testis.
Choose this code based on the operative indication, the radical extent of removal, and the abdominal route documented in the operative report. The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 54535
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.86 · 64%
- Practice expense (office) RVU5.66 · 28%
- Malpractice RVU1.65 · 8%
21
Medicare services in 2024 · #5901 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.
54535 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
This code describes radical tumor surgery by an abdominal approach; 54520 describes simple orchiectomy, not radical removal for tumor.
No office rate
Use 54522 when only part of the testis is removed. Use 54535 when the operation is radical removal for tumor through the abdominal approach.
No office rate
54512 is for excision of a testicular lesion. Choose 54535 when the documented operation is radical removal for tumor through an abdominal approach.
The same code, a different location
How does Chico compare?
54535 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Modesto
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Napa
California · 54535
Office
Unavailable
Facility
$733.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54535
Office
Unavailable
Facility
$699.35
No comparable office rate is available.
Redding
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Rest Of California
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54535
Office
Unavailable
Facility
$691.48
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54535
Office
Unavailable
Facility
$694.40
No comparable office rate is available.
Salinas
California · 54535
Office
Unavailable
Facility
$691.50
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54535
Office
Unavailable
Facility
$698.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54535
Office
Unavailable
Facility
$762.20
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54535
Office
Unavailable
Facility
$760.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54535
Office
Unavailable
Facility
$778.93
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54535
Office
Unavailable
Facility
$771.27
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54535
Office
Unavailable
Facility
$681.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54535
Office
Unavailable
Facility
$697.79
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54535
Office
Unavailable
Facility
$691.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54535
Office
Unavailable
Facility
$704.11
No comparable office rate is available.
Stockton
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Vallejo
California · 54535
Office
Unavailable
Facility
$731.06
No comparable office rate is available.
Visalia
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Yuba City
California · 54535
Office
Unavailable
Facility
$673.58
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 54535
Office
Unavailable
Facility
$736.77
No comparable office rate is available.
Miami
Florida · 54535
Office
Unavailable
Facility
$765.71
No comparable office rate is available.
Chicago
Illinois · 54535
Office
Unavailable
Facility
$749.02
No comparable office rate is available.
Manhattan
New York · 54535
Office
Unavailable
Facility
$764.11
No comparable office rate is available.
Alaska*
Alaska · 54535
Office
Unavailable
Facility
$876.01
No comparable office rate is available.
Alabama
Alabama · 54535
Office
Unavailable
Facility
$626.15
No comparable office rate is available.
Arkansas
Arkansas · 54535
Office
Unavailable
Facility
$620.31
No comparable office rate is available.
Arizona
Arizona · 54535
Office
Unavailable
Facility
$659.90
No comparable office rate is available.
Colorado
Colorado · 54535
Office
Unavailable
Facility
$678.88
No comparable office rate is available.
Connecticut
Connecticut · 54535
Office
Unavailable
Facility
$708.42
No comparable office rate is available.
Delaware
Delaware · 54535
Office
Unavailable
Facility
$668.01
No comparable office rate is available.
Fort Lauderdale
Florida · 54535
Office
Unavailable
Facility
$720.68
No comparable office rate is available.
Rest Of Florida
Florida · 54535
Office
Unavailable
Facility
$693.10
No comparable office rate is available.
Atlanta
Georgia · 54535
Office
Unavailable
Facility
$689.09
No comparable office rate is available.
Rest Of Georgia
Georgia · 54535
Office
Unavailable
Facility
$663.86
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54535
Office
Unavailable
Facility
$676.39
No comparable office rate is available.
Iowa
Iowa · 54535
Office
Unavailable
Facility
$624.39
No comparable office rate is available.
Idaho
Idaho · 54535
Office
Unavailable
Facility
$629.53
No comparable office rate is available.
East St. Louis
Illinois · 54535
Office
Unavailable
Facility
$714.46
No comparable office rate is available.
Rest Of Illinois
Illinois · 54535
Office
Unavailable
Facility
$688.28
No comparable office rate is available.
Suburban Chicago
Illinois · 54535
Office
Unavailable
Facility
$724.35
No comparable office rate is available.
Indiana
Indiana · 54535
Office
Unavailable
Facility
$631.57
No comparable office rate is available.
Kansas
Kansas · 54535
Office
Unavailable
Facility
$628.21
No comparable office rate is available.
Kentucky
Kentucky · 54535
Office
Unavailable
Facility
$648.03
No comparable office rate is available.
New Orleans
Louisiana · 54535
Office
Unavailable
Facility
$670.04
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54535
Office
Unavailable
Facility
$649.64
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54535
Office
Unavailable
Facility
$721.92
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54535
Office
Unavailable
Facility
$679.40
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54535
Office
Unavailable
Facility
$707.43
No comparable office rate is available.
Rest Of Maryland
Maryland · 54535
Office
Unavailable
Facility
$675.74
No comparable office rate is available.
Rest Of Maine
Maine · 54535
Office
Unavailable
Facility
$637.74
No comparable office rate is available.
Southern Maine
Maine · 54535
Office
Unavailable
Facility
$651.66
No comparable office rate is available.
Detroit
Michigan · 54535
Office
Unavailable
Facility
$704.89
No comparable office rate is available.
Rest Of Michigan
Michigan · 54535
Office
Unavailable
Facility
$664.36
No comparable office rate is available.
Minnesota
Minnesota · 54535
Office
Unavailable
Facility
$640.38
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54535
Office
Unavailable
Facility
$660.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54535
Office
Unavailable
Facility
$664.73
No comparable office rate is available.
Rest Of Missouri
Missouri · 54535
Office
Unavailable
Facility
$646.17
No comparable office rate is available.
Mississippi
Mississippi · 54535
Office
Unavailable
Facility
$633.03
No comparable office rate is available.
Montana**
Montana · 54535
Office
Unavailable
Facility
$673.59
No comparable office rate is available.
North Carolina
North Carolina · 54535
Office
Unavailable
Facility
$641.13
No comparable office rate is available.
North Dakota**
North Dakota · 54535
Office
Unavailable
Facility
$640.96
No comparable office rate is available.
Nebraska
Nebraska · 54535
Office
Unavailable
Facility
$624.86
No comparable office rate is available.
New Hampshire
New Hampshire · 54535
Office
Unavailable
Facility
$674.56
No comparable office rate is available.
Northern Nj
New Jersey · 54535
Office
Unavailable
Facility
$734.75
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54535
Office
Unavailable
Facility
$713.62
No comparable office rate is available.
New Mexico
New Mexico · 54535
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Nevada**
Nevada · 54535
Office
Unavailable
Facility
$664.68
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54535
Office
Unavailable
Facility
$784.15
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54535
Office
Unavailable
Facility
$722.56
No comparable office rate is available.
Queens
New York · 54535
Office
Unavailable
Facility
$759.95
No comparable office rate is available.
Rest Of New York
New York · 54535
Office
Unavailable
Facility
$647.88
No comparable office rate is available.
Ohio
Ohio · 54535
Office
Unavailable
Facility
$657.69
No comparable office rate is available.
Oklahoma
Oklahoma · 54535
Office
Unavailable
Facility
$641.18
No comparable office rate is available.
Portland
Oregon · 54535
Office
Unavailable
Facility
$687.44
No comparable office rate is available.
Rest Of Oregon
Oregon · 54535
Office
Unavailable
Facility
$656.57
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54535
Office
Unavailable
Facility
$699.82
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54535
Office
Unavailable
Facility
$655.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54535
Office
Unavailable
Facility
$674.95
No comparable office rate is available.
Rhode Island
Rhode Island · 54535
Office
Unavailable
Facility
$682.14
No comparable office rate is available.
South Carolina
South Carolina · 54535
Office
Unavailable
Facility
$651.06
No comparable office rate is available.
South Dakota**
South Dakota · 54535
Office
Unavailable
Facility
$637.10
No comparable office rate is available.
Tennessee
Tennessee · 54535
Office
Unavailable
Facility
$630.98
No comparable office rate is available.
Austin
Texas · 54535
Office
Unavailable
Facility
$679.24
No comparable office rate is available.
Beaumont
Texas · 54535
Office
Unavailable
Facility
$652.77
No comparable office rate is available.
Brazoria
Texas · 54535
Office
Unavailable
Facility
$663.31
No comparable office rate is available.
Dallas
Texas · 54535
Office
Unavailable
Facility
$668.98
No comparable office rate is available.
Fort Worth
Texas · 54535
Office
Unavailable
Facility
$667.81
No comparable office rate is available.
Galveston
Texas · 54535
Office
Unavailable
Facility
$666.33
No comparable office rate is available.
Houston
Texas · 54535
Office
Unavailable
Facility
$696.53
No comparable office rate is available.
Rest Of Texas
Texas · 54535
Office
Unavailable
Facility
$658.71
No comparable office rate is available.
Utah
Utah · 54535
Office
Unavailable
Facility
$656.73
No comparable office rate is available.
Virginia
Virginia · 54535
Office
Unavailable
Facility
$654.28
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54535
Office
Unavailable
Facility
$674.95
No comparable office rate is available.
Vermont
Vermont · 54535
Office
Unavailable
Facility
$644.58
No comparable office rate is available.
Rest Of Washington
Washington · 54535
Office
Unavailable
Facility
$676.13
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54535
Office
Unavailable
Facility
$728.00
No comparable office rate is available.
Wisconsin
Wisconsin · 54535
Office
Unavailable
Facility
$627.62
No comparable office rate is available.
West Virginia
West Virginia · 54535
Office
Unavailable
Facility
$672.68
No comparable office rate is available.
Wyoming**
Wyoming · 54535
Office
Unavailable
Facility
$659.37
No comparable office rate is available.
See how rates vary across the country
54535 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 54535 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$740.94
$673.58 × 110% = $740.94
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 54535 in Chico.
PPRRVU2026_Oct_nonQPP.csv
6,314
- Code
- 54535
- Physician work
- 12.86
- Practice expense
- 5.66
- Malpractice
- 1.65
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.86 | × 1.017 | 13.0786 |
| Practice expense | 5.66 | × 1.096 | 6.2034 |
| Malpractice | 1.65 | × 0.536 | 0.8844 |
| Total RVUs | 20.1664 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$673.58
Open 54535 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.86 | 1.017 |
| Practice expense | 5.66 | 1.096 |
| Malpractice | 1.65 | 0.536 |
(12.86 × 1.017 + 5.66 × 1.096 + 1.65 × 0.536) × $33.4009 = $673.58
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
54535 · 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 | $673.58 | RVU26D |
| 2026-07-01 | Not available in this setting | $673.58 | RVU26C |
| 2026-04-01 | Not available in this setting | $673.58 | RVU26B |
| 2026-01-01 | Not available in this setting | $673.58 | RVU26A |
| 2025-10-01 | Not available in this setting | $730.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $730.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $730.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $730.47 | RVU25A |
54535 billing questions
How is this different from 54530?
Both describe radical removal for a testicular tumor. This code is for the abdominal approach; 54530 is for the inguinal approach.
When would a limited testicular excision be a better fit?
Use a limited excision code when the operation removes a localized lesion rather than the testis radically. The operative report should establish the extent of tissue removed.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
CMS lists bilateral reporting with modifier 50, paid at 150%.
Can an assistant or another surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
What should the operative report support?
Document the tumor indication, abdominal approach, and radical extent of removal, including the side operated on.
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.
6,31154520,,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
6,31654560,,Exploration for testis,A,,11.80,5.36,NA,5.36,,1.50,18.66,18.66,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31754600,,Reduce testis torsion,A,,7.45,4.08,NA,4.08,,0.96,12.49,12.49,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536