No office rate
Use 54690 when the laparoscopic procedure removes the testis; use 54692 when laparoscopic surgery repositions and secures it.
On this page
CMS RVU26D · Effective 2026-10-01
54690 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$592.98
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.
Urology surgery
About 54690: Laparoscopic surgical removal of testis
Reports laparoscopic surgical removal of a testis, including removal of an atrophic intra-abdominal testis when excision is chosen.
A urologist performs this operation through laparoscopic access to remove a testis rather than reposition it. One typical setting is removal of an atrophic intra-abdominal testis, including in the evaluation or treatment of an undescended testis. The service is generally performed in an operating room, and the operative report should establish the laparoscopic approach and that the testis was excised.
Report the code for the laparoscopic removal itself, with documentation of the indication, laterality, and operative work. A major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54690
- 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 RVU11.41 · 64%
- Practice expense (office) RVU4.89 · 28%
- Malpractice RVU1.46 · 8%
19
Medicare services in 2024 · #5950 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.
54690 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Code 54640 is orchiopexy through an inguinal or scrotal approach to place a testis in the scrotum; 54690 removes the testis laparoscopically.
No office rate
Code 54530 describes radical orchiectomy by an inguinal approach. Select 54690 when the documented removal is performed laparoscopically.
The same code, a different location
How does El Centro compare?
54690 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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 · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Modesto
California · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Napa
California · 54690
Office
Unavailable
Facility
$645.16
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54690
Office
Unavailable
Facility
$615.21
No comparable office rate is available.
Redding
California · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Rest Of California
California · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54690
Office
Unavailable
Facility
$608.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54690
Office
Unavailable
Facility
$610.92
No comparable office rate is available.
Salinas
California · 54690
Office
Unavailable
Facility
$608.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54690
Office
Unavailable
Facility
$614.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54690
Office
Unavailable
Facility
$669.99
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54690
Office
Unavailable
Facility
$668.33
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54690
Office
Unavailable
Facility
$684.69
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54690
Office
Unavailable
Facility
$677.91
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54690
Office
Unavailable
Facility
$599.75
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54690
Office
Unavailable
Facility
$613.69
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54690
Office
Unavailable
Facility
$608.36
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54690
Office
Unavailable
Facility
$619.25
No comparable office rate is available.
Stockton
California · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Vallejo
California · 54690
Office
Unavailable
Facility
$642.77
No comparable office rate is available.
Visalia
California · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Yuba City
California · 54690
Office
Unavailable
Facility
$592.73
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 54690
Office
Unavailable
Facility
$648.36
No comparable office rate is available.
Miami
Florida · 54690
Office
Unavailable
Facility
$674.46
No comparable office rate is available.
Chicago
Illinois · 54690
Office
Unavailable
Facility
$659.84
No comparable office rate is available.
Manhattan
New York · 54690
Office
Unavailable
Facility
$672.63
No comparable office rate is available.
Alaska*
Alaska · 54690
Office
Unavailable
Facility
$772.47
No comparable office rate is available.
Alabama
Alabama · 54690
Office
Unavailable
Facility
$551.62
No comparable office rate is available.
Arkansas
Arkansas · 54690
Office
Unavailable
Facility
$546.52
No comparable office rate is available.
Arizona
Arizona · 54690
Office
Unavailable
Facility
$581.11
No comparable office rate is available.
Colorado
Colorado · 54690
Office
Unavailable
Facility
$597.55
No comparable office rate is available.
Connecticut
Connecticut · 54690
Office
Unavailable
Facility
$623.64
No comparable office rate is available.
Delaware
Delaware · 54690
Office
Unavailable
Facility
$588.22
No comparable office rate is available.
Fort Lauderdale
Florida · 54690
Office
Unavailable
Facility
$634.73
No comparable office rate is available.
Rest Of Florida
Florida · 54690
Office
Unavailable
Facility
$610.54
No comparable office rate is available.
Atlanta
Georgia · 54690
Office
Unavailable
Facility
$606.76
No comparable office rate is available.
Rest Of Georgia
Georgia · 54690
Office
Unavailable
Facility
$584.92
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54690
Office
Unavailable
Facility
$595.05
No comparable office rate is available.
Iowa
Iowa · 54690
Office
Unavailable
Facility
$549.91
No comparable office rate is available.
Idaho
Idaho · 54690
Office
Unavailable
Facility
$554.43
No comparable office rate is available.
East St. Louis
Illinois · 54690
Office
Unavailable
Facility
$629.58
No comparable office rate is available.
Rest Of Illinois
Illinois · 54690
Office
Unavailable
Facility
$606.45
No comparable office rate is available.
Suburban Chicago
Illinois · 54690
Office
Unavailable
Facility
$637.92
No comparable office rate is available.
Indiana
Indiana · 54690
Office
Unavailable
Facility
$556.21
No comparable office rate is available.
Kansas
Kansas · 54690
Office
Unavailable
Facility
$553.33
No comparable office rate is available.
Kentucky
Kentucky · 54690
Office
Unavailable
Facility
$570.93
No comparable office rate is available.
New Orleans
Louisiana · 54690
Office
Unavailable
Facility
$590.20
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54690
Office
Unavailable
Facility
$572.37
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54690
Office
Unavailable
Facility
$635.15
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54690
Office
Unavailable
Facility
$598.05
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54690
Office
Unavailable
Facility
$622.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 54690
Office
Unavailable
Facility
$594.97
No comparable office rate is available.
Rest Of Maine
Maine · 54690
Office
Unavailable
Facility
$561.70
No comparable office rate is available.
Southern Maine
Maine · 54690
Office
Unavailable
Facility
$573.74
No comparable office rate is available.
Detroit
Michigan · 54690
Office
Unavailable
Facility
$620.94
No comparable office rate is available.
Rest Of Michigan
Michigan · 54690
Office
Unavailable
Facility
$585.28
No comparable office rate is available.
Minnesota
Minnesota · 54690
Office
Unavailable
Facility
$563.61
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54690
Office
Unavailable
Facility
$582.12
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54690
Office
Unavailable
Facility
$585.46
No comparable office rate is available.
Rest Of Missouri
Missouri · 54690
Office
Unavailable
Facility
$569.39
No comparable office rate is available.
Mississippi
Mississippi · 54690
Office
Unavailable
Facility
$557.77
No comparable office rate is available.
Montana**
Montana · 54690
Office
Unavailable
Facility
$593.10
No comparable office rate is available.
North Carolina
North Carolina · 54690
Office
Unavailable
Facility
$564.65
No comparable office rate is available.
North Dakota**
North Dakota · 54690
Office
Unavailable
Facility
$564.23
No comparable office rate is available.
Nebraska
Nebraska · 54690
Office
Unavailable
Facility
$550.29
No comparable office rate is available.
New Hampshire
New Hampshire · 54690
Office
Unavailable
Facility
$593.80
No comparable office rate is available.
Northern Nj
New Jersey · 54690
Office
Unavailable
Facility
$646.66
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54690
Office
Unavailable
Facility
$628.20
No comparable office rate is available.
New Mexico
New Mexico · 54690
Office
Unavailable
Facility
$589.45
No comparable office rate is available.
Nevada**
Nevada · 54690
Office
Unavailable
Facility
$585.22
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54690
Office
Unavailable
Facility
$690.25
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54690
Office
Unavailable
Facility
$636.11
No comparable office rate is available.
Queens
New York · 54690
Office
Unavailable
Facility
$668.87
No comparable office rate is available.
Rest Of New York
New York · 54690
Office
Unavailable
Facility
$570.55
No comparable office rate is available.
Ohio
Ohio · 54690
Office
Unavailable
Facility
$579.38
No comparable office rate is available.
Oklahoma
Oklahoma · 54690
Office
Unavailable
Facility
$564.85
No comparable office rate is available.
Portland
Oregon · 54690
Office
Unavailable
Facility
$604.94
No comparable office rate is available.
Rest Of Oregon
Oregon · 54690
Office
Unavailable
Facility
$578.06
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54690
Office
Unavailable
Facility
$616.17
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54690
Office
Unavailable
Facility
$577.12
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54690
Office
Unavailable
Facility
$594.27
No comparable office rate is available.
Rhode Island
Rhode Island · 54690
Office
Unavailable
Facility
$600.56
No comparable office rate is available.
South Carolina
South Carolina · 54690
Office
Unavailable
Facility
$573.47
No comparable office rate is available.
South Dakota**
South Dakota · 54690
Office
Unavailable
Facility
$560.82
No comparable office rate is available.
Tennessee
Tennessee · 54690
Office
Unavailable
Facility
$555.76
No comparable office rate is available.
Austin
Texas · 54690
Office
Unavailable
Facility
$597.88
No comparable office rate is available.
Beaumont
Texas · 54690
Office
Unavailable
Facility
$575.04
No comparable office rate is available.
Brazoria
Texas · 54690
Office
Unavailable
Facility
$584.05
No comparable office rate is available.
Dallas
Texas · 54690
Office
Unavailable
Facility
$589.05
No comparable office rate is available.
Fort Worth
Texas · 54690
Office
Unavailable
Facility
$588.05
No comparable office rate is available.
Galveston
Texas · 54690
Office
Unavailable
Facility
$586.72
No comparable office rate is available.
Houston
Texas · 54690
Office
Unavailable
Facility
$613.44
No comparable office rate is available.
Rest Of Texas
Texas · 54690
Office
Unavailable
Facility
$580.14
No comparable office rate is available.
Utah
Utah · 54690
Office
Unavailable
Facility
$578.43
No comparable office rate is available.
Virginia
Virginia · 54690
Office
Unavailable
Facility
$576.09
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54690
Office
Unavailable
Facility
$594.27
No comparable office rate is available.
Vermont
Vermont · 54690
Office
Unavailable
Facility
$567.48
No comparable office rate is available.
Rest Of Washington
Washington · 54690
Office
Unavailable
Facility
$595.16
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54690
Office
Unavailable
Facility
$640.41
No comparable office rate is available.
Wisconsin
Wisconsin · 54690
Office
Unavailable
Facility
$552.59
No comparable office rate is available.
West Virginia
West Virginia · 54690
Office
Unavailable
Facility
$592.82
No comparable office rate is available.
Wyoming**
Wyoming · 54690
Office
Unavailable
Facility
$580.52
No comparable office rate is available.
See how rates vary across the country
54690 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 54690 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$652.28
$592.98 × 110% = $652.28
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 54690 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
6,324
- Code
- 54690
- Physician work
- 11.41
- Practice expense
- 4.89
- Malpractice
- 1.46
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.41 | × 1.017 | 11.6040 |
| Practice expense | 4.89 | × 1.096 | 5.3594 |
| Malpractice | 1.46 | × 0.541 | 0.7899 |
| Total RVUs | 17.7533 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$592.98
Open 54690 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.41 | 1.017 |
| Practice expense | 4.89 | 1.096 |
| Malpractice | 1.46 | 0.541 |
(11.41 × 1.017 + 4.89 × 1.096 + 1.46 × 0.541) × $33.4009 = $592.98
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
54690 · 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 | $592.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $592.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $592.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $592.98 | RVU26A |
| 2025-10-01 | Not available in this setting | $643.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $643.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $643.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $643.63 | RVU25A |
54690 billing questions
When should 54690 be reported instead of 54692?
Report 54690 when the testis is removed laparoscopically. Code 54692 describes laparoscopic orchiopexy, which repositions and secures a testis rather than removing it.
How is bilateral laparoscopic orchiectomy reported?
Use modifier 50 for a bilateral procedure; CMS pays this code at 150% when reported bilaterally.
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 services may be paid. Co-surgeons are paid only with supporting documentation.
What should the operative note document?
Document the indication, side, laparoscopic approach, and removal of the testis. These details distinguish this service from laparoscopic orchiopexy or an open orchiectomy.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple-procedure reduction.
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.
6,32154660,,Revision of testis,A,,5.60,3.70,NA,3.70,,0.71,10.01,10.01,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32254670,,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
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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664