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CMS RVU26D · Effective 2026-10-01

55200 in El Centro

Office / nonfacility

$410.97

Base rate per service

Facility setting

$260.88

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 55200: Surgical incision of the vas deferens

Reports a surgeon’s incision into the vas deferens, including access for vasography or another procedure requiring entry into the duct.

A vasotomy is a surgical opening of the vas deferens. A urologist typically performs it in an operating room or procedure setting when access to the duct is needed, including for vasography. The code covers the incision itself; it is distinct from removing or interrupting the vas deferens for sterilization and from reconstructing a divided duct.

Report 55200 when the operative note documents the vas deferens incision and the procedure performed. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 55200

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
The code is already priced as bilateral; modifier 50 does not increase payment.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.44 · 38%
  • Practice expense (office) RVU6.83 · 58%
  • Malpractice RVU0.56 · 5%

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.

55200 compared with similar codes

Office rates for El Centro, from the same CMS release.

55250

Vasectomy

Bilateral duct interruption

$363.52

Use 55200 for incision into the vas deferens. Use 55250 when the procedure interrupts the duct for sterilization.

55400

Vasovasostomy

Vasectomy reversal

No office rate

This code reports vas deferens reconstruction to restore continuity; 55200 reports an incision, not reconnection.

74440

Vasography

Vas deferens imaging

$109.21

74440 reports the radiological supervision and interpretation for vasography, not the surgical incision into the vas deferens.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 55200 is $412.54—$1.57 higher than the $410.97 rate in El Centro. Both use the same code, release and participation basis.

55200 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $410.97

  2. $1.57 higher than El Centro

  3. Chico

    $410.88

    $0.09 lower than El Centro

  4. Fresno

    $410.88

    $0.09 lower than El Centro

  5. $0.09 lower than El Centro

  6. $25.71 higher than El Centro

  7. Madera

    $410.88

    $0.09 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 55200 ranges from $353.89 in Arkansas to $503.60 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Modesto

    California · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Napa

    California · 55200

    Office

    $467.82

    Facility

    $287.33

    $56.85 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 55200

    Office

    $433.75

    Facility

    $271.89

    $22.78 higher than El Centro for the office setting.

  • Redding

    California · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Rest Of California

    California · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 55200

    Office

    $416.95

    Facility

    $266.86

    $5.98 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 55200

    Office

    $428.98

    Facility

    $269.71

    $18.01 higher than El Centro for the office setting.

  • Salinas

    California · 55200

    Office

    $427.32

    Facility

    $268.61

    $16.35 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 55200

    Office

    $435.73

    Facility

    $271.94

    $24.76 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 55200

    Office

    $492.63

    Facility

    $299.54

    $81.66 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 55200

    Office

    $492.00

    Facility

    $298.91

    $81.03 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 55200

    Office

    $503.60

    Facility

    $306.13

    $92.63 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 55200

    Office

    $501.00

    Facility

    $303.53

    $90.03 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 55200

    Office

    $420.68

    Facility

    $264.71

    $9.71 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 55200

    Office

    $438.62

    Facility

    $272.23

    $27.65 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 55200

    Office

    $428.48

    Facility

    $268.80

    $17.51 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 55200

    Office

    $442.92

    Facility

    $274.75

    $31.95 higher than El Centro for the office setting.

  • Stockton

    California · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Vallejo

    California · 55200

    Office

    $466.90

    Facility

    $286.41

    $55.93 higher than El Centro for the office setting.

  • Visalia

    California · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Yuba City

    California · 55200

    Office

    $410.88

    Facility

    $260.78

    $0.09 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 55200

    Office

    $445.86

    Facility

    $284.54

    $34.89 higher than El Centro for the office setting.

  • Miami

    Florida · 55200

    Office

    $433.09

    Facility

    $290.53

    $22.12 higher than El Centro for the office setting.

  • Chicago

    Illinois · 55200

    Office

    $421.53

    Facility

    $283.91

    $10.56 higher than El Centro for the office setting.

  • Manhattan

    New York · 55200

    Office

    $452.54

    Facility

    $293.41

    $41.57 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 55200

    Office

    $475.71

    Facility

    $329.87

    $64.74 higher than El Centro for the office setting.

  • Alabama

    Alabama · 55200

    Office

    $358.50

    Facility

    $238.67

    $52.47 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 55200

    Office

    $353.89

    Facility

    $236.26

    $57.08 lower than El Centro for the office setting.

  • Arizona

    Arizona · 55200

    Office

    $385.37

    Facility

    $252.67

    $25.60 lower than El Centro for the office setting.

  • Colorado

    Colorado · 55200

    Office

    $407.42

    Facility

    $261.71

    $3.55 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 55200

    Office

    $419.59

    Facility

    $272.10

    $8.62 higher than El Centro for the office setting.

  • Delaware

    Delaware · 55200

    Office

    $391.25

    Facility

    $255.95

    $19.72 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 55200

    Office

    $413.21

    Facility

    $274.49

    $2.24 higher than El Centro for the office setting.

  • Rest Of Florida

    Florida · 55200

    Office

    $394.50

    Facility

    $263.59

    $16.47 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 55200

    Office

    $402.99

    Facility

    $263.85

    $7.98 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 55200

    Office

    $374.09

    Facility

    $251.93

    $36.88 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 55200

    Office

    $418.51

    Facility

    $262.81

    $7.54 higher than El Centro for the office setting.

  • Iowa

    Iowa · 55200

    Office

    $364.46

    Facility

    $239.16

    $46.51 lower than El Centro for the office setting.

  • Idaho

    Idaho · 55200

    Office

    $367.03

    Facility

    $241.04

    $43.94 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 55200

    Office

    $395.85

    Facility

    $269.86

    $15.12 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 55200

    Office

    $385.82

    Facility

    $260.79

    $25.15 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 55200

    Office

    $416.77

    Facility

    $276.13

    $5.80 higher than El Centro for the office setting.

  • Indiana

    Indiana · 55200

    Office

    $368.87

    Facility

    $241.92

    $42.10 lower than El Centro for the office setting.

  • Kansas

    Kansas · 55200

    Office

    $363.95

    Facility

    $240.16

    $47.02 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 55200

    Office

    $368.22

    Facility

    $246.48

    $42.75 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 55200

    Office

    $384.22

    Facility

    $255.35

    $26.75 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 55200

    Office

    $368.11

    Facility

    $246.92

    $42.86 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 55200

    Office

    $443.41

    Facility

    $279.90

    $32.44 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 55200

    Office

    $405.80

    Facility

    $261.60

    $5.17 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 55200

    Office

    $418.59

    Facility

    $271.65

    $7.62 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 55200

    Office

    $397.82

    Facility

    $259.23

    $13.15 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 55200

    Office

    $369.81

    Facility

    $243.82

    $41.16 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 55200

    Office

    $386.18

    Facility

    $250.47

    $24.79 lower than El Centro for the office setting.

  • Detroit

    Michigan · 55200

    Office

    $399.98

    Facility

    $267.83

    $10.99 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 55200

    Office

    $377.70

    Facility

    $252.67

    $33.27 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 55200

    Office

    $388.58

    Facility

    $247.67

    $22.39 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 55200

    Office

    $380.79

    Facility

    $252.20

    $30.18 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 55200

    Office

    $384.22

    Facility

    $253.85

    $26.75 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 55200

    Office

    $363.16

    Facility

    $245.12

    $47.81 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 55200

    Office

    $358.54

    Facility

    $240.63

    $52.43 lower than El Centro for the office setting.

  • Montana**

    Montana · 55200

    Office

    $395.10

    Facility

    $258.15

    $15.87 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 55200

    Office

    $373.10

    Facility

    $245.33

    $37.87 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 55200

    Office

    $384.02

    Facility

    $247.08

    $26.95 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 55200

    Office

    $365.93

    Facility

    $239.53

    $45.04 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 55200

    Office

    $402.15

    Facility

    $259.59

    $8.82 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 55200

    Office

    $442.25

    Facility

    $283.39

    $31.28 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 55200

    Office

    $423.87

    Facility

    $274.32

    $12.90 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 55200

    Office

    $379.96

    Facility

    $254.38

    $31.01 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 55200

    Office

    $392.24

    Facility

    $255.16

    $18.73 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 55200

    Office

    $463.77

    Facility

    $300.94

    $52.80 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 55200

    Office

    $427.41

    Facility

    $277.45

    $16.44 higher than El Centro for the office setting.

  • Queens

    New York · 55200

    Office

    $454.41

    Facility

    $292.54

    $43.44 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 55200

    Office

    $378.17

    Facility

    $248.07

    $32.80 lower than El Centro for the office setting.

  • Ohio

    Ohio · 55200

    Office

    $375.44

    Facility

    $250.41

    $35.53 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 55200

    Office

    $366.55

    Facility

    $244.26

    $44.42 lower than El Centro for the office setting.

  • Portland

    Oregon · 55200

    Office

    $418.04

    Facility

    $265.89

    $7.07 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 55200

    Office

    $388.66

    Facility

    $252.27

    $22.31 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 55200

    Office

    $410.77

    Facility

    $268.21

    $0.20 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 55200

    Office

    $375.40

    Facility

    $249.68

    $35.57 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 55200

    Office

    $397.36

    Facility

    $258.91

    $13.61 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 55200

    Office

    $403.46

    Facility

    $262.00

    $7.51 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 55200

    Office

    $374.99

    Facility

    $248.45

    $35.98 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 55200

    Office

    $382.71

    Facility

    $245.77

    $28.26 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 55200

    Office

    $365.71

    Facility

    $241.23

    $45.26 lower than El Centro for the office setting.

  • Austin

    Texas · 55200

    Office

    $406.53

    Facility

    $261.64

    $4.44 lower than El Centro for the office setting.

  • Beaumont

    Texas · 55200

    Office

    $373.27

    Facility

    $248.65

    $37.70 lower than El Centro for the office setting.

  • Brazoria

    Texas · 55200

    Office

    $390.15

    Facility

    $254.44

    $20.82 lower than El Centro for the office setting.

  • Dallas

    Texas · 55200

    Office

    $392.90

    Facility

    $256.50

    $18.07 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 55200

    Office

    $390.86

    Facility

    $255.83

    $20.11 lower than El Centro for the office setting.

  • Galveston

    Texas · 55200

    Office

    $391.50

    Facility

    $255.52

    $19.47 lower than El Centro for the office setting.

  • Houston

    Texas · 55200

    Office

    $401.76

    Facility

    $265.77

    $9.21 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 55200

    Office

    $381.68

    Facility

    $251.72

    $29.29 lower than El Centro for the office setting.

  • Utah

    Utah · 55200

    Office

    $379.54

    Facility

    $250.81

    $31.43 lower than El Centro for the office setting.

  • Virginia

    Virginia · 55200

    Office

    $385.76

    Facility

    $251.14

    $25.21 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 55200

    Office

    $397.36

    Facility

    $258.91

    $13.61 lower than El Centro for the office setting.

  • Vermont

    Vermont · 55200

    Office

    $383.61

    Facility

    $248.04

    $27.36 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 55200

    Office

    $404.68

    Facility

    $260.48

    $6.29 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 55200

    Office

    $450.91

    Facility

    $282.88

    $39.94 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 55200

    Office

    $372.61

    Facility

    $241.42

    $38.36 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 55200

    Office

    $373.31

    Facility

    $254.31

    $37.66 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 55200

    Office

    $390.27

    Facility

    $253.33

    $20.70 lower than El Centro for the office setting.

See how rates vary across the country

55200 · 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.

$353.89

$475.71

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$475.711
AL$358.501
AR$353.891
AZ$385.371
CA$410.88–$503.6029
CO$407.421
CT$419.591
DC$445.861
DE$391.251
FL$394.50–$433.093
GA$374.09–$402.992
GU$418.511
HI$418.511
IA$364.461
ID$367.031
IL$385.82–$421.534
IN$368.871
KS$363.951
KY$368.221
LA$368.11–$384.222
MA$405.80–$443.412
MD$397.82–$445.863
ME$369.81–$386.182
MI$377.70–$399.982
MN$388.581
MO$363.16–$384.223
MS$358.541
MT$395.101
NC$373.101
ND$384.021
NE$365.931
NH$402.151
NJ$423.87–$442.252
NM$379.961
NV$392.241
NY$378.17–$463.775
OH$375.441
OK$366.551
OR$388.66–$418.042
PA$375.40–$410.772
PR$397.361
RI$403.461
SC$374.991
SD$382.711
TN$365.711
TX$373.27–$406.538
UT$379.541
VA$385.76–$445.862
VI$397.361
VT$383.611
WA$404.68–$450.912
WI$372.611
WV$373.311
WY$390.271

Explore 55200 on the national rate map →

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.

Why are the office and facility amounts different?

For 55200 in El Centro, the physician’s office rate is $410.97 and the facility-setting rate is $260.88: a difference of $150.09.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 55200 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$452.07

$410.97 × 110% = $452.07

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.

Compare your contract offer →

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 55200 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

6,346

Code
55200
Physician work
4.44
Practice expense
6.83
Malpractice
0.56

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 55200 in El Centro
ComponentRVULocality factorAdjusted
Physician work4.44× 1.0174.5155
Practice expense6.83× 1.0967.4857
Malpractice0.56× 0.5410.3030
Total RVUs12.3041
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$410.97

Open 55200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.441.017
Practice expense6.831.096
Malpractice0.560.541

(4.44 × 1.017 + 6.83 × 1.096 + 0.56 × 0.541) × $33.4009 = $410.97

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.441.017
Practice expense2.731.096
Malpractice0.560.541

(4.44 × 1.017 + 2.73 × 1.096 + 0.56 × 0.541) × $33.4009 = $260.88

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

55200 · Office / nonfacility

$410.97

Effective 2026-10-01

The base rate is $26.74 higher than on 2025-10-01, moving from $384.23 to $410.97 (7.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $384.23changed to$410.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.55 changed to 4.44
    • Practice expense RVU 6.36 changed to 6.83
    • Malpractice RVU 0.55 changed to 0.56
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $384.23

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$410.97$260.88RVU26D
2026-07-01$410.97$260.88RVU26C
2026-04-01$410.97$260.88RVU26B
2026-01-01$410.97$260.88RVU26A
2025-10-01$384.23$277.11RVU25D
2025-07-01$384.23$277.11RVU25C
2025-04-01$384.23$277.11RVU25B
2025-01-01$384.23$277.11RVU25A

55200 billing questions

How is 55200 different from vasectomy code 55250?

55200 reports an incision into the vas deferens, such as for duct access. 55250 reports a vasectomy performed to interrupt the duct for sterilization.

Can modifier 50 be used when both sides are treated?

The code is already priced as bilateral. Modifier 50 does not increase payment.

Can vasography imaging be reported with 55200?

When vasography is performed, the radiological supervision and interpretation service may be reported separately with 74440. The operative note should support the vasotomy and the imaging service.

What postoperative care is included?

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

When can an assistant-at-surgery be paid?

Assistant-at-surgery payment requires documentation that the assistant was medically necessary. Co-surgeons and team surgery are not permitted for this code.

How are other same-session procedures paid?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple procedure reduction and 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 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.

RVUs for 55200PPRRVU2026_Oct_nonQPP.csv, line 6,346 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)