No office rate
55175 describes simple scrotal revision. Use 55180 when the documented reconstruction is complicated, such as scrotal reduction or correction of penoscrotal webbing.
On this page
CMS RVU26D · Effective 2026-10-01
55180 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$625.45
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 55180: Complicated scrotal reconstruction
Reports complex reconstructive surgery to correct scrotal anatomy, such as scrotal reduction or correction of penoscrotal webbing.
This code describes a more involved reconstruction of the scrotum than a simple revision. A urologist or plastic surgeon may use it to correct substantial scrotal skin or contour problems, including scrotal excess or penoscrotal webbing. These procedures are generally performed in a surgical facility and may address a congenital deformity or a change resulting from prior surgery or injury.
Choose this level based on the reconstructive work documented, distinguishing it from a simple scrotal revision. The operative report should describe the anatomy being corrected, the extent of the deformity, and the reconstruction performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global surgical service. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 55180
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU11.49 · 62%
- Practice expense (office) RVU5.69 · 30%
- Malpractice RVU1.50 · 8%
364
Medicare services in 2024 · #3815 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.
55180 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
55150 is for excision of scrotal tissue. 55180 is for reconstructing scrotal anatomy rather than removing the scrotum as the operative objective.
No office rate
55120 targets removal of a scrotal lesion. 55180 targets correction of scrotal anatomy and contour.
The same code, a different location
How does Redding compare?
55180 across payment areas
Same release and payment basis · bars start at $0
Redding · 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.
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
Madera
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Merced
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Modesto
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Napa
California · 55180
Office
Unavailable
Facility
$683.89
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 55180
Office
Unavailable
Facility
$650.38
No comparable office rate is available.
Rest Of California
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 55180
Office
Unavailable
Facility
$641.72
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 55180
Office
Unavailable
Facility
$645.48
No comparable office rate is available.
Salinas
California · 55180
Office
Unavailable
Facility
$642.80
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 55180
Office
Unavailable
Facility
$649.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55180
Office
Unavailable
Facility
$711.20
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55180
Office
Unavailable
Facility
$709.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55180
Office
Unavailable
Facility
$726.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55180
Office
Unavailable
Facility
$719.94
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 55180
Office
Unavailable
Facility
$633.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 55180
Office
Unavailable
Facility
$649.60
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 55180
Office
Unavailable
Facility
$642.98
No comparable office rate is available.
Santa Rosa-Petaluma
California · 55180
Office
Unavailable
Facility
$655.53
No comparable office rate is available.
Stockton
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Vallejo
California · 55180
Office
Unavailable
Facility
$681.44
No comparable office rate is available.
Visalia
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Yuba City
California · 55180
Office
Unavailable
Facility
$625.45
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 55180
Office
Unavailable
Facility
$684.14
No comparable office rate is available.
Miami
Florida · 55180
Office
Unavailable
Facility
$708.33
No comparable office rate is available.
Chicago
Illinois · 55180
Office
Unavailable
Facility
$692.45
No comparable office rate is available.
Manhattan
New York · 55180
Office
Unavailable
Facility
$708.64
No comparable office rate is available.
Alaska*
Alaska · 55180
Office
Unavailable
Facility
$805.67
No comparable office rate is available.
Alabama
Alabama · 55180
Office
Unavailable
Facility
$578.43
No comparable office rate is available.
Arkansas
Arkansas · 55180
Office
Unavailable
Facility
$572.83
No comparable office rate is available.
Arizona
Arizona · 55180
Office
Unavailable
Facility
$610.82
No comparable office rate is available.
Colorado
Colorado · 55180
Office
Unavailable
Facility
$629.73
No comparable office rate is available.
Connecticut
Connecticut · 55180
Office
Unavailable
Facility
$656.76
No comparable office rate is available.
Delaware
Delaware · 55180
Office
Unavailable
Facility
$618.51
No comparable office rate is available.
Fort Lauderdale
Florida · 55180
Office
Unavailable
Facility
$666.88
No comparable office rate is available.
Rest Of Florida
Florida · 55180
Office
Unavailable
Facility
$640.77
No comparable office rate is available.
Atlanta
Georgia · 55180
Office
Unavailable
Facility
$638.19
No comparable office rate is available.
Rest Of Georgia
Georgia · 55180
Office
Unavailable
Facility
$613.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 55180
Office
Unavailable
Facility
$628.87
No comparable office rate is available.
Iowa
Iowa · 55180
Office
Unavailable
Facility
$577.56
No comparable office rate is available.
Idaho
Idaho · 55180
Office
Unavailable
Facility
$582.32
No comparable office rate is available.
East St. Louis
Illinois · 55180
Office
Unavailable
Facility
$659.53
No comparable office rate is available.
Rest Of Illinois
Illinois · 55180
Office
Unavailable
Facility
$635.60
No comparable office rate is available.
Suburban Chicago
Illinois · 55180
Office
Unavailable
Facility
$670.42
No comparable office rate is available.
Indiana
Indiana · 55180
Office
Unavailable
Facility
$584.30
No comparable office rate is available.
Kansas
Kansas · 55180
Office
Unavailable
Facility
$580.83
No comparable office rate is available.
Kentucky
Kentucky · 55180
Office
Unavailable
Facility
$598.57
No comparable office rate is available.
New Orleans
Louisiana · 55180
Office
Unavailable
Facility
$619.53
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 55180
Office
Unavailable
Facility
$599.97
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 55180
Office
Unavailable
Facility
$671.02
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 55180
Office
Unavailable
Facility
$629.97
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 55180
Office
Unavailable
Facility
$655.82
No comparable office rate is available.
Rest Of Maryland
Maryland · 55180
Office
Unavailable
Facility
$625.94
No comparable office rate is available.
Rest Of Maine
Maine · 55180
Office
Unavailable
Facility
$589.79
No comparable office rate is available.
Southern Maine
Maine · 55180
Office
Unavailable
Facility
$603.73
No comparable office rate is available.
Detroit
Michigan · 55180
Office
Unavailable
Facility
$651.65
No comparable office rate is available.
Rest Of Michigan
Michigan · 55180
Office
Unavailable
Facility
$613.86
No comparable office rate is available.
Minnesota
Minnesota · 55180
Office
Unavailable
Facility
$594.17
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 55180
Office
Unavailable
Facility
$611.18
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 55180
Office
Unavailable
Facility
$614.91
No comparable office rate is available.
Rest Of Missouri
Missouri · 55180
Office
Unavailable
Facility
$596.40
No comparable office rate is available.
Mississippi
Mississippi · 55180
Office
Unavailable
Facility
$584.44
No comparable office rate is available.
Montana**
Montana · 55180
Office
Unavailable
Facility
$623.83
No comparable office rate is available.
North Carolina
North Carolina · 55180
Office
Unavailable
Facility
$593.11
No comparable office rate is available.
North Dakota**
North Dakota · 55180
Office
Unavailable
Facility
$594.17
No comparable office rate is available.
Nebraska
Nebraska · 55180
Office
Unavailable
Facility
$578.13
No comparable office rate is available.
New Hampshire
New Hampshire · 55180
Office
Unavailable
Facility
$625.46
No comparable office rate is available.
Northern Nj
New Jersey · 55180
Office
Unavailable
Facility
$681.92
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 55180
Office
Unavailable
Facility
$661.62
No comparable office rate is available.
New Mexico
New Mexico · 55180
Office
Unavailable
Facility
$618.22
No comparable office rate is available.
Nevada**
Nevada · 55180
Office
Unavailable
Facility
$615.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 55180
Office
Unavailable
Facility
$727.35
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 55180
Office
Unavailable
Facility
$669.77
No comparable office rate is available.
Queens
New York · 55180
Office
Unavailable
Facility
$705.22
No comparable office rate is available.
Rest Of New York
New York · 55180
Office
Unavailable
Facility
$599.55
No comparable office rate is available.
Ohio
Ohio · 55180
Office
Unavailable
Facility
$607.80
No comparable office rate is available.
Oklahoma
Oklahoma · 55180
Office
Unavailable
Facility
$592.42
No comparable office rate is available.
Portland
Oregon · 55180
Office
Unavailable
Facility
$638.34
No comparable office rate is available.
Rest Of Oregon
Oregon · 55180
Office
Unavailable
Facility
$608.29
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 55180
Office
Unavailable
Facility
$648.30
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 55180
Office
Unavailable
Facility
$605.59
No comparable office rate is available.
Puerto Rico
Puerto Rico · 55180
Office
Unavailable
Facility
$625.27
No comparable office rate is available.
Rhode Island
Rhode Island · 55180
Office
Unavailable
Facility
$632.08
No comparable office rate is available.
South Carolina
South Carolina · 55180
Office
Unavailable
Facility
$601.97
No comparable office rate is available.
South Dakota**
South Dakota · 55180
Office
Unavailable
Facility
$590.66
No comparable office rate is available.
Tennessee
Tennessee · 55180
Office
Unavailable
Facility
$583.44
No comparable office rate is available.
Austin
Texas · 55180
Office
Unavailable
Facility
$630.01
No comparable office rate is available.
Beaumont
Texas · 55180
Office
Unavailable
Facility
$603.27
No comparable office rate is available.
Brazoria
Texas · 55180
Office
Unavailable
Facility
$614.27
No comparable office rate is available.
Dallas
Texas · 55180
Office
Unavailable
Facility
$619.51
No comparable office rate is available.
Fort Worth
Texas · 55180
Office
Unavailable
Facility
$618.26
No comparable office rate is available.
Galveston
Texas · 55180
Office
Unavailable
Facility
$617.05
No comparable office rate is available.
Houston
Texas · 55180
Office
Unavailable
Facility
$644.51
No comparable office rate is available.
Rest Of Texas
Texas · 55180
Office
Unavailable
Facility
$609.38
No comparable office rate is available.
Utah
Utah · 55180
Office
Unavailable
Facility
$607.42
No comparable office rate is available.
Virginia
Virginia · 55180
Office
Unavailable
Facility
$605.97
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 55180
Office
Unavailable
Facility
$625.27
No comparable office rate is available.
Vermont
Vermont · 55180
Office
Unavailable
Facility
$597.28
No comparable office rate is available.
Rest Of Washington
Washington · 55180
Office
Unavailable
Facility
$627.02
No comparable office rate is available.
Seattle (King Cnty)
Washington · 55180
Office
Unavailable
Facility
$677.09
No comparable office rate is available.
Wisconsin
Wisconsin · 55180
Office
Unavailable
Facility
$581.28
No comparable office rate is available.
West Virginia
West Virginia · 55180
Office
Unavailable
Facility
$620.63
No comparable office rate is available.
Wyoming**
Wyoming · 55180
Office
Unavailable
Facility
$610.90
No comparable office rate is available.
See how rates vary across the country
55180 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 55180 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$688.00
$625.45 × 110% = $688.00
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 55180 in Redding.
PPRRVU2026_Oct_nonQPP.csv
6,345
- Code
- 55180
- Physician work
- 11.49
- Practice expense
- 5.69
- Malpractice
- 1.50
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.49 | × 1.017 | 11.6853 |
| Practice expense | 5.69 | × 1.096 | 6.2362 |
| Malpractice | 1.50 | × 0.536 | 0.8040 |
| Total RVUs | 18.7256 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$625.45
Open 55180 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.49 | 1.017 |
| Practice expense | 5.69 | 1.096 |
| Malpractice | 1.5 | 0.536 |
(11.49 × 1.017 + 5.69 × 1.096 + 1.5 × 0.536) × $33.4009 = $625.45
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
55180 · 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 | $625.45 | RVU26D |
| 2026-07-01 | Not available in this setting | $625.45 | RVU26C |
| 2026-04-01 | Not available in this setting | $625.45 | RVU26B |
| 2026-01-01 | Not available in this setting | $625.45 | RVU26A |
| 2025-10-01 | Not available in this setting | $678.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $678.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $678.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $678.87 | RVU25A |
55180 billing questions
How does this differ from 55175?
55180 is for a complicated reconstruction, such as scrotal reduction or correction of penoscrotal webbing. Use 55175 for a simple scrotal revision when the documented work does not support the more complex level.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
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.
Can an assistant surgeon be paid?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
6,34255120,,Removal of scrotum lesion,A,,5.58,3.63,NA,3.63,,0.71,9.92,9.92,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34355150,,Removal of scrotum,A,,7.94,4.62,NA,4.62,,1.08,13.64,13.64,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34455175,,Revision of scrotum,A,,5.72,3.70,NA,3.70,,0.75,10.17,10.17,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34555180,,Revision of scrotum,A,,11.49,5.69,NA,5.69,,1.50,18.68,18.68,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34655200,,Incision of sperm duct,A,,4.44,6.83,,2.73,,0.56,11.83,7.73,0,090,0.10,0.80,0.10,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34755250,,Removal of sperm duct(s),A,,3.29,6.67,,2.82,,0.42,10.38,6.53,0,090,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34855300,,Prepare sperm duct x-ray,A,,3.41,1.10,NA,1.10,,0.43,4.94,4.94,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536