No office rate
54522 is for partial orchiectomy, with testicular tissue preserved; 54520 represents simple removal of the testis.
On this page
CMS RVU26D · Effective 2026-10-01
54520 in Vallejo
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$337.83
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 54520: Simple orchiectomy
Reports simple surgical removal of a testis, including a subcapsular procedure, when the treatment plan calls for removal rather than biopsy or limited lesion excision.
A urologist typically performs this operation in a hospital or ambulatory surgery setting to remove a testis, including by a subcapsular technique. It may be selected when the testis is being removed for a condition not requiring the radical tumor operation represented by a different code. The code encompasses the simple removal whether the surgeon uses a scrotal or inguinal approach, and allows for removal with or without a testicular prosthesis.
Choose the code based on the operation documented, not simply the diagnosis or incision: the record should support removal of the testis and distinguish a simple procedure from partial removal, limited lesion excision, or radical tumor surgery. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 54520
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.17 · 57%
- Practice expense (office) RVU3.25 · 36%
- Malpractice RVU0.73 · 8%
1.5K
Medicare services in 2024 · #2652 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.
54520 compared with similar codes
Office rates for Vallejo, from the same CMS release.
No office rate
54530 is the radical operation for a testicular tumor using an inguinal approach. Do not select it solely because the diagnosis is a tumor; the documented procedure must support radical surgery.
No office rate
54535 represents radical tumor surgery with abdominal exploration. A simple orchiectomy without that radical operation is reported with 54520.
No office rate
54512 applies when a testicular lesion is excised and the testis is preserved; 54520 applies when the testis is removed.
The same code, a different location
How does Vallejo compare?
54520 across payment areas
Same release and payment basis · bars start at $0
Vallejo · 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 · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Merced
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Modesto
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Napa
California · 54520
Office
Unavailable
Facility
$339.02
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54520
Office
Unavailable
Facility
$321.02
No comparable office rate is available.
Redding
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Rest Of California
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54520
Office
Unavailable
Facility
$315.56
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54520
Office
Unavailable
Facility
$318.22
No comparable office rate is available.
Salinas
California · 54520
Office
Unavailable
Facility
$316.92
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54520
Office
Unavailable
Facility
$320.91
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54520
Office
Unavailable
Facility
$353.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54520
Office
Unavailable
Facility
$352.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54520
Office
Unavailable
Facility
$361.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54520
Office
Unavailable
Facility
$357.89
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54520
Office
Unavailable
Facility
$312.33
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54520
Office
Unavailable
Facility
$321.27
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54520
Office
Unavailable
Facility
$317.16
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54520
Office
Unavailable
Facility
$324.24
No comparable office rate is available.
Stockton
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Visalia
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Yuba City
California · 54520
Office
Unavailable
Facility
$307.66
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 54520
Office
Unavailable
Facility
$337.02
No comparable office rate is available.
Miami
Florida · 54520
Office
Unavailable
Facility
$347.35
No comparable office rate is available.
Chicago
Illinois · 54520
Office
Unavailable
Facility
$338.95
No comparable office rate is available.
Manhattan
New York · 54520
Office
Unavailable
Facility
$348.54
No comparable office rate is available.
Alaska*
Alaska · 54520
Office
Unavailable
Facility
$388.07
No comparable office rate is available.
Alabama
Alabama · 54520
Office
Unavailable
Facility
$281.47
No comparable office rate is available.
Arkansas
Arkansas · 54520
Office
Unavailable
Facility
$278.49
No comparable office rate is available.
Arizona
Arizona · 54520
Office
Unavailable
Facility
$298.74
No comparable office rate is available.
Colorado
Colorado · 54520
Office
Unavailable
Facility
$309.30
No comparable office rate is available.
Connecticut
Connecticut · 54520
Office
Unavailable
Facility
$322.55
No comparable office rate is available.
Delaware
Delaware · 54520
Office
Unavailable
Facility
$302.72
No comparable office rate is available.
Fort Lauderdale
Florida · 54520
Office
Unavailable
Facility
$326.73
No comparable office rate is available.
Rest Of Florida
Florida · 54520
Office
Unavailable
Facility
$313.11
No comparable office rate is available.
Atlanta
Georgia · 54520
Office
Unavailable
Facility
$312.77
No comparable office rate is available.
Rest Of Georgia
Georgia · 54520
Office
Unavailable
Facility
$298.58
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54520
Office
Unavailable
Facility
$310.22
No comparable office rate is available.
Iowa
Iowa · 54520
Office
Unavailable
Facility
$281.69
No comparable office rate is available.
Idaho
Idaho · 54520
Office
Unavailable
Facility
$284.08
No comparable office rate is available.
East St. Louis
Illinois · 54520
Office
Unavailable
Facility
$321.66
No comparable office rate is available.
Rest Of Illinois
Illinois · 54520
Office
Unavailable
Facility
$309.90
No comparable office rate is available.
Suburban Chicago
Illinois · 54520
Office
Unavailable
Facility
$328.58
No comparable office rate is available.
Indiana
Indiana · 54520
Office
Unavailable
Facility
$285.16
No comparable office rate is available.
Kansas
Kansas · 54520
Office
Unavailable
Facility
$283.10
No comparable office rate is available.
Kentucky
Kentucky · 54520
Office
Unavailable
Facility
$291.50
No comparable office rate is available.
New Orleans
Louisiana · 54520
Office
Unavailable
Facility
$302.53
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54520
Office
Unavailable
Facility
$292.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54520
Office
Unavailable
Facility
$331.08
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54520
Office
Unavailable
Facility
$309.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54520
Office
Unavailable
Facility
$322.08
No comparable office rate is available.
Rest Of Maryland
Maryland · 54520
Office
Unavailable
Facility
$306.65
No comparable office rate is available.
Rest Of Maine
Maine · 54520
Office
Unavailable
Facility
$287.72
No comparable office rate is available.
Southern Maine
Maine · 54520
Office
Unavailable
Facility
$295.64
No comparable office rate is available.
Detroit
Michigan · 54520
Office
Unavailable
Facility
$318.55
No comparable office rate is available.
Rest Of Michigan
Michigan · 54520
Office
Unavailable
Facility
$299.32
No comparable office rate is available.
Minnesota
Minnesota · 54520
Office
Unavailable
Facility
$291.60
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54520
Office
Unavailable
Facility
$298.44
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54520
Office
Unavailable
Facility
$300.46
No comparable office rate is available.
Rest Of Missouri
Missouri · 54520
Office
Unavailable
Facility
$290.00
No comparable office rate is available.
Mississippi
Mississippi · 54520
Office
Unavailable
Facility
$284.17
No comparable office rate is available.
Montana**
Montana · 54520
Office
Unavailable
Facility
$305.57
No comparable office rate is available.
North Carolina
North Carolina · 54520
Office
Unavailable
Facility
$289.54
No comparable office rate is available.
North Dakota**
North Dakota · 54520
Office
Unavailable
Facility
$291.13
No comparable office rate is available.
Nebraska
Nebraska · 54520
Office
Unavailable
Facility
$282.09
No comparable office rate is available.
New Hampshire
New Hampshire · 54520
Office
Unavailable
Facility
$307.02
No comparable office rate is available.
Northern Nj
New Jersey · 54520
Office
Unavailable
Facility
$335.52
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54520
Office
Unavailable
Facility
$324.88
No comparable office rate is available.
New Mexico
New Mexico · 54520
Office
Unavailable
Facility
$301.51
No comparable office rate is available.
Nevada**
Nevada · 54520
Office
Unavailable
Facility
$301.65
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54520
Office
Unavailable
Facility
$358.08
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54520
Office
Unavailable
Facility
$328.82
No comparable office rate is available.
Queens
New York · 54520
Office
Unavailable
Facility
$347.20
No comparable office rate is available.
Rest Of New York
New York · 54520
Office
Unavailable
Facility
$292.95
No comparable office rate is available.
Ohio
Ohio · 54520
Office
Unavailable
Facility
$296.37
No comparable office rate is available.
Oklahoma
Oklahoma · 54520
Office
Unavailable
Facility
$288.57
No comparable office rate is available.
Portland
Oregon · 54520
Office
Unavailable
Facility
$314.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 54520
Office
Unavailable
Facility
$297.94
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54520
Office
Unavailable
Facility
$317.88
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54520
Office
Unavailable
Facility
$295.38
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54520
Office
Unavailable
Facility
$306.45
No comparable office rate is available.
Rhode Island
Rhode Island · 54520
Office
Unavailable
Facility
$309.85
No comparable office rate is available.
South Carolina
South Carolina · 54520
Office
Unavailable
Facility
$293.71
No comparable office rate is available.
South Dakota**
South Dakota · 54520
Office
Unavailable
Facility
$289.43
No comparable office rate is available.
Tennessee
Tennessee · 54520
Office
Unavailable
Facility
$284.45
No comparable office rate is available.
Austin
Texas · 54520
Office
Unavailable
Facility
$309.48
No comparable office rate is available.
Beaumont
Texas · 54520
Office
Unavailable
Facility
$294.12
No comparable office rate is available.
Brazoria
Texas · 54520
Office
Unavailable
Facility
$300.66
No comparable office rate is available.
Dallas
Texas · 54520
Office
Unavailable
Facility
$303.28
No comparable office rate is available.
Fort Worth
Texas · 54520
Office
Unavailable
Facility
$302.51
No comparable office rate is available.
Galveston
Texas · 54520
Office
Unavailable
Facility
$302.05
No comparable office rate is available.
Houston
Texas · 54520
Office
Unavailable
Facility
$315.41
No comparable office rate is available.
Rest Of Texas
Texas · 54520
Office
Unavailable
Facility
$297.72
No comparable office rate is available.
Utah
Utah · 54520
Office
Unavailable
Facility
$296.62
No comparable office rate is available.
Virginia
Virginia · 54520
Office
Unavailable
Facility
$296.60
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54520
Office
Unavailable
Facility
$306.45
No comparable office rate is available.
Vermont
Vermont · 54520
Office
Unavailable
Facility
$292.49
No comparable office rate is available.
Rest Of Washington
Washington · 54520
Office
Unavailable
Facility
$307.79
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54520
Office
Unavailable
Facility
$334.43
No comparable office rate is available.
Wisconsin
Wisconsin · 54520
Office
Unavailable
Facility
$284.19
No comparable office rate is available.
West Virginia
West Virginia · 54520
Office
Unavailable
Facility
$301.91
No comparable office rate is available.
Wyoming**
Wyoming · 54520
Office
Unavailable
Facility
$299.28
No comparable office rate is available.
See how rates vary across the country
54520 · 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?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 54520 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$371.61
$337.83 × 110% = $371.61
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 54520 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
6,311
- Code
- 54520
- Physician work
- 5.17
- Practice expense
- 3.25
- Malpractice
- 0.73
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.17 | × 1.063 | 5.4957 |
| Practice expense | 3.25 | × 1.318 | 4.2835 |
| Malpractice | 0.73 | × 0.459 | 0.3351 |
| Total RVUs | 10.1143 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vallejo$337.83
Open 54520 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.17 | 1.063 |
| Practice expense | 3.25 | 1.318 |
| Malpractice | 0.73 | 0.459 |
(5.17 × 1.063 + 3.25 × 1.318 + 0.73 × 0.459) × $33.4009 = $337.83
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
54520 · 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 | $337.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $337.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $337.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $337.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $359.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $359.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $359.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $359.13 | RVU25A |
54520 billing questions
How is 54520 different from radical orchiectomy 54530?
Use 54520 for simple removal, including subcapsular removal. Code 54530 describes radical orchiectomy for a tumor through an inguinal approach.
Can 54520 be reported for partial removal of a testis?
No. When only part of the testis is removed, compare the operative documentation with 54522, the partial orchiectomy code.
Is removal of a small testicular lesion coded as 54520?
Not when the surgeon excises a lesion while preserving the testis; compare 54512. Report 54520 when the operation removes the testis.
How should bilateral orchiectomy be reported?
Report bilateral surgery with modifier 50. CMS pays this bilateral procedure at 150%.
What postoperative care is included in 54520?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
CMS does not pay assistant-at-surgery services for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,30854500,,Biopsy of testis,A,,1.28,0.57,NA,0.57,,0.16,2.01,2.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30954505,,Biopsy of testis,A,,3.41,1.94,NA,1.94,,0.43,5.78,5.78,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31054512,,Excise lesion testis,A,,9.10,4.39,NA,4.39,,1.19,14.68,14.68,0,090,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31154520,,Removal of testis,A,,5.17,3.25,NA,3.25,,0.73,9.15,9.15,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31254522,,Orchiectomy partial,A,,9.99,4.74,NA,4.74,,1.29,16.02,16.02,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31354530,,Removal of testis,A,,8.25,4.69,NA,4.69,,1.11,14.05,14.05,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31454535,,Extensive testis surgery,A,,12.86,5.66,NA,5.66,,1.65,20.17,20.17,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536
3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536
3201112,CA,68,STOCKTON,1.017,1.096,0.536
3301112,CA,53,VALLEJO,1.063,1.318,0.459
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536