No office rate
55120 is for a localized scrotal lesion. 55150 is used when the operative service removes scrotal tissue more broadly.
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CMS RVU26D · Effective 2026-10-01
55150 Scrotectomy Medicare reimbursement rates in Colorado
Removal of scrotal tissue, reported for extensive disease or tissue destruction when the operative service goes beyond a localized lesion excision or abscess drainage. Compare 55150 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 55150 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$460.75
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urologic surgery
About 55150: Scrotal tissue removal
Removal of scrotal tissue, reported for extensive disease or tissue destruction when the operative service goes beyond a localized lesion excision or abscess drainage.
This service removes scrotal tissue rather than draining a collection, exploring the scrotum, or excising only a discrete lesion. Urologists and other surgeons may perform it for extensive disease or severely damaged tissue, including tissue loss associated with Fournier gangrene or extensive hidradenitis. The operative report should make clear the extent of tissue removed and why removal was required; a localized lesion alone points to a different service.
Report 55150 for the scrotal removal actually performed, and document any distinct procedures performed during the same session. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 55150
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.94 · 58%
- Practice expense (office) RVU4.62 · 34%
- Malpractice RVU1.08 · 8%
530
Medicare services in 2024 · #3504 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.
55150 compared with similar codes
Office rates for Colorado, from the same CMS release.
$256.31
55100 describes drainage of a scrotal abscess; 55150 describes removal of scrotal tissue, not drainage alone.
55110
No office rateScrotal exploration
55110 describes scrotal exploration. Choose 55150 when the documented operation removes scrotal tissue.
No office rate
55175 is a scrotal revision procedure. It concerns revision or repair, whereas 55150 concerns tissue removal.
Compare 55150 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$460.75
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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 55150 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,343
- Code
- 55150
- Physician work
- 7.94
- Practice expense
- 4.62
- Malpractice
- 1.08
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.94 | × 1.012 | 8.0353 |
| Practice expense | 4.62 | × 1.064 | 4.9157 |
| Malpractice | 1.08 | × 0.781 | 0.8435 |
| Total RVUs | 13.7944 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$460.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.94 | 1.012 |
| Practice expense | 4.62 | 1.064 |
| Malpractice | 1.08 | 0.781 |
(7.94 × 1.012 + 4.62 × 1.064 + 1.08 × 0.781) × $33.4009 = $460.75
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.
55150 billing questions
How does 55150 differ from 55120?
55150 describes removal of scrotal tissue. Use 55120 when the operative service is removal of a localized scrotal lesion rather than broader tissue excision.
Can 55150 be reported for abscess drainage?
Not when the service is drainage of a scrotal abscess without removal of scrotal tissue. The drainage procedure is described by 55100.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for 55150 because of its descriptor or anatomy.
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 payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures 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.
6,34055100,,Drainage of scrotum abscess,A,,2.39,4.66,,2.14,,0.38,7.43,4.91,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34155110,,Explore scrotum,A,,6.17,3.84,NA,3.84,,0.86,10.87,10.87,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899