No office rate
Choose 54900 for unilateral epididymovasostomy and 54901 for bilateral reconstruction. The latter is priced as bilateral.
On this page
CMS RVU26D · Effective 2026-10-01
54901 Epididymovasostomy Medicare reimbursement rates in Connecticut
Reports bilateral microsurgical reconnection of the vas deferens to epididymal tubules to bypass obstruction and restore sperm passage in selected infertility surgery. Compare 54901 office and facility rates across CMS payment localities in Connecticut.
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 54901 in Connecticut?
Connecticut 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
$999.72
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Urology surgery
About 54901: Bilateral epididymovasostomy
Reports bilateral microsurgical reconnection of the vas deferens to epididymal tubules to bypass obstruction and restore sperm passage in selected infertility surgery.
A urologist, often a reproductive urologist, uses microsurgical technique to connect the vas deferens to an epididymal tubule on each side. This bypasses an obstruction between the epididymis and the vas deferens, allowing sperm to enter the reproductive tract. The procedure is used in selected cases of obstructive infertility when the blockage is at the epididymis and reconstruction is appropriate; it is distinct from reconnecting the two ends of a divided vas deferens after vasectomy.
Report 54901 for bilateral reconstruction; the code is priced as bilateral, so modifier 50 does not increase payment. The operative report should support the obstruction, the reconstruction performed on both sides, and the anatomic sites joined. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When other 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. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 54901
- 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 RVU18.62 · 65%
- Practice expense (office) RVU7.46 · 26%
- Malpractice RVU2.40 · 8%
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.
54901 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Use 55400 for vasovasostomy, which joins vasal ends. Code 54901 describes bilateral connection of the vas deferens to the epididymis.
Compare 54901 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
Connecticut →
Office / nonfacility
Unavailable
Facility
$999.72
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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 54901 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,335
- Code
- 54901
- Physician work
- 18.62
- Practice expense
- 7.46
- Malpractice
- 2.40
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.62 | × 1.020 | 18.9924 |
| Practice expense | 7.46 | × 1.077 | 8.0344 |
| Malpractice | 2.40 | × 1.210 | 2.9040 |
| Total RVUs | 29.9308 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$999.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.62 | 1.02 |
| Practice expense | 7.46 | 1.077 |
| Malpractice | 2.4 | 1.21 |
(18.62 × 1.02 + 7.46 × 1.077 + 2.4 × 1.21) × $33.4009 = $999.72
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.
54901 billing questions
How does 54901 differ from 54900?
54901 represents bilateral reconstruction, while 54900 is the related unilateral code. The operative report should establish which side or sides were repaired.
Is this the same as a vasectomy reversal?
No. This procedure connects the vas deferens to an epididymal tubule to bypass an epididymal obstruction. A vasovasostomy reconnects the divided ends of the vas deferens.
Should modifier 50 be appended?
The code is already priced as bilateral, and modifier 50 does not increase payment.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
6,33254861,,Removal of epididymis,A,,9.46,4.89,NA,4.89,,1.22,15.57,15.57,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33354865,,Explore epididymis,A,,5.63,3.71,NA,3.71,,0.72,10.06,10.06,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33454900,,Fusion of spermatic ducts,A,,13.85,6.08,NA,6.08,,1.77,21.70,21.70,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33554901,,Fusion of spermatic ducts,A,,18.62,7.46,NA,7.46,,2.40,28.48,28.48,0,090,0.10,0.80,0.10,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33655000,,Drainage of hydrocele,A,,1.39,2.21,,0.74,,0.18,3.78,2.31,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33755040,,Removal of hydrocele,A,,5.31,3.41,NA,3.41,,0.71,9.43,9.43,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33855041,,Removal of hydroceles,A,,8.33,4.67,NA,4.67,,1.10,14.10,14.10,0,090,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808