Billing code 54901: EpididymovasostomyMedicare rate & RVUs in Florida
Reports bilateral microsurgical reconnection of the vas deferens to epididymal tubules to bypass obstruction and restore sperm passage in selected infertility surgery.
CMS doesn’t publish an office rate for 54901 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 54901 covers
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.
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.
Where 54901 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,019.27 |
| Miami | Unavailable | $1,084.04 |
| Rest Of Florida | Unavailable | $980.62 |
How the 54901 rate is calculated
Each of 54901’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 54901
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 18.62Practice expense 7.46Malpractice 2.40
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54901
54901 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54901
Epididymovasostomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54901
Epididymovasostomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54901 without 51 · national facility
$951.26
Epididymovasostomy
54901-51 · Second procedure: 50%
$475.63
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
54901 compared with similar codes
Compare codes
54901 vs 54900 vs 55400: national Medicare rates
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How to choose
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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