No office rate
55600 describes vesiculotomy, an incision into the seminal vesicle. Choose 55650 when the operation removes the gland.
On this page
CMS RVU26D · Effective 2026-10-01
55650 Vesiculectomy Medicare reimbursement rates in Guam
Reports surgical removal of a seminal vesicle when disease requires excision of the organ rather than incision or removal of only a focal lesion. Compare 55650 office and facility rates across CMS payment localities in Guam.
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 55650 in Guam?
Guam 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
$654.87
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 55650: Seminal vesicle removal
Reports surgical removal of a seminal vesicle when disease requires excision of the organ rather than incision or removal of only a focal lesion.
A vesiculectomy removes a seminal vesicle, one of the paired glands behind the bladder that contributes fluid to semen. Urologists perform the operation for selected seminal vesicle disease when the affected gland must be removed; the surgical approach depends on the anatomy and operative plan. The code describes removal of the gland, not an incision into it or excision limited to a lesion.
Report the code when the operative record supports removal of a seminal vesicle, including the side treated and the extent of the operation. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. 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. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 55650
- 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
- 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 RVU12.33 · 63%
- Practice expense (office) RVU5.59 · 29%
- Malpractice RVU1.59 · 8%
299
Medicare services in 2024 · #3996 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.
55650 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
55605 is the complicated vesiculotomy code and still describes an incision, not gland removal. The procedure performed, not complexity alone, distinguishes it from 55650.
No office rate
55680 is for excision of a lesion of the seminal vesicle. 55650 describes removal of the seminal vesicle itself.
Compare 55650 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$654.87
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 55650 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,359
- Code
- 55650
- Physician work
- 12.33
- Practice expense
- 5.59
- Malpractice
- 1.59
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.33 | × 1.000 | 12.3300 |
| Practice expense | 5.59 | × 1.137 | 6.3558 |
| Malpractice | 1.59 | × 0.579 | 0.9206 |
| Total RVUs | 19.6064 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$654.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.33 | 1 |
| Practice expense | 5.59 | 1.137 |
| Malpractice | 1.59 | 0.579 |
(12.33 × 1 + 5.59 × 1.137 + 1.59 × 0.579) × $33.4009 = $654.87
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.
55650 billing questions
How is 55650 different from 55680?
55650 is for removal of a seminal vesicle. 55680 describes excision of a lesion from the seminal vesicle rather than removal of the gland.
When would 55600 or 55605 be reported instead?
Those codes describe vesiculotomy, an incision into the seminal vesicle. Use 55650 when the operation removes the gland rather than opening it.
What documentation supports 55650?
The operative report should identify the seminal vesicle removed, the side, and the extent of excision. It should make clear that the gland was removed, not merely incised or that a focal lesion alone was excised.
How is bilateral removal reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately reported during the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is 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.
6,35655559,,Unlstd laps px sprmatic cord,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35755600,,Vesiculotomy,A,,6.83,3.96,NA,3.96,,0.88,11.67,11.67,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35855605,,Vesiculotomy complicated,A,,8.54,4.79,NA,4.79,,1.10,14.43,14.43,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35955650,,Remove sperm duct pouch,A,,12.33,5.59,NA,5.59,,1.59,19.51,19.51,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36055680,,Remove sperm pouch lesion,A,,5.53,3.41,NA,3.41,,0.70,9.64,9.64,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36155705,,Bx prst8 any approach nonimg,A,,1.88,4.87,,0.88,,0.23,6.98,2.99,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,36255706,,Bx prst8 ndl sat sampling,A,,4.16,1.40,NA,1.40,,0.53,6.09,6.09,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014