54670 Testis injury repair Medicare reimbursement rates in Massachusetts

This service covers operative repair of an injured testis, commonly after blunt scrotal trauma causes a laceration or rupture. A urologist typically evaluates the injury during surgery, removes nonviable tissue when needed, and repairs the damaged testicular tissue. The procedure is generally performed in a hospital or other surgical facility when the injury requires operative treatment rather than observation alone.

Select the code when the documented work is repair of traumatic testicular tissue, not treatment of torsion or correction of testicular position. The operative report should identify the injured testis, the nature and extent of the damage, and the repair performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For bilateral repair, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.