$236.26–$251.43
This code covers drainage involving the epididymis, testis, or scrotal space. Code 55100 is for an abscess limited to the scrotal wall.
On this page
CMS RVU26D · Effective 2026-10-01
54700 Genital abscess drainage Medicare reimbursement rates in Michigan
Reports surgical drainage of an abscess involving the epididymis, testis, or scrotal space, rather than a collection limited to the scrotal wall. Compare 54700 office and facility rates across CMS payment localities in Michigan.
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 54700 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$195.95–$208.58
2 of 2 localities have a supported rate.
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 54700: Incision and drainage of testicular or scrotal abscess
Reports surgical drainage of an abscess involving the epididymis, testis, or scrotal space, rather than a collection limited to the scrotal wall.
A urologist or other qualified surgeon uses an incision to reach and drain purulent material from an infected epididymis, testis, or scrotal space. The service is performed for a deeper genital abscess, commonly in an operating room or other surgical setting; the operative record should identify the involved structure or space and the findings supporting drainage. This code is distinct from drainage confined to the scrotal wall.
Report the service when the operative work is drainage of one or more of the named deeper sites, and document laterality and the extent of the procedure. It has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed 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 reporting with modifier 50, CMS pays at 150%. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 54700
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.38 · 56%
- Practice expense (office) RVU2.13 · 36%
- Malpractice RVU0.48 · 8%
1.3K
Medicare services in 2024 · #2798 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.
54700 compared with similar codes
Office rates for Michigan, from the same CMS release.
55110
No office rateScrotal exploration
Code 55110 describes scrotal exploration. Choose 54700 when the operative service includes drainage of an abscess at the epididymis, testis, or scrotal space.
No office rate
Code 54800 is for epididymal biopsy, a diagnostic tissue-sampling service. Use 54700 for operative drainage of an abscess involving the epididymis or another named site.
Compare 54700 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
Unavailable
Facility
$208.58
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$195.95
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54700 billing questions
How does this differ from drainage of a scrotal wall abscess?
Use this code when the abscess involves the epididymis, testis, or scrotal space. A collection confined to the scrotal wall is represented by 55100.
What documentation supports reporting this code?
The operative note should identify the drained site, laterality, and findings showing an abscess involving the epididymis, testis, or scrotal space.
How is bilateral drainage reported?
Report modifier 50 for a bilateral procedure; CMS pays this code at 150% when reported bilaterally.
Are postoperative visits separately payable during the global period?
Related postoperative visits for 10 days are included in the minor-procedure global period.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this code, and 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.
6,32454690,,Laparoscopy orchiectomy,A,,11.41,4.89,NA,4.89,,1.46,17.76,17.76,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32554692,,Laparoscopy orchiopexy,A,,13.40,5.26,NA,5.26,,1.72,20.38,20.38,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32654699,,Unlisted laps px testis,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
6,32754700,,I&d epdidyms tstis&/scrot sp,A,,3.38,2.13,NA,2.13,,0.48,5.99,5.99,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32854800,,Biopsy of epididymis,A,,2.27,0.78,NA,0.78,,0.28,3.33,3.33,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32954830,,Remove epididymis lesion,A,,5.86,3.77,NA,3.77,,0.78,10.41,10.41,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33054840,,Remove epididymis lesion,A,,5.14,3.14,NA,3.14,,0.66,8.94,8.94,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00