No office rate
Choose 55530 for the nonabdominal approach; 55535 describes an abdominal approach.
On this page
CMS RVU26D · Effective 2026-10-01
55530 Varicocele repair Medicare reimbursement rates in Missouri
Reports operative ligation or excision of spermatic veins for varicocele through a nonabdominal approach, commonly for infertility or varicocele-related pain. Compare 55530 office and facility rates across CMS payment localities in Missouri.
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 55530 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$310.17–$321.19
3 of 3 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.
Where 55530 pays more and less in Missouri
Urology surgery
About 55530: Varicocele vein ligation or excision
Reports operative ligation or excision of spermatic veins for varicocele through a nonabdominal approach, commonly for infertility or varicocele-related pain.
A urologist exposes and ligates or removes dilated spermatic veins to treat a varicocele, often in a patient evaluated for infertility or scrotal discomfort. The operation is generally performed through an open inguinal or subinguinal exposure; the operative approach helps distinguish this code from abdominal or laparoscopic vein procedures. Documentation should identify the varicocele, the side treated, the approach, and the vein ligation or excision performed.
Select this code for the nonabdominal operation without hernia repair; an abdominal approach or a procedure combined with hernia repair has a different code. For bilateral treatment, CMS pays 150% when modifier 50 is reported. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Assistant-at-surgery payment is barred by statutory restriction; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 55530
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.61 · 57%
- Practice expense (office) RVU3.44 · 35%
- Malpractice RVU0.73 · 7%
124
Medicare services in 2024 · #4707 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.
55530 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Use 55540 when the varicocele vein procedure is combined with hernia repair; 55530 is for the varicocele procedure without that repair.
No office rate
55550 describes laparoscopic spermatic vein ligation. Use 55530 for the nonabdominal, nonlaparoscopic procedure.
Compare 55530 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$319.09
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$321.19
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$310.17
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55530 billing questions
How is this code distinguished from 55535?
This code describes the nonabdominal approach. Code 55535 is for an abdominal approach to varicocele vein ligation or excision.
Which code applies when hernia repair is also performed?
Use 55540 when varicocele vein surgery is performed with hernia repair. This code describes the varicocele procedure without that combined hernia repair.
How should bilateral treatment be reported?
Report modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
Are related postoperative visits separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid?
Assistant-at-surgery payment is barred by statutory restriction. Co-surgeon payment is allowed only with supporting documentation.
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.
6,34955400,,Repair of sperm duct,A,,8.39,4.20,NA,4.20,,1.08,13.67,13.67,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35055500,,Removal of hydrocele,A,,6.06,4.02,NA,4.02,,0.93,11.01,11.01,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35155520,,Removal of sperm cord lesion,A,,6.49,5.33,NA,5.33,,1.64,13.46,13.46,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35255530,,Revise spermatic cord veins,A,,5.61,3.44,NA,3.44,,0.73,9.78,9.78,0,090,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35355535,,Revise spermatic cord veins,A,,7.01,3.99,NA,3.99,,0.91,11.91,11.91,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35455540,,Revise hernia & sperm veins,A,,8.09,5.92,NA,5.92,,2.16,16.17,16.17,0,090,0.10,0.80,0.10,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35555550,,Laparo ligate spermatic vein,A,,7.02,3.95,NA,3.95,,0.91,11.88,11.88,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00