$116.83
Choose 55000 when the service is hydrocele drainage. Choose 55060 when the operative record documents repair of the hydrocele sac.
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CMS RVU26D · Effective 2026-10-01
55060 Hydrocele repair Medicare reimbursement rates in Nebraska
Report this operation when a surgeon repairs a hydrocele sac around the testicle, rather than draining it or performing an excisional procedure. Compare 55060 office and facility rates across CMS payment localities in Nebraska.
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 55060 in Nebraska?
Nebraska 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
$327.84
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Urology surgery
About 55060: Surgical hydrocele repair
Report this operation when a surgeon repairs a hydrocele sac around the testicle, rather than draining it or performing an excisional procedure.
A urologist typically performs this operation to correct a fluid-filled sac surrounding a testicle. Through a scrotal incision, the surgeon surgically treats the hydrocele sac and tunica vaginalis; the specific repair technique should be evident in the operative report. The service is generally performed in an operating room, with the operative method distinguishing repair from simple fluid drainage or excision of the hydrocele.
Report 55060 when the documented procedure is a repair, not merely aspiration or removal. The note should identify the treated side or sides, the hydrocele, and the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. For bilateral repair with modifier 50, payment is 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 55060
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.00 · 57%
- Practice expense (office) RVU3.81 · 36%
- Malpractice RVU0.79 · 7%
809
Medicare services in 2024 · #3137 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.
55060 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
55040 describes removal of a hydrocele; 55060 describes repair. Base the choice on the operation performed, not simply the diagnosis.
No office rate
55041 describes removal of hydroceles. Use 55060 when the documented service is repair rather than removal.
Compare 55060 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$327.84
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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 55060 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,339
- Code
- 55060
- Physician work
- 6.00
- Practice expense
- 3.81
- Malpractice
- 0.79
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.00 | × 1.000 | 6.0000 |
| Practice expense | 3.81 | × 0.923 | 3.5166 |
| Malpractice | 0.79 | × 0.378 | 0.2986 |
| Total RVUs | 9.8152 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$327.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6 | 1 |
| Practice expense | 3.81 | 0.923 |
| Malpractice | 0.79 | 0.378 |
(6 × 1 + 3.81 × 0.923 + 0.79 × 0.378) × $33.4009 = $327.84
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.
55060 billing questions
How do I distinguish repair from drainage?
Use 55060 when the operative report supports surgical repair of the hydrocele sac. Code 55000 describes drainage, not repair.
How is bilateral repair reported?
When both sides are repaired, report modifier 50. CMS pays the bilateral procedure at 150%.
What should the operative report document?
Document the hydrocele, the side or sides treated, and the operative repair performed. The documented technique should support repair rather than drainage or excision.
Does the global period include postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires medical-necessity 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.
6,33655000,,Drainage of hydrocele,A,,1.39,2.21,,0.74,,0.18,3.78,2.31,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33755040,,Removal of hydrocele,A,,5.31,3.41,NA,3.41,,0.71,9.43,9.43,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33855041,,Removal of hydroceles,A,,8.33,4.67,NA,4.67,,1.10,14.10,14.10,0,090,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,33955060,,Repair of hydrocele,A,,6.00,3.81,NA,3.81,,0.79,10.60,10.60,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34055100,,Drainage of scrotum abscess,A,,2.39,4.66,,2.14,,0.38,7.43,4.91,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34155110,,Explore scrotum,A,,6.17,3.84,NA,3.84,,0.86,10.87,10.87,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34255120,,Removal of scrotum lesion,A,,5.58,3.63,NA,3.63,,0.71,9.92,9.92,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068