54620
No office rateTesticular suspension
54620 represents surgical fixation of the testis. Choose 54660 when the operative service is revision, not fixation alone.
On this page
CMS RVU26D · Effective 2026-10-01
54660 Testicular revision Medicare reimbursement rates in Nevada
Reports operative revision of the testis when a surgeon corrects or alters a prior testicular surgical result rather than performing a primary fixation or injury repair. Compare 54660 office and facility rates across CMS payment localities in Nevada.
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 54660 in Nevada?
Nevada 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
$330.51
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 54660: Testicular surgical revision
Reports operative revision of the testis when a surgeon corrects or alters a prior testicular surgical result rather than performing a primary fixation or injury repair.
This code describes an operation to revise the testis after an earlier procedure or other change requiring surgical correction. A urologist typically performs the work in a hospital or ambulatory surgical setting. The operative report should identify the testis involved, the reason for revision, the prior condition or procedure being addressed, and the corrective work performed. The specific revision should be clear from the documented operative steps.
Select this code for revision work, not simply because a patient has a history of testicular surgery. Report a more specific procedure when the operative service is instead torsion reduction, fixation or orchiopexy, or repair of an acute testicular injury. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 54660
- 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 RVU5.60 · 56%
- Practice expense (office) RVU3.70 · 37%
- Malpractice RVU0.71 · 7%
41
Medicare services in 2024 · #5487 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.
54660 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
54640 is an orchiopexy performed through an inguinal or scrotal approach. A revision procedure is distinct from primary orchiopexy.
No office rate
54670 is for operative repair of testicular injury. Use 54660 for revision work rather than repair of an acute injury.
Compare 54660 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
Nevada** →
Office / nonfacility
Unavailable
Facility
$330.51
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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 54660 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
6,321
- Code
- 54660
- Physician work
- 5.60
- Practice expense
- 3.70
- Malpractice
- 0.71
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.60 | × 1.000 | 5.6000 |
| Practice expense | 3.70 | × 1.001 | 3.7037 |
| Malpractice | 0.71 | × 0.833 | 0.5914 |
| Total RVUs | 9.8951 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada**$330.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.6 | 1 |
| Practice expense | 3.7 | 1.001 |
| Malpractice | 0.71 | 0.833 |
(5.6 × 1 + 3.7 × 1.001 + 0.71 × 0.833) × $33.4009 = $330.51
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.
54660 billing questions
How is revision different from orchiopexy?
Use this code for revision work on the testis. When the documented service is fixation of a testis or correction of an undescended testis by orchiopexy, consider the corresponding fixation or orchiopexy code instead.
Does the 90-day global period include related follow-up?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction, with payment at 50%.
Can modifier 50 be used for bilateral revision?
CMS identifies this as a bilateral procedure; reporting with modifier 50 is paid at 150%. The operative record should support work on both sides.
What documentation supports reporting this code?
Document the reason for revision, the prior condition or procedure being addressed, the side or sides treated, and the specific operative work performed.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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.
6,31854620,,Suspension of testis,A,,5.08,2.43,NA,2.43,,0.65,8.16,8.16,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31954640,,Orchiopexy ingun/scrot appr,A,,7.54,3.20,NA,3.20,,1.05,11.79,11.79,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32054650,,Orchiopexy (fowler-stephens),A,,12.08,5.78,NA,5.78,,1.54,19.40,19.40,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32154660,,Revision of testis,A,,5.60,3.70,NA,3.70,,0.71,10.01,10.01,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32254670,,Repair testis injury,A,,6.48,4.02,NA,4.02,,0.84,11.34,11.34,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32354680,,Relocation of testis(es),A,,13.69,5.86,NA,5.86,,1.76,21.31,21.31,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,32454690,,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
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097