Billing code 55650: VesiculectomyMedicare rate & RVUs in Ohio
Reports surgical removal of a seminal vesicle when disease requires excision of the organ rather than incision or removal of only a focal lesion.
CMS doesn’t publish an office rate for 55650 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 55650 covers
A vesiculectomy removes a seminal vesicle, one of the paired glands behind the bladder that contributes fluid to semen. Urologists perform the operation for selected seminal vesicle disease when the affected gland must be removed; the surgical approach depends on the anatomy and operative plan. The code describes removal of the gland, not an incision into it or excision limited to a lesion.
Report the code when the operative record supports removal of a seminal vesicle, including the side treated and the extent of the operation. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures occur 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 surgery, modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
55650 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $635.83 |
How the 55650 rate is calculated
Each of 55650’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 55650
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.33Practice expense 5.59Malpractice 1.59
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 55650
55650 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 55650
Vesiculectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 55650
Vesiculectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
55650 without 50 · national facility
$651.65
Vesiculectomy
55650-50 · Bilateral: 150%
$977.48
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
55650 compared with similar codes
Compare codes
55650 vs 55600 vs 55605 vs 55680: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 55600Vesiculotomy
- 55600 describes vesiculotomy, an incision into the seminal vesicle. Choose 55650 when the operation removes the gland.
- 55605Vesiculotomy
- 55605 is the complicated vesiculotomy code and still describes an incision, not gland removal. The procedure performed, not complexity alone, distinguishes it from 55650.
- 55680Seminal vesicle surgery
- 55680 is for excision of a lesion of the seminal vesicle. 55650 describes removal of the seminal vesicle itself.
55650 billing questions
How is 55650 different from 55680?
55650 is for removal of a seminal vesicle. 55680 describes excision of a lesion from the seminal vesicle rather than removal of the gland.
When would 55600 or 55605 be reported instead?
Those codes describe vesiculotomy, an incision into the seminal vesicle. Use 55650 when the operation removes the gland rather than opening it.
What documentation supports 55650?
The operative report should identify the seminal vesicle removed, the side, and the extent of excision. It should make clear that the gland was removed, not merely incised or that a focal lesion alone was excised.
How is bilateral removal reported?
For bilateral surgery, report modifier 50; CMS pays the bilateral procedure at 150%.
Are postoperative visits separately reported during the global period?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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