No office rate
54640 describes orchiopexy through an inguinal approach. Choose 54680 when the documented service is relocation from an ectopic site into the scrotum.
On this page
CMS RVU26D · Effective 2026-10-01
54680 Testis relocation Medicare reimbursement rates in Oklahoma
Reports surgical movement of a testis from an ectopic location into the scrotum, with code selection guided by the documented anatomy and procedure. Compare 54680 office and facility rates across CMS payment localities in Oklahoma.
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 54680 in Oklahoma?
Oklahoma 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
$677.72
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 54680: Ectopic testis relocation to scrotum
Reports surgical movement of a testis from an ectopic location into the scrotum, with code selection guided by the documented anatomy and procedure.
A urologist, often a pediatric urologist, surgically mobilizes a testis located outside its expected descent pathway and moves it into the scrotum. The operation is generally performed in an operating room and may involve dissection to free the testis and secure it in its new scrotal position. The operative report should identify the starting location and the final placement.
Select this code when the documented service is relocation from an ectopic site, rather than a procedure defined by a specific orchiopexy approach. Record laterality, the ectopic location, the work performed to mobilize the testis, and its scrotal placement. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For bilateral reporting with modifier 50, CMS pays at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 54680
- 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 may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.69 · 64%
- Practice expense (office) RVU5.86 · 27%
- Malpractice RVU1.76 · 8%
46
Medicare services in 2024 · #5406 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.
54680 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
54650 describes abdominal orchiopexy for an intra-abdominal testis. 54680 identifies relocation from an ectopic site, rather than that specified abdominal orchiopexy service.
No office rate
54692 describes laparoscopic orchiopexy for an intra-abdominal testis. Use it when that laparoscopic service is performed, rather than coding by ectopic relocation alone.
Compare 54680 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$677.72
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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 54680 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
6,323
- Code
- 54680
- Physician work
- 13.69
- Practice expense
- 5.86
- Malpractice
- 1.76
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.69 | × 1.000 | 13.6900 |
| Practice expense | 5.86 | × 0.893 | 5.2330 |
| Malpractice | 1.76 | × 0.777 | 1.3675 |
| Total RVUs | 20.2905 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$677.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.69 | 1 |
| Practice expense | 5.86 | 0.893 |
| Malpractice | 1.76 | 0.777 |
(13.69 × 1 + 5.86 × 0.893 + 1.76 × 0.777) × $33.4009 = $677.72
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.
54680 billing questions
When is 54680 different from inguinal orchiopexy 54640?
Use 54680 when the operative service relocates a testis from an ectopic site into the scrotum. Code 54640 describes orchiopexy by an inguinal approach; the operative anatomy and service performed determine the appropriate code.
How should bilateral relocation be reported?
CMS lists modifier 50 for bilateral reporting and pays the bilateral procedure at 150%. Document the procedure and laterality for both testes.
What documentation supports 54680?
Document the testis's starting ectopic location, the relocation and mobilization performed, laterality, and final scrotal placement.
Does the 90-day global include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple-procedure rule are paid at 50%. An assistant at surgery may be paid; co-surgeon payment requires 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.
6,32054650,,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
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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193