No office rate
54640 describes orchiopexy through an inguinal or scrotal approach for an undescended testis. Choose 54620 when the documented service is testicular suspension instead.
On this page
CMS RVU26D · Effective 2026-10-01
54620 Testicular suspension Medicare reimbursement rates in Rhode Island
Reports an operation that suspends a testis in its intended position; distinguish it from orchiopexy for an undescended or intra-abdominal testis. Compare 54620 office and facility rates across CMS payment localities in Rhode Island.
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 54620 in Rhode Island?
Rhode Island 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
$276.11
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 54620: Surgical suspension of testis
Reports an operation that suspends a testis in its intended position; distinguish it from orchiopexy for an undescended or intra-abdominal testis.
A urologist or other qualified surgeon performs this operation to suspend a testis in the intended position. The operative report should make clear what was suspended, the side, the clinical reason, and the final position. This is a specific testicular operation, not a general label for every procedure that fixes or relocates a testis.
Report 54620 when the documented operation is testicular suspension, rather than an orchiopexy selected for an undescended testis or a procedure addressing acute torsion. Include the indication, operative steps, and laterality in the record. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 54620
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.08 · 62%
- Practice expense (office) RVU2.43 · 30%
- Malpractice RVU0.65 · 8%
14
Medicare services in 2024 · #6112 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.
54620 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
54650 applies to orchiopexy for an intra-abdominal testis. It is not the code for a separately documented testicular suspension.
No office rate
54600 is for surgical reduction of testicular torsion. Report 54620 when suspension, rather than torsion reduction, is the operation documented.
Compare 54620 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$276.11
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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 54620 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,318
- Code
- 54620
- Physician work
- 5.08
- Practice expense
- 2.43
- Malpractice
- 0.65
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.08 | × 1.019 | 5.1765 |
| Practice expense | 2.43 | × 1.033 | 2.5102 |
| Malpractice | 0.65 | × 0.892 | 0.5798 |
| Total RVUs | 8.2665 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$276.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.08 | 1.019 |
| Practice expense | 2.43 | 1.033 |
| Malpractice | 0.65 | 0.892 |
(5.08 × 1.019 + 2.43 × 1.033 + 0.65 × 0.892) × $33.4009 = $276.11
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.
54620 billing questions
How is 54620 different from orchiopexy for an undescended testis?
Use 54620 when the documented operation is suspension of the testis. Orchiopexy codes apply when the operative approach and circumstances match treatment of an undescended testis.
Does the 10-day global period include postoperative visits?
Yes. Related postoperative visits during the 10 days after the procedure are included in the global period.
How is bilateral suspension reported?
When the procedure is performed bilaterally, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
CMS does not pay assistant-at-surgery services for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and the other procedures at 50% under the standard multiple procedure reduction.
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.
6,31554550,,Exploration for testis,A,,8.20,4.25,NA,4.25,,1.07,13.52,13.52,0,090,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31654560,,Exploration for testis,A,,11.80,5.36,NA,5.36,,1.50,18.66,18.66,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31754600,,Reduce testis torsion,A,,7.45,4.08,NA,4.08,,0.96,12.49,12.49,0,090,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,31854620,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537