Billing code 55150: ScrotectomyMedicare rate & RVUs in Utah
Removal of scrotal tissue, reported for extensive disease or tissue destruction when the operative service goes beyond a localized lesion excision or abscess drainage.
CMS doesn’t publish an office rate for 55150 in Utah.
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 55150 covers
This service removes scrotal tissue rather than draining a collection, exploring the scrotum, or excising only a discrete lesion. Urologists and other surgeons may perform it for extensive disease or severely damaged tissue, including tissue loss associated with Fournier gangrene or extensive hidradenitis. The operative report should make clear the extent of tissue removed and why removal was required; a localized lesion alone points to a different service.
Report 55150 for the scrotal removal actually performed, and document any distinct procedures performed during the same session. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery 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.
55150 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $442.65 |
How the 55150 rate is calculated
Each of 55150’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 · 55150
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.94Practice expense 4.62Malpractice 1.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 55150
55150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 55150
Scrotectomy
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 55150
Scrotectomy
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 51 · payment effect
With and without the modifier
55150 without 51 · national facility
$455.59
Scrotectomy
55150-51 · Second procedure: 50%
$227.80
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
55150 compared with similar codes
Compare codes
55150 vs 55120 vs 55100 vs 55110 vs 55175: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 55120Scrotal lesion
- 55120 is for a localized scrotal lesion. 55150 is used when the operative service removes scrotal tissue more broadly.
- 55100Scrotal abscess drainage
- 55100 describes drainage of a scrotal abscess; 55150 describes removal of scrotal tissue, not drainage alone.
- 55110Scrotal exploration
- 55110 describes scrotal exploration. Choose 55150 when the documented operation removes scrotal tissue.
- 55175Scrotal revision
- 55175 is a scrotal revision procedure. It concerns revision or repair, whereas 55150 concerns tissue removal.
55150 billing questions
How does 55150 differ from 55120?
55150 describes removal of scrotal tissue. Use 55120 when the operative service is removal of a localized scrotal lesion rather than broader tissue excision.
Can 55150 be reported for abscess drainage?
Not when the service is drainage of a scrotal abscess without removal of scrotal tissue. The drainage procedure is described by 55100.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for 55150 because of its descriptor or anatomy.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are paid at 50%.
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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