Billing code 54692: Laparoscopic orchiopexyMedicare rate & RVUs in Virginia
Report 54692 when a surgeon uses operative laparoscopy to locate and fix an intra-abdominal undescended testis into the scrotum.
CMS doesn’t publish an office rate for 54692 in Virginia.
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 54692 covers
A urologist, often a pediatric urologist, performs this operation for an undescended testis located within the abdomen. Through laparoscopic access, the surgeon identifies and mobilizes the testis and positions it in the scrotum. The operative report should establish the intra-abdominal location and describe the laparoscopic approach and fixation performed.
Select 54692 for laparoscopic orchiopexy, not solely because diagnostic laparoscopy was used. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral surgery, modifier 50 is paid at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are 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.
Where 54692 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $742.64 |
| Virginia | Unavailable | $660.83 |
How the 54692 rate is calculated
Each of 54692’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 · 54692
RVUs × geographic indexes × conversion factor
Work13.40
13.40 RVUs× 1.000 GPCI
Practice expense5.26
5.26 RVUs× 1.000 GPCI
Malpractice1.72
1.72 RVUs× 1.000 GPCI
Adjusted RVUs
20.3800
Conversion factor
$33.4009
Medicare rate
$680.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54692
54692 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54692
Laparoscopic orchiopexy
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 54692
Laparoscopic orchiopexy
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
54692 without 50 · national facility
$680.71
Laparoscopic orchiopexy
54692-50 · Bilateral: 150%
$1,021.07
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).
54692 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 54650Orchiopexy
- Both address an intra-abdominal undescended testis, but 54650 is for the abdominal approach; 54692 is for operative laparoscopy.
- 54640Orchiopexy
- Use 54640 when orchiopexy is performed through an inguinal or scrotal approach, rather than laparoscopically for an intra-abdominal testis.
- 54690Orchiectomy
- 54690 describes laparoscopic orchiectomy, which removes the testis; 54692 fixes the testis in the scrotum.
54692 billing questions
How does 54692 differ from 54650?
54692 describes laparoscopic orchiopexy for an intra-abdominal testis. Use 54650 for the abdominal approach rather than the laparoscopic approach.
Can 54692 be reported for bilateral orchiopexy?
For bilateral surgery, report modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are 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
Fee sheets
Put 54692 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →