89320
No office rateSemen anal vol/count/mot
55870 is the procedure to induce ejaculation and obtain a specimen; 89320 describes complete laboratory semen analysis.
On this page
CMS RVU26D · Effective 2026-10-01
55870 Electroejaculation Medicare reimbursement rates in Washington
A urologist uses electrical stimulation to induce ejaculation and collect semen, commonly when neurologic injury or dysfunction prevents ejaculation. Compare 55870 office and facility rates across CMS payment localities in Washington.
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 55870 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$188.61–$208.04
2 of 2 localities have a supported rate.
Facility setting
$127.77–$137.14
2 of 2 localities have a supported rate.
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.
Urology procedure
About 55870: Electroejaculation for semen retrieval
A urologist uses electrical stimulation to induce ejaculation and collect semen, commonly when neurologic injury or dysfunction prevents ejaculation.
A urologist performs electroejaculation by applying controlled electrical stimulation with a rectal probe to induce ejaculation and collect a semen specimen. It is commonly used for fertility evaluation or assisted reproduction when a patient cannot ejaculate voluntarily, including some men with spinal cord injury or other neurologic dysfunction. The procedure may be performed with anesthesia or other support appropriate to the patient and setting.
Report 55870 for the electroejaculation procedure, not for semen analysis or laboratory sperm processing alone. Documentation should identify the reason ejaculation cannot be achieved by usual means, the procedure performed, and the specimen collected. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 55870
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.52 · 45%
- Practice expense (office) RVU2.70 · 49%
- Malpractice RVU0.33 · 6%
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.
55870 compared with similar codes
Office rates for Washington, from the same CMS release.
89321
No office rateSemen anal sperm detection
Use 89321 for laboratory assessment of sperm presence or motility, not for electrically induced ejaculation and specimen collection.
89264
No office rateIdentify sperm tissue
89264 concerns sperm identification from testicular or epididymal material. 55870 obtains semen by electrically inducing ejaculation.
Compare 55870 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.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
$188.61
Facility
$127.77
Seattle (King Cnty) →
Office / nonfacility
$208.04
Facility
$137.14
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55870 billing questions
When is 55870 appropriate instead of a semen analysis code?
Use 55870 for the procedure that electrically induces ejaculation and collects semen. A semen analysis code describes laboratory examination of a specimen, not the retrieval procedure.
Can semen analysis or sperm processing be reported separately?
A laboratory service such as semen analysis or sperm isolation is distinct from electroejaculation when it is actually performed and documented. Report the applicable laboratory service rather than treating it as part of the retrieval procedure.
Does modifier 50 apply if stimulation is performed bilaterally?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care. It does not extend the global period beyond the day of the procedure.
How is 55870 affected when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to the reduction. Assistant-at-surgery payment is restricted, co-surgeons require 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 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.
6,38755867,,Laps surg prst8ect smpl stot,A,,19.04,6.82,NA,6.82,,2.46,28.32,28.32,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38855868,,Lap srg prst8ct lymph nod bx,A,,22.46,7.79,NA,7.79,,2.91,33.16,33.16,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38955869,,Lap srg prst8ct bi pl lmphad,A,,27.41,8.82,NA,8.82,,3.55,39.78,39.78,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39055870,,Electroejaculation,A,,2.52,2.70,,0.97,,0.33,5.55,3.82,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39155873,,Cryoablate prostate,A,,13.26,155.45,,5.66,,1.69,170.40,20.61,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39255874,,Tprnl plmt biodegrdabl matrl,A,,2.95,107.63,,0.99,,0.33,110.91,4.27,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39355875,,Transperi needle place pros,A,,13.12,6.05,NA,6.05,,1.42,20.59,20.59,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00