No office rate
Use 54690 when the laparoscopic procedure removes the testis; use 54692 when laparoscopic surgery repositions and secures it.
On this page
CMS RVU26D · Effective 2026-10-01
54690 Orchiectomy Medicare reimbursement rates in Wyoming
Reports laparoscopic surgical removal of a testis, including removal of an atrophic intra-abdominal testis when excision is chosen. Compare 54690 office and facility rates across CMS payment localities in Wyoming.
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 54690 in Wyoming?
Wyoming 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
$580.52
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Urology surgery
About 54690: Laparoscopic surgical removal of testis
Reports laparoscopic surgical removal of a testis, including removal of an atrophic intra-abdominal testis when excision is chosen.
A urologist performs this operation through laparoscopic access to remove a testis rather than reposition it. One typical setting is removal of an atrophic intra-abdominal testis, including in the evaluation or treatment of an undescended testis. The service is generally performed in an operating room, and the operative report should establish the laparoscopic approach and that the testis was excised.
Report the code for the laparoscopic removal itself, with documentation of the indication, laterality, and operative work. A major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54690
- 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 RVU11.41 · 64%
- Practice expense (office) RVU4.89 · 28%
- Malpractice RVU1.46 · 8%
19
Medicare services in 2024 · #5950 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.
54690 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Code 54640 is orchiopexy through an inguinal or scrotal approach to place a testis in the scrotum; 54690 removes the testis laparoscopically.
No office rate
Code 54530 describes radical orchiectomy by an inguinal approach. Select 54690 when the documented removal is performed laparoscopically.
Compare 54690 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$580.52
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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 54690 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,324
- Code
- 54690
- Physician work
- 11.41
- Practice expense
- 4.89
- Malpractice
- 1.46
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.41 | × 1.000 | 11.4100 |
| Practice expense | 4.89 | × 1.000 | 4.8900 |
| Malpractice | 1.46 | × 0.740 | 1.0804 |
| Total RVUs | 17.3804 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$580.52
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.41 | 1 |
| Practice expense | 4.89 | 1 |
| Malpractice | 1.46 | 0.74 |
(11.41 × 1 + 4.89 × 1 + 1.46 × 0.74) × $33.4009 = $580.52
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.
54690 billing questions
When should 54690 be reported instead of 54692?
Report 54690 when the testis is removed laparoscopically. Code 54692 describes laparoscopic orchiopexy, which repositions and secures a testis rather than removing it.
How is bilateral laparoscopic orchiectomy reported?
Use modifier 50 for a bilateral procedure; CMS pays this code at 150% when reported bilaterally.
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 services may be paid. Co-surgeons are paid only with supporting documentation.
What should the operative note document?
Document the indication, side, laparoscopic approach, and removal of the testis. These details distinguish this service from laparoscopic orchiopexy or an open orchiectomy.
How does CMS handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid 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.
6,32154660,,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
6,32754700,,I&d epdidyms tstis&/scrot sp,A,,3.38,2.13,NA,2.13,,0.48,5.99,5.99,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,