$343.05
55250 is vasectomy for sterilization; 55300 provides access for contrast imaging and is not the sterilization procedure.
On this page
CMS RVU26D · Effective 2026-10-01
55300 Vasography prep Medicare reimbursement rates in Wyoming
A urologist opens the vas deferens to enable contrast imaging, typically when evaluating suspected obstruction or patency in the male reproductive tract. Compare 55300 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 55300 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
$161.27
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 procedure
About 55300: Vasotomy for vasography access
A urologist opens the vas deferens to enable contrast imaging, typically when evaluating suspected obstruction or patency in the male reproductive tract.
A urologist makes an opening in the vas deferens to allow contrast to be introduced for vasography. The procedure may be part of an infertility evaluation when imaging is needed to assess the reproductive ducts, such as for suspected obstruction. The surgical access is distinct from the radiologic interpretation of the resulting study, which may be reported separately when supported by the services performed.
Report 55300 for the vasotomy performed to enable vasography, whether unilateral or bilateral; the code is priced bilaterally, so modifier 50 does not increase payment. Document the indication, side or sides treated, and the operative work supporting access for contrast imaging. The service has a 0-day global period, with same-day preoperative and postoperative care included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires medical-necessity documentation. Co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 55300
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.41 · 69%
- Practice expense (office) RVU1.10 · 22%
- Malpractice RVU0.43 · 9%
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.
55300 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
55400 reconstructs the vas deferens, commonly in vasectomy reversal. 55300 is an access procedure for diagnostic vasography.
$100.70
74440 covers the radiological supervision and interpretation of vasography; 55300 covers the surgical access used to introduce contrast.
Compare 55300 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
$161.27
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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 55300 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,348
- Code
- 55300
- Physician work
- 3.41
- Practice expense
- 1.10
- Malpractice
- 0.43
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 1.10 | × 1.000 | 1.1000 |
| Malpractice | 0.43 | × 0.740 | 0.3182 |
| Total RVUs | 4.8282 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$161.27
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 1.1 | 1 |
| Malpractice | 0.43 | 0.74 |
(3.41 × 1 + 1.1 × 1 + 0.43 × 0.74) × $33.4009 = $161.27
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.
55300 billing questions
Should modifier 50 be appended when both vas deferens are accessed?
The code is priced as bilateral, and modifier 50 does not increase payment. Document the side or sides treated.
Is the imaging interpretation included in 55300?
55300 represents the surgical access for contrast imaging. The radiological supervision and interpretation may be separately reported with 74440 when that service is performed and documented.
How does 55300 differ from a vasectomy?
55300 creates access for diagnostic vasography. A vasectomy is performed to interrupt the vas deferens for sterilization.
What documentation supports reporting 55300?
Record the diagnostic reason for vasography, the side or sides treated, and the operative steps used to open the vas deferens for contrast access.
Can an assistant-at-surgery be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeon and team-surgery payment are not permitted for this code.
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.
6,34555180,,Revision of scrotum,A,,11.49,5.69,NA,5.69,,1.50,18.68,18.68,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34655200,,Incision of sperm duct,A,,4.44,6.83,,2.73,,0.56,11.83,7.73,0,090,0.10,0.80,0.10,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34755250,,Removal of sperm duct(s),A,,3.29,6.67,,2.82,,0.42,10.38,6.53,0,090,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34855300,,Prepare sperm duct x-ray,A,,3.41,1.10,NA,1.10,,0.43,4.94,4.94,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,34955400,,Repair of sperm duct,A,,8.39,4.20,NA,4.20,,1.08,13.67,13.67,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35055500,,Removal of hydrocele,A,,6.06,4.02,NA,4.02,,0.93,11.01,11.01,0,090,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,35155520,,Removal of sperm cord lesion,A,,6.49,5.33,NA,5.33,,1.64,13.46,13.46,0,090,0.10,0.80,0.10,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,