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CPT 54620 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Surgery For Twisted Sperm Cord, Surgery To Untwist A Testicle That Has Wound Around Itself Cutting Off Blood Supply. The Testicle Is Anchored To The Wall Of The Scrotum To Prevent Another Occurrence. The Other Testicle May Be Anchored As Well.
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Male Genital System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 54620
Medicaid Fee ScheduleView Medicaid rates for 54620

National average reimbursement for CPT 54620 by major payers:

bcbs

$376.08

uhc

$400.99

aetna

$432.97

cigna

$490.72

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 54620.

CPT 54620
5 of 25 sample ratesHigher to lower in this preview
  1. Ochsner Medical Center, Ochsner Outpatient Surgery Suite

    Ochsner Clinic Foundation

    LAAmbulatory Surgical Clinic/CenterNPI 1063735702Tax ID 72-0502505

    $12,055.00Published rate
  2. Capital City Surgical Center LLC, Capital City Surgical Center LLC

    FLAmbulatory Surgical Clinic/CenterNPI 1184680225Tax ID 47-1211202

    $2,388.00Published rate
  3. Freeman Surgical Center Of Pittsburg, LLC

    KSAmbulatory Surgical Clinic/CenterNPI 1881089076Tax ID 47-3537670

    $1,651.00Published rate
  4. Essex Endoscopy Center LLC

    NJAmbulatory Surgical Clinic/CenterNPI 1891701611Tax ID 22-3777761

    $1,050.00Published rate
  5. South Carolina Endoscopy Center

    SCAmbulatory Surgical Clinic/CenterNPI 1801827993Tax ID 57-1125931

    $550.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 54620 vs. Other Surgical Procedures on the Male Genital System Codes

The CPT 54620 code is part of the Surgery services used for Surgical Procedures on the Male Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 54620 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
54550-CPTModerateExplora For Undescended Testis (Inguinal Or Scrotal Area), Exploration For Undescended Testis (Inguinal Or Scrotal Area)
54560-CPTModerateExplor Abdom Undescen Testis Unilat
54600-CPTModerateSurgery For Twisted Sperm Cord, Surgery To Untwist A Testicle That Has Wound Around Itself Cutting Off Blood Supply. The Testicle Is Anchored To The Wall Of The Scrotum To Prevent Another Occurrence. The Other Testicle May Be Anchored As Well.
54620-CPTModerateSurgery For Twisted Sperm Cord, Surgery To Untwist A Testicle That Has Wound Around Itself Cutting Off Blood Supply. The Testicle Is Anchored To The Wall Of The Scrotum To Prevent Another Occurrence. The Other Testicle May Be Anchored As Well.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 54620 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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