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See a sample rate comparisonCPT 54650 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.
Orchiopexy Abdomi Approa For Intra-Abdomi Testis (Eg Fowler, Orchiopexy Abdominal Approach For Intra-Abdominal Testis (Eg Fowler
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 54650 |
| Medicaid Fee Schedule | View Medicaid rates for 54650 |
National average reimbursement for CPT 54650 by major payers:
$994.23
$948.62
$1,013.45
$1,166.13
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CPT 54650
5 of 25 sample ratesHigher to lower in this preview
Memorial Care Surgical Center At Orange Coast, LLC
Memorial Care Surgical Center At Orange Coast LLC
$10,579.00Published rateHagerstown Surgery Center,LLC
Hagerstown Surgery Center, LLC
$3,623.00Published rateNorthpointe Surgical Suites, LLC
$3,250.00Published rateSouthern Surgical Center, LLC
Southern Surgical Center LLC
$1,385.00Published rateMaryland Aesthetic And Reconstructive Ambulatory Surgical Center LLC
$512.00Published rate
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See a sample payer proposalCPT 54650 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54650 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 54650 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.
| Code | Complexity | Description |
|---|---|---|
| 54560-CPT | Moderate | Explor Abdom Undescen Testis Unilat |
| 54620-CPT | Moderate | 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. |
| 54640-CPT | Moderate | Orchiopexy Inguinal Approa W//W/O Hernia Rpair, Orchiopexy Inguinal Approach With Or Without Hernia Repair |
| 54650-CPT | Moderate | Orchiopexy Abdomi Approa For Intra-Abdomi Testis (Eg Fowler, Orchiopexy Abdominal Approach For Intra-Abdominal Testis (Eg Fowler |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54650 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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