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See a sample rate comparisonCPT 54670 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.
Suture/Repair Of Testicular Injury
| Key Fact | Detail |
|---|---|
| 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 Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 54670 |
| Medicaid Fee Schedule | View Medicaid rates for 54670 |
National average reimbursement for CPT 54670 by major payers:
$576.44
$542.90
$566.84
$670.50
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CPT 54670
5 of 25 sample ratesHigher to lower in this preview
Columbia Eye And Specialty Surgery Center Ltd
$6,651.00Published rateGeorgia Urology, PA, Georgia Urology Asc Conyers
$1,647.00Published rateEast Fort Lauderdale Asc LLC, Ft. Lauderdale Heart & Rhythm Surgery Center
East Fort Lauderdale Asc LLC
$1,312.00Published rateSt. Mary'S Outpatient Surgery Center At Galena LLC, Summit Surgery Center At St. Marys Galena
St. Mary'S Outpatient Surgery Center At Galena LLC D/B/A Summit
$1,163.00Published rateEye Surgery Center Of Wisconsin, LLC
$687.00Published rate
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See a sample payer proposalCPT 54670 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54670 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 54670 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 |
|---|---|---|
| 54650-CPT | Moderate | Orchiopexy Abdomi Approa For Intra-Abdomi Testis (Eg Fowler, Orchiopexy Abdominal Approach For Intra-Abdominal Testis (Eg Fowler |
| 54660-CPT | Moderate | Insertion Of Testicular Prosthesis--Sepa |
| 54670-CPT | Moderate | Suture/Repair Of Testicular Injury |
| 54680-CPT | Moderate | Transplnt Of Testis(Es) To Thigh (Because Of Scrotal Destruct, Transplantation Of Testis(Es) To Thigh (Because Of Scrotal Destruction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54670 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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