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See a sample rate comparisonCPT 54692 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Laparoscopy, Surgical; Orchiopexy For Intra-Abdominal Testis
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 54692 |
| Medicaid Fee Schedule | View Medicaid rates for 54692 |
National average reimbursement for CPT 54692 by major payers:
$1,029.70
$1,024.68
$1,104.81
$1,244.53
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CPT 54692
5 of 25 sample ratesHigher to lower in this preview
University Of Kansas Hospital
University Of Kansas Hospital Authority
$7,666.00Published rateCentric Ambulatory Surgery Center LLC
$3,700.00Published rateRobert E Wailes Md A Professional, Pacific Surgery Center
$2,959.00Published rateEndoscopy Group LLC
Endoscopy Group, LLC
$1,952.00Published rateFt Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management
Ft Myers Digestive Health And Pain Asc LLC
$761.00Published rate
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See a sample payer proposalCPT 54692 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54692 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 54692 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 |
|---|---|---|
| 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 |
| 54692-CPT | High | Laparoscopy, Surgical; Orchiopexy For Intra-Abdominal Testis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54692. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54692 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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