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See a sample rate comparisonCPT 55041 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.
Excision Hydrocele Bilateral
| 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 50 - Bilateral Procedure SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55041 |
| Medicaid Fee Schedule | View Medicaid rates for 55041 |
National average reimbursement for CPT 55041 by major payers:
$659.21
$678.77
$733.07
$837.69
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CPT 55041
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Health System
$10,122.00Published rateSurgcenter Of Silver Spring, LLC
Surgcenter Of Silver Spring LLC
$3,500.00Published rateSalmon Creek Plastic Surgery PC, Salmon Creek Plastic Surgery PC/Asc Facility
Salmon Creek Plastic Surgery, PC
$1,920.00Published rateJeffrey Garrison
Midstate Orthopaedic & Sports Medicine Center, Inc.
$814.45Published rateRichard Meyer
Orthopaedic Specialists Of New Orleans, Apmc
$463.11Published rate
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See a sample payer proposalCPT 55041 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55041 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 55041 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 |
|---|---|---|
| 55000-CPT | Low | Punctur Aspirat Of Hydrocele Tunica Vaginalis W//W/O In, Puncture Aspiration Of Hydrocele Tunica Vaginalis With Or Without In |
| 55040-CPT | Moderate | Excision Of Hydrocele; Unilateral |
| 55041-CPT | Moderate | Excision Hydrocele Bilateral |
| 55060-CPT | Moderate | Repair Of Tunica Hydrocele-Bottle |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55041. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55041 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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