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See a sample rate comparisonCPT 55175 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 On The Scrotum, Surgery To Repair Or Reconstruct The Scrotum. The Procedure May Include Use Of Skin Grafts Flaps Or Patches.
| 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 51 - Multiple procedures SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55175 |
| Medicaid Fee Schedule | View Medicaid rates for 55175 |
National average reimbursement for CPT 55175 by major payers:
$462.95
$481.46
$534.12
$597.69
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CPT 55175
5 of 25 sample ratesHigher to lower in this preview
Surgery Centre Of Sw Florida LLC, Cape Health Surgery Center
$5,433.00Published rateSeattle Pain Relief PLLC, Federal Way Ambulatory Surgical Facility
Seattle Pain Relief PLLC
$3,200.00Published rateSouthern Hills Surgery Center Lp, Southern Hills Surgery Center
$2,668.00Published rateOxon Hill Urology Surgery Center PC
$1,584.00Published rateEndoscopy Center Of Northeast Tennessee, PC
$425.00Published rate
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See a sample payer proposalCPT 55175 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55175 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 55175 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 |
|---|---|---|
| 55120-CPT | Moderate | Removal Fb Scrotum |
| 55150-CPT | Moderate | Surgery On The Scrotum, Surgical Removal Of Excess Or Diseased Skin From The Scrotum. The Procedure May Involve Skin Grafts For Reconstruction. |
| 55175-CPT | Moderate | Surgery On The Scrotum, Surgery To Repair Or Reconstruct The Scrotum. The Procedure May Include Use Of Skin Grafts Flaps Or Patches. |
| 55180-CPT | Moderate | Surgery On The Scrotum, Surgery To Repair Or Reconstruct The Scrotum. The Procedure May Include Use Of Skin Grafts Flaps Or Patches. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55175 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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