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See a sample rate comparisonCPT 55300 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.
Test Of Sperm Passage, Testing Performed On One Or Both Vas Deferens The Tubes That Carry Sperm. The Test Verifies Passage Of Sperm Through The Vas. A Sample Of Sperm May Be Collected.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55300 |
| Medicaid Fee Schedule | View Medicaid rates for 55300 |
National average reimbursement for CPT 55300 by major payers:
$241.67
$250.52
$256.31
$304.65
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CPT 55300
5 of 25 sample ratesHigher to lower in this preview
Sjv Management, LLC, South Jersey Vascular Surgery Center
Sjv Management, LLC
$5,127.00Published rateThe Endoscopy Center At Gateway LLC
$574.00Published rateEvergreen Eye Center, PLLC
Evergreen Eye Center, Inc. P.S.
$330.00Published rateGeisinger-Hm Joint Venture, LLC
$158.00Published ratePlastic Surgery Specialists, PC, North Arundel Plastic Surgery Specialists
Plastic Surgery Specialists, P.C.
$44.00Published rate
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See a sample payer proposalCPT 55300 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55300 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 55300 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 |
|---|---|---|
| 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. |
| 55200-CPT | Moderate | Test Of Sperm Passage, Testing Performed On One Or Both Vas Deferens The Tubes That Carry Sperm. The Test Verifies Passage Of Sperm Through The Vas. A Sample Of Sperm May Be Collected. |
| 55300-CPT | Moderate | Test Of Sperm Passage, Testing Performed On One Or Both Vas Deferens The Tubes That Carry Sperm. The Test Verifies Passage Of Sperm Through The Vas. A Sample Of Sperm May Be Collected. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55300 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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