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See a sample rate comparisonCPT 55605 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.
Seminal Vesicle Surgery, Surgery To Remedy Inflammation Of The Seminal Vesicles Glands That Produce Fluid For Semen. They Are Located Behind The Bladder And If Swollen Can Make Normal Urination Difficult.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55605 |
| Medicaid Fee Schedule | View Medicaid rates for 55605 |
National average reimbursement for CPT 55605 by major payers:
$739.91
$693.71
$720.59
$857.33
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CPT 55605
5 of 25 sample ratesHigher to lower in this preview
Northern Monmouth Regional Surgery Center LLC, Center For Bone And Joint Surgery
Northern Monmouth Regional Surgery Center LLC
$2,158.00Published rateMedical City Surgery Center Of Frisco, LLC
Medical City Surgery Center Of Frisco LLC
$971.00Published rateTri-County Vascular Care, LLC
Tricounty Vascular Care LLC
$614.00Published rateMarion Eye Surgery Center LLC
$361.00Published rateSouth Hills Diagnostic & Treatment Center Lp, South Hills Endoscopy Center
South Hills Diagnostic Treatment Center Lp
$200.00Published rate
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See a sample payer proposalCPT 55605 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55605 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 55605 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 |
|---|---|---|
| 55520-CPT | Moderate | Remove Tissue From Testicle, Surgery To Remove Abnormal Or Injured Tissue From The Spermatic Cord A Part Of The Structure Of The Testicles. |
| 55600-CPT | Moderate | Seminal Vesicle Surgery, Surgery To Remedy Inflammation Of The Seminal Vesicles Glands That Produce Fluid For Semen. They Are Located Behind The Bladder And If Swollen Can Make Normal Urination Difficult. |
| 55605-CPT | Moderate | Seminal Vesicle Surgery, Surgery To Remedy Inflammation Of The Seminal Vesicles Glands That Produce Fluid For Semen. They Are Located Behind The Bladder And If Swollen Can Make Normal Urination Difficult. |
| 55650-CPT | Moderate | Remove Seminal Vesicle, Surgery To Remove One Of The Seminal Vesicles A Pair Of Glands Located Behind A Mans Bladder. The Glands Produce A Fluid For Semen. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 55605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55605 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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