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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 19 - Off Campus Outpatient Hospital 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 55650 |
| Medicaid Fee Schedule | View Medicaid rates for 55650 |
National average reimbursement for CPT 55650 by major payers:

$963.87

$956.88

$998.55

$1,174.20
Choose a payer to see a sample of rates for CPT 55650.
University Hospitals Health System Inc
Minnesota Eye Laser Surgery Centers LLC
Orthopaedic Associates Surgery Ctr, LLC
Riverwalk Ambulatory Surgery Center, LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 55650 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 55650 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 55650 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 |
|---|---|---|
| 55535-CPT | Moderate | Surgery On Testicle Veins, Surgery To Remove An Abnormally Enlarged Portion Of One Or More Veins Inside A Testicle. The Procedure May Be Done At The Same Time As A Hernia Repair. |
| 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 55650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55650 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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