54500 Biopsy of testis
Also known as: testis biopsy, testicular biopsy
Biopsy of testicular tissue obtained through fine needle or open surgical technique.
In Plain Language
testicle biopsy; testis tissue sample
Clinical Context
Diagnostic procedure for azoospermia evaluation, infertility workup, or suspected malignancy. Used to assess sperm production and testicular pathology.
RVU Breakdown
| Work RVU | 1.28 |
| Total RVU | 1.28 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.28, this code ranks in the 7th percentile among Surgery codes — 6.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54500?
CPT 54500 (Biopsy of testis) is a Surgery code. Biopsy of testicular tissue obtained through fine needle or open surgical technique.
What is the wRVU value for CPT 54500?
The work RVU for CPT 54500 is 1.28. This code is primarily used by Urology, Reproductive Medicine.
When is CPT 54500 used?
Diagnostic procedure for azoospermia evaluation, infertility workup, or suspected malignancy. Used to assess sperm production and testicular pathology.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.