54640 Orchiopexy ingun/scrot appr
Also known as: orchiopexy inguinal, cryptorchid fixation
Surgical fixation of undescended testis (orchiopexy) using inguinal or scrotal approach with tissue mobilization.
In Plain Language
undescended testicle fixation
Clinical Context
Standard operative treatment of cryptorchidism securing undescended testis in scrotum to preserve fertility and prevent malignancy risk.
RVU Breakdown
| Work RVU | 7.54 |
| Total RVU | 7.54 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.54, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54640?
CPT 54640 (Orchiopexy ingun/scrot appr) is a Surgery code. Surgical fixation of undescended testis (orchiopexy) using inguinal or scrotal approach with tissue mobilization.
What is the wRVU value for CPT 54640?
The work RVU for CPT 54640 is 7.54. This code is primarily used by Urology, Pediatric Surgery. It has a 90-day global period.
When is CPT 54640 used?
Standard operative treatment of cryptorchidism securing undescended testis in scrotum to preserve fertility and prevent malignancy risk.
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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.