54650 Orchiopexy (fowler-stephens)
Also known as: Fowler-Stephens orchiopexy, staged orchiopexy
Staged surgical fixation of high undescended testis using Fowler-Stephens technique with vascular ligation.
In Plain Language
staged testicle fixation
Clinical Context
Advanced technique for intra-abdominal or high undescended testis allowing collateral blood supply development before mobilization and fixation.
RVU Breakdown
| Work RVU | 12.08 |
| Total RVU | 12.08 |
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 12.08, this code ranks in the 65th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54650?
CPT 54650 (Orchiopexy (fowler-stephens)) is a Surgery code. Staged surgical fixation of high undescended testis using Fowler-Stephens technique with vascular ligation.
What is the wRVU value for CPT 54650?
The work RVU for CPT 54650 is 12.08. This code is primarily used by Urology, Pediatric Surgery. It has a 90-day global period.
When is CPT 54650 used?
Advanced technique for intra-abdominal or high undescended testis allowing collateral blood supply development before mobilization and fixation.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.