54800 Biopsy of epididymis
Also known as: epididymal biopsy, epididymis biopsy
Biopsy of epididymis using needle or open technique with histopathologic examination.
In Plain Language
epididymis tissue sample
Clinical Context
Diagnostic procedure for epididymal pathology, azoospermia evaluation, or suspected malignancy.
RVU Breakdown
| Work RVU | 2.27 |
| Total RVU | 2.27 |
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 2.27, this code ranks in the 16th percentile among Surgery codes — 3.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54800?
CPT 54800 (Biopsy of epididymis) is a Surgery code. Biopsy of epididymis using needle or open technique with histopathologic examination.
What is the wRVU value for CPT 54800?
The work RVU for CPT 54800 is 2.27. This code is primarily used by Urology, Reproductive Medicine.
When is CPT 54800 used?
Diagnostic procedure for epididymal pathology, azoospermia evaluation, or suspected malignancy.
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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.