54865 Explore epididymis
Also known as: epididymal exploration, epididymis exploration
Surgical exploration of epididymis with evaluation and biopsy of tissue.
In Plain Language
epididymis examination
Clinical Context
Diagnostic exploration of epididymis for evaluation of pathology, sperm extraction, or preparation for surgical reconstruction.
RVU Breakdown
| Work RVU | 5.63 |
| Total RVU | 5.63 |
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 5.63, this code ranks in the 38th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54865?
CPT 54865 (Explore epididymis) is a Surgery code. Surgical exploration of epididymis with evaluation and biopsy of tissue.
What is the wRVU value for CPT 54865?
The work RVU for CPT 54865 is 5.63. This code is primarily used by Urology. It has a 90-day global period.
When is CPT 54865 used?
Diagnostic exploration of epididymis for evaluation of pathology, sperm extraction, or preparation for surgical reconstruction.
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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.