54900 Fusion of spermatic ducts
Also known as: vasovasostomy, epididymovasostomy
Fusion or anastomosis of spermatic ducts (vasal deferens) or epididymal reconstruction.
In Plain Language
sperm duct reconnection
Clinical Context
Surgical reconstruction of vas deferens for reversal of vasectomy or repair of obstruction to restore sperm flow.
RVU Breakdown
| Work RVU | 13.85 |
| Total RVU | 13.85 |
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 13.85, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54900?
CPT 54900 (Fusion of spermatic ducts) is a Surgery code. Fusion or anastomosis of spermatic ducts (vasal deferens) or epididymal reconstruction.
What is the wRVU value for CPT 54900?
The work RVU for CPT 54900 is 13.85. This code is primarily used by Urology, Reproductive Surgery. It has a 90-day global period.
When is CPT 54900 used?
Surgical reconstruction of vas deferens for reversal of vasectomy or repair of obstruction to restore sperm flow.
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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.