55200 Incision of sperm duct
Also known as: vasal incision, vas deferens opening
Incision of vas deferens (vasal opening) for sperm extraction or preparation for repair.
In Plain Language
sperm duct opening
Clinical Context
Surgical opening of vas deferens for sperm retrieval in azoospermia or in preparation for vasal reconstruction.
RVU Breakdown
| Work RVU | 4.44 |
| Total RVU | 4.44 |
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 4.44, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 55200?
CPT 55200 (Incision of sperm duct) is a Surgery code. Incision of vas deferens (vasal opening) for sperm extraction or preparation for repair.
What is the wRVU value for CPT 55200?
The work RVU for CPT 55200 is 4.44. This code is primarily used by Urology, Reproductive Surgery. It has a 90-day global period.
When is CPT 55200 used?
Surgical opening of vas deferens for sperm retrieval in azoospermia or in preparation for vasal 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.