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CPT code 54050: Penile lesion destruction, chemical method, simple2026 Medicare rate & RVUs in Puerto Rico

Reports simple chemical destruction of penile lesions, such as condyloma or molluscum, when a clinician treats them in an office or other setting.

CMS RVU26DEffective Oct 1, 2026One payment locality184 Medicare services in 2024

In Puerto Rico, Medicare pays $146.98 for 54050 in the office and $97.34 when it’s performed in a hospital or facility.

$146.98Office (non-facility)
$97.34Hospital or facility
+0.7%vs the national office rate ($145.96)

Check a contract rate as a % of Medicare · 54050 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 54050 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 54050 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 54050 covers

This service treats one or more penile lesions by applying a chemical method to destroy the abnormal tissue. Common clinical examples include condyloma and molluscum contagiosum. Urologists and dermatologists may perform it in an office setting; the technique distinguishes this code from electrosurgery, cryosurgery, or laser treatment. The code describes simple destruction, rather than removal by excision or treatment characterized as extensive.

Report the code when the documented method is chemical and the procedure is simple. Record the treated site, lesion findings, method, and the extent of treatment. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is not appropriate for this penile procedure. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 54050

Across 109 of 109 payment localities, the office rate for 54050 runs from $129.71 in Arkansas to $192.27 in San Benito County, CA. Puerto Rico pays $146.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

54050 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$146.98
  2. Los Angeles, CA · California$164.27+$17.29
  3. Washington, DC area · District of Columbia$166.42+$19.44
  4. Miami, FL · Florida$157.18+$10.20
  5. Chicago, IL · Illinois$152.81+$5.83
  6. Manhattan, NY · New York$167.47+$20.49
  7. Alaska · Alaska$171.35+$24.37

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

54050 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$131.53$88.57
ArkansasArkansas$129.71$87.53
ArizonaArizona$142.21$94.64
Bakersfield, CACalifornia$154.46$100.64
Chico, CACalifornia$154.03$100.22
El Centro, CACalifornia$154.05$100.24
Fresno, CACalifornia$154.03$100.22
Hanford, CACalifornia$154.03$100.22

54050 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$129.71

$173.15

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
54050 office rate range by state
State / territoryOffice rate rangeLocalities
AK$171.351
AL$131.531
AR$129.711
AZ$142.211
CA$154.03–$192.2729
CO$151.791
CT$155.421
DC$166.421
DE$144.511
FL$143.95–$157.183
GA$136.15–$148.622
GU$157.581
HI$157.581
IA$134.711
ID$135.561
IL$139.96–$152.814
IN$136.321
KS$134.121
KY$134.551
LA$134.36–$140.752
MA$150.94–$166.422
MD$147.19–$166.423
ME$136.26–$143.342
MI$137.93–$145.702
MN$145.551
MO$132.15–$141.213
MS$130.951
MT$145.951
NC$137.631
ND$143.181
NE$135.411
NH$149.441
NJ$157.23–$164.802
NM$138.671
NV$145.281
NY$139.61–$171.415
OH$137.371
OK$134.301
OR$144.18–$156.452
PA$137.57–$151.692
PR$146.981
RI$149.531
SC$137.721
SD$142.861
TN$134.771
TX$136.70–$151.278
UT$139.531
VA$142.90–$166.422
VI$146.981
VT$142.661
WA$150.65–$169.732
WI$138.561
WV$134.981
WY$144.751

See 54050 in every payment locality

How the 54050 rate is calculated

Each of 54050’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 54050

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.26

1.26 RVUs× 1.000 GPCI

Practice expense2.97

2.97 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

4.3700

Conversion factor

$33.4009

Medicare rate

$145.96

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,238

Code
54050
Physician work
1.26
Practice expense
2.97
Malpractice
0.14

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 54050 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.26× 1.0001.2600
Practice expense2.97× 1.0113.0027
Malpractice0.14× 0.9850.1379
Total RVUs4.4006
Conversion factor× 33.4009

Office rate, Puerto Rico$146.98

Office: (1.26 × 1 + 2.97 × 1.011 + 0.14 × 0.985) × $33.4009 = $146.98

Facility: (1.26 × 1 + 1.5 × 1.011 + 0.14 × 0.985) × $33.4009 = $97.34

Open 54050 in the RVU calculator

Payment rules and modifiers for 54050

54050 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54050

Penile lesion destruction, chemical method, simple

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 54050

Penile lesion destruction, chemical method, simple

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54050 without 51 · national office

$145.96

Penile lesion destruction, chemical method, simple

54050-51 · Second procedure: 50%

$72.98

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 54050

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 54050
CodeHow it relatesOffice range, Puerto Rico
Same family
54055Penile lesion destruction, extensive treatmentSimple penile lesion destruction using electrosurgery rather than a chemical method.$140.24
54056Penile lesion destruction, cryosurgeryPenile lesion destruction by cryosurgery.$144.97
54057Penile lesion treatment, laser destructionPenile lesion destruction by laser.$144.94
54065Penile lesion destruction, extensive treatmentExtensive penile lesion destruction, distinguished by extent.$224.13
Used instead
54060Penile lesion excision, simple excisionPenile lesion removal by excision rather than destruction.$202.37

How 54050 has changed in Puerto Rico

54050 · Office / nonfacility

$146.98

Effective 2026-10-01

The base rate is $4.41 higher than on 2025-10-01, moving from $142.57 to $146.98 (3.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $142.57changed to$146.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.29 changed to 1.26
    • Practice expense RVU 2.94 changed to 2.97
    • Malpractice RVU 0.16 changed to 0.14
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $146.06changed to$142.57

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.93 changed to 2.94
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $143.68changed to$146.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $147.08changed to$143.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.86 changed to 2.93
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $146.39changed to$147.08

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $145.71changed to$146.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.78 changed to 2.86
    • Malpractice RVU 0.12 changed to 0.17
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $144.44changed to$145.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.69 changed to 2.78
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $138.86changed to$144.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.41 changed to 2.69
    • Malpractice RVU 0.13 changed to 0.14
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $137.48changed to$138.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.34 changed to 2.41
    • Malpractice RVU 0.17 changed to 0.13
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $138.41changed to$137.48

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.37 changed to 2.34

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $121.79changed to$138.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.33 changed to 2.37
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $105.78changed to$121.79

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.29 changed to 2.33
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $106.56changed to$105.78

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.31 changed to 2.29
    • Malpractice RVU 0.16 changed to 0.17

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $106.03changed to$106.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $102.70changed to$106.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.22 changed to 2.31
    • Malpractice RVU 0.15 changed to 0.16
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $102.91changed to$102.70

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.50 changed to 2.22
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $102.91

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$146.98$97.34RVU26D
2026-07-01$146.98$97.34RVU26C
2026-04-01$146.98$97.34RVU26B
2026-01-01$146.98$97.34RVU26A
2025-10-01$142.57$106.09RVU25D
2025-07-01$142.57$106.09RVU25C
2025-04-01$142.57$106.09RVU25B
2025-01-01$142.57$106.09RVU25A
2024-10-01$146.06$107.85RVU24D
2024-07-01$146.06$107.85RVU24C
2024-04-01$146.06$107.85RVU24B
2024-03-09$146.06$107.85RVU24AR
2024-01-01$143.68$106.09RVU24A
2023-10-01$147.08$108.48RVU23D
2023-07-01$146.39$108.10RVU23C
2023-04-01$146.39$108.10RVU23B
2023-01-01$146.39$108.10RVU23A
2022-10-01$145.71$106.64RVU22D
2022-07-01$145.71$106.64RVU22C
2022-04-01$145.71$106.64RVU22B
2022-01-01$145.71$106.64RVU22A
2021-10-01$144.44$107.51RVU21D
2021-07-01$144.44$107.51RVU21C
2021-04-01$144.44$107.51RVU21B
2021-01-01$144.44$107.51RVU21A
2020-10-01$138.86$108.30RVU20D
2020-07-01$138.86$108.30RVU20C
2020-04-01$138.86$108.30RVU20B
2020-01-01$138.86$108.30RVU20A
2019-10-01$137.48$110.26RVU19D
2019-07-01$137.48$110.26RVU19C
2019-04-01$137.48$110.26RVU19B
2019-01-01$137.48$110.26RVU19A
2018-10-01$138.41$110.14RVU18D
2018-07-01$138.41$110.14RVU18C
2018-04-01$138.41$110.14RVU18B
2018-01-01$138.41$110.14RVU18AR1
2017-10-01$121.79$99.06RVU17D
2017-07-01$121.79$99.06RVU17C
2017-04-01$121.79$99.06RVU17B
2017-01-01$121.79$99.06RVU17A
2016-10-01$105.78$87.10RVU16D
2016-07-01$105.78$87.10RVU16C
2016-04-01$105.78$87.10RVU16B
2016-01-01$105.78$87.10RVU16A
2015-10-01$106.56$87.81RVU15D
2015-07-01$106.56$87.81RVU15C
2015-04-01$106.03$87.37RVU15B
2015-01-01$106.03$87.37RVU15A
2014-10-01$102.70$85.10RVU14D
2014-07-01$102.70$85.10RVU14C
2014-04-01$102.70$85.10RVU14B
2014-01-01$102.70$85.10RVU14A
2013-10-01$102.91$84.00RVU13D
2013-07-01$102.91$84.00RVU13C
2013-04-01$102.91$84.00RVU13B
2013-01-01$102.91$84.00RVU13AR

Price 54050 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

54050 billing questions

How does this differ from 54055?

54050 is for simple chemical destruction. Use 54055 when the documented method is electrosurgery.

When is 54065 a better fit?

54065 represents extensive penile lesion destruction. This code is for simple chemical treatment; document the extent and method performed.

Can I report modifier 50 for lesions on both sides?

No. CMS identifies modifier 50 as inappropriate for this code.

Are postoperative visits separately reportable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.

Can an assistant or another surgeon be reported for this procedure?

Medicare does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 54050PPRRVU2026_Oct_nonQPP.csv, line 6,238 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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