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CPT code 54055: Penile lesion destruction, extensive treatment2026 Medicare rate & RVUs in Puerto Rico

Reports extensive destruction of penile lesions, such as condyloma, when treatment goes beyond simple chemical destruction of a limited lesion.

CMS RVU26DEffective Oct 1, 2026One payment locality231 Medicare services in 2024

In Puerto Rico, Medicare pays $140.24 for 54055 in the office and $87.23 when it’s performed in a hospital or facility.

$140.24Office (non-facility)
$87.23Hospital or facility
+0.7%vs the national office rate ($139.28)

Check a contract rate as a % of Medicare · 54055 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 54055 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 54055 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 54055 covers

This service covers extensive destruction of lesions on the penis, commonly condyloma (genital warts). A urologist, dermatologist, or other qualified clinician may perform it in an office or procedure setting using an ablative approach such as electrosurgery. The extent of treatment, rather than a particular lesion count, distinguishes it from simple chemical destruction; technique-specific cryosurgery and laser codes are also available.

Report the service when the documented lesion burden and treatment support extensive destruction. Record the penile site, lesion distribution, method, and work performed. The service has a 10-day global period, which includes related postoperative visits during that period. 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 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 54055

Across 109 of 109 payment localities, the office rate for 54055 runs from $123.78 in Arkansas to $183.08 in San Benito County, CA. Puerto Rico pays $140.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

54055 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$140.24
  2. Los Angeles, CA · California$156.56+$16.32
  3. Washington, DC area · District of Columbia$158.72+$18.48
  4. Miami, FL · Florida$150.28+$10.04
  5. Chicago, IL · Illinois$146.09+$5.85
  6. Manhattan, NY · New York$159.83+$19.59
  7. Alaska · Alaska$163.66+$23.42

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

Every other payment area

54055 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$125.52$79.64
ArkansasArkansas$123.78$78.73
ArizonaArizona$135.70$84.89
Bakersfield, CACalifornia$147.24$89.76
Chico, CACalifornia$146.81$89.34
El Centro, CACalifornia$146.84$89.36
Fresno, CACalifornia$146.81$89.34
Hanford, CACalifornia$146.81$89.34

54055 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.

$123.78

$164.95

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

View every state and territory as a table
54055 office rate range by state
State / territoryOffice rate rangeLocalities
AK$163.661
AL$125.521
AR$123.781
AZ$135.701
CA$146.81–$183.0829
CO$144.751
CT$148.311
DC$158.721
DE$137.891
FL$137.50–$150.283
GA$130.04–$141.852
GU$150.171
HI$150.171
IA$128.481
ID$129.311
IL$133.75–$146.094
IN$130.031
KS$127.951
KY$128.471
LA$128.29–$134.382
MA$143.96–$158.652
MD$140.43–$158.723
ME$130.01–$136.712
MI$131.72–$139.202
MN$138.711
MO$126.21–$134.793
MS$125.021
MT$139.271
NC$131.311
ND$136.501
NE$129.151
NH$142.551
NJ$150.00–$157.182
NM$132.431
NV$138.591
NY$133.20–$163.645
OH$131.151
OK$128.201
OR$137.52–$149.152
PA$131.33–$144.772
PR$140.241
RI$142.651
SC$131.451
SD$136.181
TN$128.581
TX$130.50–$144.278
UT$133.171
VA$136.31–$158.722
VI$140.241
VT$136.031
WA$143.67–$161.772
WI$132.101
WV$129.001
WY$138.071

See 54055 in every payment locality

How the 54055 rate is calculated

Each of 54055’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 · 54055

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.22

1.22 RVUs× 1.000 GPCI

Practice expense2.81

2.81 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

4.1700

Conversion factor

$33.4009

Medicare rate

$139.28

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

6,239

Code
54055
Physician work
1.22
Practice expense
2.81
Malpractice
0.14

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 54055 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0001.2200
Practice expense2.81× 1.0112.8409
Malpractice0.14× 0.9850.1379
Total RVUs4.1988
Conversion factor× 33.4009

Office rate, Puerto Rico$140.24

Office: (1.22 × 1 + 2.81 × 1.011 + 0.14 × 0.985) × $33.4009 = $140.24

Facility: (1.22 × 1 + 1.24 × 1.011 + 0.14 × 0.985) × $33.4009 = $87.23

Open 54055 in the RVU calculator

Payment rules and modifiers for 54055

54055 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54055

Penile lesion destruction, extensive treatment

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 · 54055

Penile lesion destruction, extensive treatment

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

54055 without 51 · national office

$139.28

Penile lesion destruction, extensive treatment

54055-51 · Second procedure: 50%

$69.64

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 54055

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

Codes related to 54055
CodeHow it relatesOffice range, Puerto Rico
Used instead
54050Penile lesion destruction, chemical method, simpleFor simple chemical destruction rather than extensive treatment.$146.98
54060Penile lesion excision, simple excisionReports excision of penile lesions rather than their destruction.$202.37
Same family
54056Penile lesion destruction, cryosurgeryIdentifies extensive penile lesion destruction by cryosurgery.$144.97
54057Penile lesion treatment, laser destructionIdentifies extensive penile lesion destruction by laser surgery.$144.94

How 54055 has changed in Puerto Rico

54055 · Office / nonfacility

$140.24

Effective 2026-10-01

The base rate is $3.51 higher than on 2025-10-01, moving from $136.73 to $140.24 (2.6%).

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

    $136.73changed to$140.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Malpractice RVU 0.15 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

    $139.36changed to$136.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.77 changed to 2.81

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $137.09changed to$139.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $140.26changed to$137.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.70 changed to 2.77
    • 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

    $139.62changed to$140.26

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

  6. January 1, 2023

    RVU23A

    $139.44changed to$139.62

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.64 changed to 2.70
    • 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

    $137.77changed to$139.44

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.54 changed to 2.64
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $130.14changed to$137.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.21 changed to 2.54
    • 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

    $126.24changed to$130.14

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.08 changed to 2.21
    • Malpractice RVU 0.16 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

    $124.29changed to$126.24

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.03 changed to 2.08

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $109.37changed to$124.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.98 changed to 2.03
    • 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

    $95.91changed to$109.37

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.96 changed to 1.98
    • 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

    $96.66changed to$95.91

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.98 changed to 1.96
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $96.17changed to$96.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $93.14changed to$96.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.90 changed to 1.98
    • Malpractice RVU 0.13 changed to 0.15
    • 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

    $93.08changed to$93.14

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.14 changed to 1.90
    • Malpractice RVU 0.14 changed to 0.13
    • 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: $93.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$140.24$87.23RVU26D
2026-07-01$140.24$87.23RVU26C
2026-04-01$140.24$87.23RVU26B
2026-01-01$140.24$87.23RVU26A
2025-10-01$136.73$95.69RVU25D
2025-07-01$136.73$95.69RVU25C
2025-04-01$136.73$95.69RVU25B
2025-01-01$136.73$95.69RVU25A
2024-10-01$139.36$96.79RVU24D
2024-07-01$139.36$96.79RVU24C
2024-04-01$139.36$96.79RVU24B
2024-03-09$139.36$96.79RVU24AR
2024-01-01$137.09$95.21RVU24A
2023-10-01$140.26$97.22RVU23D
2023-07-01$139.62$96.92RVU23C
2023-04-01$139.62$96.92RVU23B
2023-01-01$139.62$96.92RVU23A
2022-10-01$139.44$95.49RVU22D
2022-07-01$139.44$95.49RVU22C
2022-04-01$139.44$95.49RVU22B
2022-01-01$139.44$95.49RVU22A
2021-10-01$137.77$96.62RVU21D
2021-07-01$137.77$96.62RVU21C
2021-04-01$137.77$96.62RVU21B
2021-01-01$137.77$96.62RVU21A
2020-10-01$130.14$96.68RVU20D
2020-07-01$130.14$96.68RVU20C
2020-04-01$130.14$96.68RVU20B
2020-01-01$130.14$96.68RVU20A
2019-10-01$126.24$97.21RVU19D
2019-07-01$126.24$97.21RVU19C
2019-04-01$126.24$97.21RVU19B
2019-01-01$126.24$97.21RVU19A
2018-10-01$124.29$96.74RVU18D
2018-07-01$124.29$96.74RVU18C
2018-04-01$124.29$96.74RVU18B
2018-01-01$124.29$96.74RVU18AR1
2017-10-01$109.37$87.26RVU17D
2017-07-01$109.37$87.26RVU17C
2017-04-01$109.37$87.26RVU17B
2017-01-01$109.37$87.26RVU17A
2016-10-01$95.91$77.73RVU16D
2016-07-01$95.91$77.73RVU16C
2016-04-01$95.91$77.73RVU16B
2016-01-01$95.91$77.73RVU16A
2015-10-01$96.66$78.42RVU15D
2015-07-01$96.66$78.42RVU15C
2015-04-01$96.17$78.03RVU15B
2015-01-01$96.17$78.03RVU15A
2014-10-01$93.14$76.04RVU14D
2014-07-01$93.14$76.04RVU14C
2014-04-01$93.14$76.04RVU14B
2014-01-01$93.14$76.04RVU14A
2013-10-01$93.08$74.86RVU13D
2013-07-01$93.08$74.86RVU13C
2013-04-01$93.08$74.86RVU13B
2013-01-01$93.08$74.86RVU13AR

Price 54055 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

54055 billing questions

How does 54055 differ from 54050?

54055 is for extensive destruction. 54050 describes simple chemical destruction, so the documented extent and method help distinguish the services.

When should a technique-specific code be considered?

Use the applicable sibling when the service is specifically cryosurgery or laser surgery: 54056 identifies cryosurgery and 54057 identifies laser surgery.

Can 54055 be reported with excision code 54060?

The codes describe different approaches: 54055 destroys lesions, while 54060 removes them by excision. Documentation should show which approach was performed.

Are related postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in 54055.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for 54055.

What documentation supports reporting 54055?

Document the penile site, lesion distribution, why treatment was extensive, the destruction method, and the work performed.

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 54055PPRRVU2026_Oct_nonQPP.csv, line 6,239 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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