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CPT code 54056: Penile lesion destruction, cryosurgery2026 Medicare rate & RVUs in Washington, DC area

Report this service when a clinician treats one or more penile lesions by freezing, such as condylomata, rather than by another destruction method.

CMS RVU26DEffective Oct 1, 2026One payment locality5K Medicare services in 2024

In Washington, DC area, Medicare pays $164.08 for 54056 in the office and $111.36 when it’s performed in a hospital or facility.

$164.08Office (non-facility)
$111.36Hospital or facility
+14.0%vs the national office rate ($143.96)

Check a contract rate as a % of Medicare · 54056 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 54056 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 54056 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 54056 covers

This service uses cryosurgery to freeze and destroy one or more lesions on the penis. Common examples include condylomata and other localized lesions suitable for this technique. Urologists, dermatologists, and other clinicians who treat genital lesions may perform it, commonly in an office setting. The selected code reflects the penile site and the cryosurgical method, not simply the presence of a lesion or the number treated.

Document the treated site or sites, the cryosurgical technique, and the clinical findings supporting 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 Washington, DC area compares for 54056

Across 109 of 109 payment localities, the office rate for 54056 runs from $128.10 in Arkansas to $189.68 in San Benito County, CA. Washington, DC area pays $164.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

54056 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$164.08
  2. Los Angeles, CA · California$162.07−$2.01
  3. Miami, FL · Florida$154.60−$9.48
  4. Chicago, IL · Illinois$150.36−$13.72
  5. Manhattan, NY · New York$165.00+$0.92
  6. Alaska · Alaska$169.39+$5.31
  7. Alabama · Alabama$129.88−$34.20

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

54056 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$128.10$89.65
ArizonaArizona$140.31$96.94
Bakersfield, CACalifornia$152.42$103.37
Chico, CACalifornia$152.02$102.97
El Centro, CACalifornia$152.04$102.99
Fresno, CACalifornia$152.02$102.97
Hanford, CACalifornia$152.02$102.97
Madera, CACalifornia$152.02$102.97

54056 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.

$128.10

$170.85

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

View every state and territory as a table
54056 office rate range by state
State / territoryOffice rate rangeLocalities
AK$169.391
AL$129.881
AR$128.101
AZ$140.311
CA$152.02–$189.6829
CO$149.751
CT$153.221
DC$164.081
DE$142.561
FL$141.85–$154.603
GA$134.26–$146.522
GU$155.491
HI$155.491
IA$133.051
ID$133.871
IL$137.92–$150.364
IN$134.611
KS$132.441
KY$132.761
LA$132.56–$138.792
MA$148.92–$164.132
MD$145.19–$164.083
ME$134.51–$141.482
MI$136.03–$143.522
MN$143.731
MO$130.39–$139.293
MS$129.271
MT$143.951
NC$135.861
ND$141.381
NE$133.751
NH$147.411
NJ$155.04–$162.512
NM$136.741
NV$143.331
NY$137.79–$168.815
OH$135.511
OK$132.551
OR$142.28–$154.352
PA$135.72–$149.552
PR$144.971
RI$147.511
SC$135.891
SD$141.071
TN$133.071
TX$134.87–$149.208
UT$137.661
VA$141.02–$164.082
VI$144.971
VT$140.841
WA$148.64–$167.412
WI$136.861
WV$133.051
WY$142.831

See 54056 in every payment locality

How the 54056 rate is calculated

Each of 54056’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 · 54056

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.26

1.26 RVUs× 1.000 GPCI

Practice expense2.92

2.92 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.3100

Conversion factor

$33.4009

Medicare rate

$143.96

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,240

Code
54056
Physician work
1.26
Practice expense
2.92
Malpractice
0.13

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 54056 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.26× 1.0541.3280
Practice expense2.92× 1.1783.4398
Malpractice0.13× 1.1130.1447
Total RVUs4.9125
Conversion factor× 33.4009

Office rate, Washington, DC area$164.08

Office: (1.26 × 1.054 + 2.92 × 1.178 + 0.13 × 1.113) × $33.4009 = $164.08

Facility: (1.26 × 1.054 + 1.58 × 1.178 + 0.13 × 1.113) × $33.4009 = $111.36

Open 54056 in the RVU calculator

Payment rules and modifiers for 54056

54056 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54056

Penile lesion destruction, cryosurgery

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 · 54056

Penile lesion destruction, cryosurgery

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

54056 without 51 · national office

$143.96

Penile lesion destruction, cryosurgery

54056-51 · Second procedure: 50%

$71.98

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 54056

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

Codes related to 54056
CodeHow it relatesOffice range, Washington, DC area
Same family
54050Penile lesion destruction, chemical method, simplePenile lesion destruction by chemical method rather than cryosurgery.$166.42
54055Penile lesion destruction, extensive treatmentPenile lesion destruction by electrosurgery rather than cryosurgery.$158.72
54057Penile lesion treatment, laser destructionPenile lesion destruction using laser surgery.$164.02
54065Penile lesion destruction, extensive treatmentPenile lesion destruction for an extensive treatment rather than the cryosurgical service.$251.92
Used instead
54060Penile lesion excision, simple excisionPenile lesion treatment by excision rather than cryosurgical destruction.$228.35

How 54056 has changed in Washington, DC area

54056 · Office / nonfacility

$164.08

Effective 2026-10-01

The base rate is $0.59 lower than on 2025-10-01, moving from $164.67 to $164.08 (0.4%).

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

    $164.67changed to$164.08

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.29 changed to 1.26
    • Practice expense RVU 2.98 changed to 2.92
    • Malpractice RVU 0.15 changed to 0.13
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $167.88changed to$164.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.95 changed to 2.98
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $165.14changed to$167.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $170.48changed to$165.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.88 changed to 2.95
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $172.19changed to$170.48

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.80 changed to 2.88
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $172.78changed to$172.19

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.77 changed to 2.80
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $168.06changed to$172.78

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.58 changed to 2.77
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $167.94changed to$168.06

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.56 changed to 2.58
    • Malpractice RVU 0.18 changed to 0.12
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $170.35changed to$167.94

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.62 changed to 2.56

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $168.30changed to$170.35

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.58 changed to 2.62
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $167.67changed to$168.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.57 changed to 2.58
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $167.79changed to$167.67

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.58 changed to 2.57
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $166.96changed to$167.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $163.51changed to$166.96

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.50 changed to 2.58
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $167.90changed to$163.51

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.82 changed to 2.50
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $167.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$164.08$111.36RVU26D
2026-07-01$164.08$111.36RVU26C
2026-04-01$164.08$111.36RVU26B
2026-01-01$164.08$111.36RVU26A
2025-10-01$164.67$126.89RVU25D
2025-07-01$164.67$126.89RVU25C
2025-04-01$164.67$126.89RVU25B
2025-01-01$164.67$126.89RVU25A
2024-10-01$167.88$128.21RVU24D
2024-07-01$167.88$128.21RVU24C
2024-04-01$167.88$128.21RVU24B
2024-03-09$167.88$128.21RVU24AR
2024-01-01$165.14$126.11RVU24A
2023-10-01$170.48$129.76RVU23D
2023-07-01$170.48$129.76RVU23C
2023-04-01$170.48$129.76RVU23B
2023-01-01$170.48$129.76RVU23A
2022-10-01$172.19$129.42RVU22D
2022-07-01$172.19$129.42RVU22C
2022-04-01$172.19$129.42RVU22B
2022-01-01$172.19$129.42RVU22A
2021-10-01$172.78$129.22RVU21D
2021-07-01$172.78$129.22RVU21C
2021-04-01$172.78$129.22RVU21B
2021-01-01$172.78$129.22RVU21A
2020-10-01$168.06$129.72RVU20D
2020-07-01$168.06$129.72RVU20C
2020-04-01$168.06$129.72RVU20B
2020-01-01$168.06$129.72RVU20A
2019-10-01$167.94$131.02RVU19D
2019-07-01$167.94$131.02RVU19C
2019-04-01$167.94$131.02RVU19B
2019-01-01$167.94$131.02RVU19A
2018-10-01$170.35$131.75RVU18D
2018-07-01$170.35$131.75RVU18C
2018-04-01$170.35$131.75RVU18B
2018-01-01$170.35$131.75RVU18AR1
2017-10-01$168.30$131.11RVU17D
2017-07-01$168.30$131.11RVU17C
2017-04-01$168.30$131.11RVU17B
2017-01-01$168.30$131.11RVU17A
2016-10-01$167.67$130.57RVU16D
2016-07-01$167.67$130.57RVU16C
2016-04-01$167.67$130.57RVU16B
2016-01-01$167.67$130.57RVU16A
2015-10-01$167.79$130.55RVU15D
2015-07-01$167.79$130.55RVU15C
2015-04-01$166.96$129.90RVU15B
2015-01-01$166.96$129.90RVU15A
2014-10-01$163.51$128.20RVU14D
2014-07-01$163.51$128.20RVU14C
2014-04-01$163.51$128.20RVU14B
2014-01-01$163.51$128.20RVU14A
2013-10-01$167.90$129.18RVU13D
2013-07-01$167.90$129.18RVU13C
2013-04-01$167.90$129.18RVU13B
2013-01-01$167.90$129.18RVU13AR

Price 54056 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

54056 billing questions

When should 54056 be chosen over 54050 or 54055?

Use 54056 when the penile lesion is destroyed by cryosurgery. Codes 54050 and 54055 describe chemical and electrosurgical destruction, respectively.

Does the code cover more than one penile lesion?

The service covers one or more penile lesions treated with cryosurgery. Document the treated sites and the technique used.

Are related postoperative visits separately included?

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

Should modifier 50 be appended for lesions on both sides?

No. The descriptor or anatomy makes modifier 50 inappropriate for this code.

How does Medicare handle another procedure performed in the same session?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery, and 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 54056PPRRVU2026_Oct_nonQPP.csv, line 6,240 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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