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CPT code 54057: Penile lesion treatment, laser destruction2026 Medicare rate & RVUs in Houston, TX

Reports laser destruction of one or more penile lesions, such as genital warts, when laser treatment is the method performed.

CMS RVU26DEffective Oct 1, 2026One payment locality108 Medicare services in 2024

In Houston, TX, Medicare pays $145.63 for 54057 in the office and $93.22 when it’s performed in a hospital or facility.

$145.63Office (non-facility)
$93.22Hospital or facility
+1.2%vs the national office rate ($143.96)

Check a contract rate as a % of Medicare · 54057 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 54057 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 54057 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 54057 covers

Code 54057 represents laser ablation of one or more lesions on the penis, such as external genital warts (condylomata). A urologist or dermatologist typically performs the treatment in an outpatient procedure setting, directing laser energy at lesion tissue to destroy it rather than removing it by excision. Selection is based on the penile site and laser method, not simply the number of lesions; use a method-specific sibling code when the documented treatment is chemical, electrosurgical, or cryosurgical.

The record should identify the penile lesion or lesions and document the laser treatment performed. This code has a 10-day global period, so related postoperative visits during that period are included. When another procedure subject to multiple-procedure pricing is performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate for this descriptor and anatomy. Medicare does not pay an assistant at surgery for this service; 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 Houston, TX compares for 54057

Across 109 of 109 payment localities, the office rate for 54057 runs from $127.76 in Arkansas to $188.77 in San Benito County, CA. Houston, TX pays $145.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

54057 in Houston, TX vs other payment areas
  1. Houston, TX · this page$145.63
  2. Austin, TX · Texas$149.03+$3.40
  3. Beaumont, TX · Texas$134.89−$10.74
  4. Brazoria, TX · Texas$142.25−$3.38
  5. Dallas, TX · Texas$143.19−$2.44
  6. Fort Worth, TX · Texas$142.30−$3.33
  7. Galveston, TX · Texas$142.70−$2.93

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

Every other payment area

54057 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$138.52$88.43
Los Angeles, CACalifornia$161.55$99.12
Washington, DC areaDistrict of Columbia$164.02$101.85
Miami, FLFlorida$156.09$101.15
Chicago, ILIllinois$151.66$98.62
Manhattan, NYNew York$165.42$104.10
AlaskaAlaska$168.88$112.67
AlabamaAlabama$129.57$83.40

54057 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.

$127.76

$170.12

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

View every state and territory as a table
54057 office rate range by state
State / territoryOffice rate rangeLocalities
AK$168.881
AL$129.571
AR$127.761
AZ$140.201
CA$151.46–$188.7729
CO$149.471
CT$153.351
DC$164.021
DE$142.471
FL$142.40–$156.093
GA$134.56–$146.702
GU$154.931
HI$154.931
IA$132.531
ID$133.421
IL$138.57–$151.664
IN$134.161
KS$132.041
KY$132.791
LA$132.63–$138.992
MA$148.66–$163.822
MD$145.10–$164.023
ME$134.22–$141.122
MI$136.25–$144.252
MN$142.991
MO$130.50–$139.343
MS$129.151
MT$143.951
NC$135.561
ND$140.781
NE$133.201
NH$147.251
NJ$155.04–$162.422
NM$137.021
NV$143.161
NY$137.54–$169.485
OH$135.601
OK$132.441
OR$141.98–$153.982
PA$135.75–$149.702
PR$144.941
RI$147.371
SC$135.821
SD$140.411
TN$132.701
TX$134.89–$149.038
UT$137.621
VA$140.75–$164.022
VI$144.941
VT$140.351
WA$148.34–$167.002
WI$136.211
WV$133.621
WY$142.571

See 54057 in every payment locality

How the 54057 rate is calculated

Each of 54057’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 · 54057

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.26

1.26 RVUs× 1.000 GPCI

Practice expense2.89

2.89 RVUs× 1.000 GPCI

Malpractice0.16

0.16 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 Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,241

Code
54057
Physician work
1.26
Practice expense
2.89
Malpractice
0.16

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 54057 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.26× 1.0081.2701
Practice expense2.89× 0.9932.8698
Malpractice0.16× 1.3760.2202
Total RVUs4.3600
Conversion factor× 33.4009

Office rate, Houston, TX$145.63

Office: (1.26 × 1.008 + 2.89 × 0.993 + 0.16 × 1.376) × $33.4009 = $145.63

Facility: (1.26 × 1.008 + 1.31 × 0.993 + 0.16 × 1.376) × $33.4009 = $93.22

Open 54057 in the RVU calculator

Payment rules and modifiers for 54057

54057 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54057

Penile lesion treatment, laser destruction

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 · 54057

Penile lesion treatment, laser destruction

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

54057 without 51 · national office

$143.96

Penile lesion treatment, laser destruction

54057-51 · 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 54057

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

Codes related to 54057
CodeHow it relatesOffice range, Houston, TX
Same family
54050Penile lesion destruction, chemical method, simplePenile lesion destruction by the chemical method.$147.36
54055Penile lesion destruction, extensive treatmentPenile lesion destruction by electrosurgery.$140.71
54056Penile lesion destruction, cryosurgeryPenile lesion destruction by cryosurgery.$145.24
54065Penile lesion destruction, extensive treatmentFor extensive penile lesion destruction by any method.$225.63
Used instead
54060Penile lesion excision, simple excisionPenile lesion treatment by excision rather than laser destruction.$203.70

How 54057 has changed in Houston, TX

54057 · Office / nonfacility

$145.63

Effective 2026-10-01

The base rate is $6.81 higher than on 2025-10-01, moving from $138.82 to $145.63 (4.9%).

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

    $138.82changed to$145.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.29 changed to 1.26
    • Practice expense RVU 2.75 changed to 2.89
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $146.53changed to$138.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.86 changed to 2.75

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $144.14changed to$146.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $148.46changed to$144.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.82 changed to 2.86
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $148.36changed to$148.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.75 changed to 2.82
    • Malpractice RVU 0.14 changed to 0.17
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $148.82changed to$148.36

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.72 changed to 2.75
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $144.84changed to$148.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.52 changed to 2.72
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $144.75changed to$144.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.53 changed to 2.52
    • Malpractice RVU 0.15 changed to 0.13
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $145.69changed to$144.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.56 changed to 2.53

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $141.03changed to$145.69

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.45 changed to 2.56
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $139.00changed to$141.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.41 changed to 2.45
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $139.14changed to$139.00

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.40 changed to 2.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $138.45changed to$139.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $135.80changed to$138.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.37 changed to 2.40
    • Malpractice RVU 0.11 changed to 0.15
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $136.35changed to$135.80

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.59 changed to 2.37
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $136.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$145.63$93.22RVU26D
2026-07-01$145.63$93.22RVU26C
2026-04-01$145.63$93.22RVU26B
2026-01-01$145.63$93.22RVU26A
2025-10-01$138.82$97.62RVU25D
2025-07-01$138.82$97.62RVU25C
2025-04-01$138.82$97.62RVU25B
2025-01-01$138.82$97.62RVU25A
2024-10-01$146.53$101.46RVU24D
2024-07-01$146.53$101.46RVU24C
2024-04-01$146.53$101.46RVU24B
2024-03-09$146.53$101.46RVU24AR
2024-01-01$144.14$99.81RVU24A
2023-10-01$148.46$101.63RVU23D
2023-07-01$148.46$101.63RVU23C
2023-04-01$148.46$101.63RVU23B
2023-01-01$148.46$101.63RVU23A
2022-10-01$148.36$100.28RVU22D
2022-07-01$148.36$100.28RVU22C
2022-04-01$148.36$100.28RVU22B
2022-01-01$148.36$100.28RVU22A
2021-10-01$148.82$99.99RVU21D
2021-07-01$148.82$99.99RVU21C
2021-04-01$148.82$99.99RVU21B
2021-01-01$148.82$99.99RVU21A
2020-10-01$144.84$99.93RVU20D
2020-07-01$144.84$99.93RVU20C
2020-04-01$144.84$99.93RVU20B
2020-01-01$144.84$99.93RVU20A
2019-10-01$144.75$100.62RVU19D
2019-07-01$144.75$100.62RVU19C
2019-04-01$144.75$100.62RVU19B
2019-01-01$144.75$100.62RVU19A
2018-10-01$145.69$101.24RVU18D
2018-07-01$145.69$101.24RVU18C
2018-04-01$145.69$101.24RVU18B
2018-01-01$145.69$101.24RVU18AR1
2017-10-01$141.03$99.39RVU17D
2017-07-01$141.03$99.39RVU17C
2017-04-01$141.03$99.39RVU17B
2017-01-01$141.03$99.39RVU17A
2016-10-01$139.00$98.30RVU16D
2016-07-01$139.00$98.30RVU16C
2016-04-01$139.00$98.30RVU16B
2016-01-01$139.00$98.30RVU16A
2015-10-01$139.14$98.29RVU15D
2015-07-01$139.14$98.29RVU15C
2015-04-01$138.45$97.80RVU15B
2015-01-01$138.45$97.80RVU15A
2014-10-01$135.80$95.88RVU14D
2014-07-01$135.80$95.88RVU14C
2014-04-01$135.80$95.88RVU14B
2014-01-01$135.80$95.88RVU14A
2013-10-01$136.35$94.42RVU13D
2013-07-01$136.35$94.42RVU13C
2013-04-01$136.35$94.42RVU13B
2013-01-01$136.35$94.42RVU13AR

Price 54057 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

54057 billing questions

How does 54057 differ from 54055?

54057 is for laser destruction of penile lesions. 54055 is the electrosurgical method, so the documented technique distinguishes the codes.

When should 54065 be considered instead?

54065 describes extensive destruction of penile lesions by any method. Consider it when the documented service is extensive rather than selecting a code solely for a particular destruction method.

Can modifier 50 be appended for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.

Are related follow-up visits separately included during the global period?

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

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, 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 54057PPRRVU2026_Oct_nonQPP.csv, line 6,241 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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