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CPT code 54060: Penile lesion excision, simple excision2026 Medicare rate & RVUs in Rhode Island

Report simple surgical removal of a penile lesion when the clinician excises the tissue rather than destroying it with a chemical, freezing, or laser method.

CMS RVU26DEffective Oct 1, 2026One payment locality624 Medicare services in 2024

In Rhode Island, Medicare pays $205.68 for 54060 in the office and $124.59 when it’s performed in a hospital or facility.

$205.68Office (non-facility)
$124.59Hospital or facility
+2.3%vs the national office rate ($201.07)

Check a contract rate as a % of Medicare · 54060 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 54060 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Rhode Island
  2. What 54060 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 54060 covers

This service covers simple surgical excision of one or more lesions on the penis, such as a penile wart, with the removed tissue separated from surrounding tissue rather than ablated. A urologist or another clinician qualified to perform the procedure may do it in an office or outpatient facility, often with local anesthesia. When tissue is submitted for examination, the pathology service is distinct from the excision and may be reported separately when supported.

Select this code for the excision technique and simple service described, not for lesion destruction by chemical treatment, cryosurgery, or laser. The note should identify the penile site, lesion findings, excision performed, and any specimen submitted. Medicare includes related postoperative visits during the 10-day global period. For multiple procedures in one 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 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 Rhode Island compares for 54060

Across 109 of 109 payment localities, the office rate for 54060 runs from $179.05 in Arkansas to $261.28 in San Benito County, CA. Rhode Island pays $205.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

54060 in Rhode Island vs other payment areas
  1. Rhode Island · this page$205.68
  2. Los Angeles, CA · California$224.56+$18.88
  3. Washington, DC area · District of Columbia$228.35+$22.67
  4. Miami, FL · Florida$218.60+$12.92
  5. Chicago, IL · Illinois$212.55+$6.87
  6. Manhattan, NY · New York$230.73+$25.05
  7. Alaska · Alaska$238.06+$32.38

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

Every other payment area

54060 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$181.52$112.84
ArkansasArkansas$179.05$111.63
ArizonaArizona$195.93$119.87
Bakersfield, CACalifornia$211.51$125.48
Chico, CACalifornia$210.79$124.77
El Centro, CACalifornia$210.83$124.81
Fresno, CACalifornia$210.79$124.77
Hanford, CACalifornia$210.79$124.77

54060 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.

$179.05

$238.06

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

View every state and territory as a table
54060 office rate range by state
State / territoryOffice rate rangeLocalities
AK$238.061
AL$181.521
AR$179.051
AZ$195.931
CA$210.79–$261.2829
CO$208.321
CT$213.951
DC$228.351
DE$199.041
FL$199.45–$218.603
GA$188.72–$204.942
GU$215.321
HI$215.321
IA$185.311
ID$186.561
IL$194.40–$212.554
IN$187.571
KS$184.751
KY$186.121
LA$185.95–$194.582
MA$207.29–$227.782
MD$202.60–$228.353
ME$187.76–$196.962
MI$190.92–$202.072
MN$199.161
MO$183.12–$194.923
MS$181.111
MT$201.061
NC$189.561
ND$196.311
NE$186.191
NH$205.341
NJ$216.26–$226.252
NM$192.011
NV$199.861
NY$192.26–$236.375
OH$189.951
OK$185.531
OR$198.18–$214.332
PA$190.09–$209.052
PR$202.371
RI$205.681
SC$190.101
SD$195.751
TN$185.661
TX$188.93–$207.758
UT$192.541
VA$196.53–$228.352
VI$202.371
VT$195.831
WA$206.81–$232.022
WI$190.131
WV$187.681
WY$198.991

See 54060 in every payment locality

How the 54060 rate is calculated

Each of 54060’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 · 54060

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.93

1.93 RVUs× 1.000 GPCI

Practice expense3.85

3.85 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

6.0200

Conversion factor

$33.4009

Medicare rate

$201.07

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

The exact Rhode Island inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,242

Code
54060
Physician work
1.93
Practice expense
3.85
Malpractice
0.24

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Office calculation for 54060 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work1.93× 1.0191.9667
Practice expense3.85× 1.0333.9770
Malpractice0.24× 0.8920.2141
Total RVUs6.1578
Conversion factor× 33.4009

Office rate, Rhode Island$205.68

Office: (1.93 × 1.019 + 3.85 × 1.033 + 0.24 × 0.892) × $33.4009 = $205.68

Facility: (1.93 × 1.019 + 1.5 × 1.033 + 0.24 × 0.892) × $33.4009 = $124.59

Open 54060 in the RVU calculator

Payment rules and modifiers for 54060

54060 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54060

Penile lesion excision, simple excision

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 · 54060

Penile lesion excision, simple excision

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

54060 without 51 · national office

$201.07

Penile lesion excision, simple excision

54060-51 · Second procedure: 50%

$100.54

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 54060

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

Codes related to 54060
CodeHow it relatesOffice range, Rhode Island
Used instead
54050Penile lesion destruction, chemical method, simpleChemical destruction is an alternative when the lesion is treated by that method.$149.53
54055Penile lesion destruction, extensive treatmentExtensive chemical destruction is reported instead when that treatment applies.$142.65
54056Penile lesion destruction, cryosurgeryCryosurgery is an alternative to surgical excision.$147.51
54057Penile lesion treatment, laser destructionLaser treatment is an alternative when the lesion is destroyed by laser.$147.37
54065Penile lesion destruction, extensive treatmentExtensive lesion destruction is distinct from simple surgical excision.$227.83
Often billed with
88305Tissue pathology exam, level IV specimenMay be reported for a separately performed pathology examination of submitted tissue.$72.02

How 54060 has changed in Rhode Island

54060 · Office / nonfacility

$205.68

Effective 2026-10-01

The base rate is $9.43 higher than on 2025-10-01, moving from $196.25 to $205.68 (4.8%).

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

    $196.25changed to$205.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.98 changed to 1.93
    • Practice expense RVU 3.69 changed to 3.85
    • Work GPCI 1.025 changed to 1.019
    • Practice expense GPCI 1.039 changed to 1.033
    • Malpractice GPCI 0.849 changed to 0.892

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $202.65changed to$196.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.71 changed to 3.69

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $199.35changed to$202.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $203.49changed to$199.35

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.61 changed to 3.71
    • Malpractice RVU 0.23 changed to 0.24
    • Work GPCI 1.023 changed to 1.025
    • Practice expense GPCI 1.044 changed to 1.039
    • Malpractice GPCI 0.915 changed to 0.849

  5. January 1, 2023

    RVU23A

    $208.31changed to$203.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.59 changed to 3.61
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.021 changed to 1.023
    • Practice expense GPCI 1.048 changed to 1.044
    • Malpractice GPCI 0.981 changed to 0.915

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $206.77changed to$208.31

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.51 changed to 3.59
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $201.00changed to$206.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.15 changed to 3.51
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.024 changed to 1.021
    • Practice expense GPCI 1.049 changed to 1.048
    • Malpractice GPCI 0.990 changed to 0.981

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.12changed to$201.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.08 changed to 3.15
    • Malpractice RVU 0.23 changed to 0.24
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.050 changed to 1.049
    • Malpractice GPCI 0.999 changed to 0.990

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $194.48changed to$198.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.98 changed to 3.08
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $190.34changed to$194.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.92 changed to 2.98
    • Malpractice RVU 0.23 changed to 0.24
    • Work GPCI 1.025 changed to 1.027
    • Practice expense GPCI 1.052 changed to 1.050
    • Malpractice GPCI 0.879 changed to 0.999

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $187.66changed to$190.34

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.89 changed to 2.92
    • Work GPCI 1.022 changed to 1.025
    • Practice expense GPCI 1.053 changed to 1.052
    • Malpractice GPCI 0.759 changed to 0.879

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $187.96changed to$187.66

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.88 changed to 2.89

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $187.02changed to$187.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $186.04changed to$187.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.82 changed to 2.88
    • Malpractice RVU 0.21 changed to 0.23
    • Work GPCI 1.020 changed to 1.022
    • Malpractice GPCI 0.973 changed to 0.759

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$186.04

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$205.68$124.59RVU26D
2026-07-01$205.68$124.59RVU26C
2026-04-01$205.68$124.59RVU26B
2026-01-01$205.68$124.59RVU26A
2025-10-01$196.25$132.40RVU25D
2025-07-01$196.25$132.40RVU25C
2025-04-01$196.25$132.40RVU25B
2025-01-01$196.25$132.40RVU25A
2024-10-01$202.65$134.86RVU24D
2024-07-01$202.65$134.86RVU24C
2024-04-01$202.65$134.86RVU24B
2024-03-09$202.65$134.86RVU24AR
2024-01-01$199.35$132.66RVU24A
2023-10-01$203.49$135.21RVU23D
2023-07-01$203.49$135.21RVU23C
2023-04-01$203.49$135.21RVU23B
2023-01-01$203.49$135.21RVU23A
2022-10-01$208.31$136.86RVU22D
2022-07-01$208.31$136.86RVU22C
2022-04-01$208.31$136.86RVU22B
2022-01-01$208.31$136.86RVU22A
2021-10-01$206.77$136.56RVU21D
2021-07-01$206.77$136.56RVU21C
2021-04-01$206.77$136.56RVU21B
2021-01-01$206.77$136.56RVU21A
2020-10-01$201.00$139.29RVU20D
2020-07-01$201.00$139.29RVU20C
2020-04-01$201.00$139.29RVU20B
2020-01-01$201.00$139.29RVU20A
2019-10-01$198.12$140.22RVU19D
2019-07-01$198.12$140.22RVU19C
2019-04-01$198.12$140.22RVU19B
2019-01-01$198.12$140.22RVU19A
2018-10-01$194.48$140.80RVU18D
2018-07-01$194.48$140.80RVU18C
2018-04-01$194.48$140.80RVU18B
2018-01-01$194.48$140.80RVU18AR1
2017-10-01$190.34$138.61RVU17D
2017-07-01$190.34$138.61RVU17C
2017-04-01$190.34$138.61RVU17B
2017-01-01$190.34$138.61RVU17A
2016-10-01$187.66$136.39RVU16D
2016-07-01$187.66$136.39RVU16C
2016-04-01$187.66$136.39RVU16B
2016-01-01$187.66$136.39RVU16A
2015-10-01$187.96$136.50RVU15D
2015-07-01$187.96$136.50RVU15C
2015-04-01$187.02$135.82RVU15B
2015-01-01$187.02$135.82RVU15A
2014-10-01$186.04$136.25RVU14D
2014-07-01$186.04$136.25RVU14C
2014-04-01$186.04$136.25RVU14B
2014-01-01$186.04$136.25RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 54060 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

  • Ashaway
  • Bradford
  • Carolina
  • Central Falls
  • Charlestown
  • Chepachet
  • Clayville
  • Cranston

Browse all communities in Rhode Island

54060 billing questions

When should this code be chosen instead of a penile lesion destruction code?

Use 54060 when the clinician surgically excises the lesion. Destruction codes apply when the lesion is treated by a destructive method such as chemical treatment, cryosurgery, or laser.

Can pathology be reported separately?

A pathology service may be reported separately when excised tissue is submitted and the pathologist performs a separately reportable examination. Document the specimen and its disposition.

Does this code have a postoperative global period?

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

Should modifier 50 be used for lesions on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Can an assistant or co-surgeon be reported?

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

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

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

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 54060PPRRVU2026_Oct_nonQPP.csv, line 6,242 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)

Open CMS sourceHow we calculate rates

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