CPT code 54060: Penile lesion excision, simple excision2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $195.75 for 54060 in the office and $117.26 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $195.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

54060 rates by state

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

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.

Payment rules and modifiers for 54060

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

What modifiers do to the payment

When to use modifier 51

Codes related to 54060

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

How 54060 has changed in South Dakota

Price 54060 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates