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CPT code 54065: Penile lesion destruction, extensive treatment2026 Medicare rate & RVUs in Delaware

Report extensive destruction of penile lesions, such as condylomata, when the treatment exceeds the simple lesion-destruction services in this family.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Delaware, Medicare pays $220.74 for 54065 in the office and $149.46 when it’s performed in a hospital or facility.

$220.74Office (non-facility)
$149.46Hospital or facility
−0.9%vs the national office rate ($222.78)

Check a contract rate as a % of Medicare · 54065 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 54065 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 54065 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 54065 covers

This service covers extensive destruction of penile lesions, including condylomata, molluscum contagiosum, or herpetic lesions. A urologist or other qualified clinician may perform it in an office procedure room or facility using a destructive approach such as electrosurgery, cryosurgery, laser treatment, or curettage. The code reflects extensive treatment rather than a specific instrument or a stated lesion count.

Choose this service when the documented extent of treatment is greater than the simple destruction represented by related penile lesion codes. Record the lesions treated, their location and extent, and the method used. Related postoperative visits during the 10-day global period are included. When multiple procedures occur 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. 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 Delaware compares for 54065

Across 109 of 109 payment localities, the office rate for 54065 runs from $199.85 in Arkansas to $286.96 in San Benito County, CA. Delaware pays $220.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

54065 in Delaware vs other payment areas
  1. Delaware · this page$220.74
  2. Los Angeles, CA · California$247.79+$27.05
  3. Washington, DC area · District of Columbia$251.92+$31.18
  4. Miami, FL · Florida$241.04+$20.30
  5. Chicago, IL · Illinois$234.83+$14.09
  6. Manhattan, NY · New York$254.53+$33.79
  7. Alaska · Alaska$267.99+$47.25

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

Every other payment area

54065 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$202.42$139.29
ArkansasArkansas$199.85$137.88
ArizonaArizona$217.43$147.52
Bakersfield, CACalifornia$233.91$154.83
Chico, CACalifornia$233.14$154.06
El Centro, CACalifornia$233.18$154.11
Fresno, CACalifornia$233.14$154.06
Hanford, CACalifornia$233.14$154.06

54065 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.

$199.85

$267.99

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

View every state and territory as a table
54065 office rate range by state
State / territoryOffice rate rangeLocalities
AK$267.991
AL$202.421
AR$199.851
AZ$217.431
CA$233.14–$286.9629
CO$230.491
CT$236.461
DC$251.921
DE$220.741
FL$221.09–$241.043
GA$209.92–$226.852
GU$237.621
HI$237.621
IA$206.361
ID$207.671
IL$215.83–$234.834
IN$208.711
KS$205.781
KY$207.211
LA$207.03–$216.022
MA$229.48–$251.152
MD$224.51–$251.923
ME$208.91–$218.502
MI$212.21–$223.822
MN$220.791
MO$204.08–$216.373
MS$201.991
MT$222.771
NC$210.801
ND$217.821
NE$207.281
NH$227.231
NJ$239.14–$249.852
NM$213.351
NV$221.521
NY$213.61–$260.415
OH$211.201
OK$206.591
OR$219.77–$236.802
PA$211.34–$231.342
PR$224.131
RI$227.831
SC$211.351
SD$217.241
TN$206.731
TX$210.14–$229.768
UT$213.901
VA$218.05–$251.922
VI$224.131
VT$217.321
WA$228.93–$255.682
WI$211.381
WV$208.841
WY$220.611

See 54065 in every payment locality

How the 54065 rate is calculated

Each of 54065’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 · 54065

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.41

2.41 RVUs× 1.000 GPCI

Practice expense4.01

4.01 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

6.6700

Conversion factor

$33.4009

Medicare rate

$222.78

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,243

Code
54065
Physician work
2.41
Practice expense
4.01
Malpractice
0.25

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 54065 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.41× 1.0052.4221
Practice expense4.01× 0.9883.9619
Malpractice0.25× 0.8990.2248
Total RVUs6.6087
Conversion factor× 33.4009

Office rate, Delaware$220.74

Office: (2.41 × 1.005 + 4.01 × 0.988 + 0.25 × 0.899) × $33.4009 = $220.74

Facility: (2.41 × 1.005 + 1.85 × 0.988 + 0.25 × 0.899) × $33.4009 = $149.46

Open 54065 in the RVU calculator

Payment rules and modifiers for 54065

54065 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54065

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 · 54065

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

54065 without 51 · national office

$222.78

Penile lesion destruction, extensive treatment

54065-51 · Second procedure: 50%

$111.39

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 54065

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

Codes related to 54065
CodeHow it relatesOffice range, Delaware
Same family
54050Penile lesion destruction, chemical method, simpleSimple penile lesion destruction using chemical treatment.$144.51
54055Penile lesion destruction, extensive treatmentSimple penile lesion destruction using electrosurgery.$137.89
54056Penile lesion destruction, cryosurgerySimple penile lesion destruction using cryosurgery.$142.56
54057Penile lesion treatment, laser destructionSimple penile lesion destruction using laser surgery.$142.47
Used instead
54060Penile lesion excision, simple excisionPenile lesions are removed by excision rather than destroyed.$199.04

How 54065 has changed in Delaware

54065 · Office / nonfacility

$220.74

Effective 2026-10-01

The base rate is $2.20 higher than on 2025-10-01, moving from $218.54 to $220.74 (1.0%).

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

    $218.54changed to$220.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.47 changed to 2.41
    • Practice expense RVU 4.04 changed to 4.01
    • Malpractice RVU 0.27 changed to 0.25
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $222.93changed to$218.54

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.99 changed to 4.04
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $219.29changed to$222.93

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $225.98changed to$219.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.91 changed to 3.99
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $229.38changed to$225.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.83 changed to 3.91
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $230.21changed to$229.38

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.80 changed to 3.83

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $229.72changed to$230.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.54 changed to 3.80
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $231.85changed to$229.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.51 changed to 3.54
    • Malpractice RVU 0.33 changed to 0.26
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $231.19changed to$231.85

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $229.48changed to$231.19

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.45 changed to 3.51
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $228.91changed to$229.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.43 changed to 3.45
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $228.59changed to$228.91

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.42 changed to 3.43
    • Malpractice RVU 0.31 changed to 0.33

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $227.45changed to$228.59

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $225.03changed to$227.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.39 changed to 3.42
    • Malpractice RVU 0.30 changed to 0.31
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $225.69changed to$225.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.76 changed to 3.39
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $225.69

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$220.74$149.46RVU26D
2026-07-01$220.74$149.46RVU26C
2026-04-01$220.74$149.46RVU26B
2026-01-01$220.74$149.46RVU26A
2025-10-01$218.54$170.09RVU25D
2025-07-01$218.54$170.09RVU25C
2025-04-01$218.54$170.09RVU25B
2025-01-01$218.54$170.09RVU25A
2024-10-01$222.93$171.75RVU24D
2024-07-01$222.93$171.75RVU24C
2024-04-01$222.93$171.75RVU24B
2024-03-09$222.93$171.75RVU24AR
2024-01-01$219.29$168.94RVU24A
2023-10-01$225.98$173.43RVU23D
2023-07-01$225.98$173.43RVU23C
2023-04-01$225.98$173.43RVU23B
2023-01-01$225.98$173.43RVU23A
2022-10-01$229.38$174.21RVU22D
2022-07-01$229.38$174.21RVU22C
2022-04-01$229.38$174.21RVU22B
2022-01-01$229.38$174.21RVU22A
2021-10-01$230.21$174.23RVU21D
2021-07-01$230.21$174.23RVU21C
2021-04-01$230.21$174.23RVU21B
2021-01-01$230.21$174.23RVU21A
2020-10-01$229.72$179.23RVU20D
2020-07-01$229.72$179.23RVU20C
2020-04-01$229.72$179.23RVU20B
2020-01-01$229.72$179.23RVU20A
2019-10-01$231.85$182.64RVU19D
2019-07-01$231.85$182.64RVU19C
2019-04-01$231.85$182.64RVU19B
2019-01-01$231.85$182.64RVU19A
2018-10-01$231.19$182.40RVU18D
2018-07-01$231.19$182.40RVU18C
2018-04-01$231.19$182.40RVU18B
2018-01-01$231.19$182.40RVU18AR1
2017-10-01$229.48$182.76RVU17D
2017-07-01$229.48$182.76RVU17C
2017-04-01$229.48$182.76RVU17B
2017-01-01$229.48$182.76RVU17A
2016-10-01$228.91$182.40RVU16D
2016-07-01$228.91$182.40RVU16C
2016-04-01$228.91$182.40RVU16B
2016-01-01$228.91$182.40RVU16A
2015-10-01$228.59$182.28RVU15D
2015-07-01$228.59$182.28RVU15C
2015-04-01$227.45$181.37RVU15B
2015-01-01$227.45$181.37RVU15A
2014-10-01$225.03$178.93RVU14D
2014-07-01$225.03$178.93RVU14C
2014-04-01$225.03$178.93RVU14B
2014-01-01$225.03$178.93RVU14A
2013-10-01$225.69$176.32RVU13D
2013-07-01$225.69$176.32RVU13C
2013-04-01$225.69$176.32RVU13B
2013-01-01$225.69$176.32RVU13AR

Price 54065 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

54065 billing questions

How is this code different from simple penile lesion destruction?

Use 54065 for extensive destruction; simple destruction codes in this family are differentiated by treatment method. Document the extent of treatment rather than relying on the instrument alone.

Can modifier 50 be reported for lesions on both sides?

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

Are postoperative visits separately reported?

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

How does the multiple-procedure reduction work?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50% under the standard multiple-procedure reduction.

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.

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 54065PPRRVU2026_Oct_nonQPP.csv, line 6,243 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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