CPT code 54164: Frenulotomy, penile frenulum2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $181.03 for 54164 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 54164 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 54164 covers

A penile frenulotomy releases a tight band of tissue connecting the underside of the glans to the foreskin. Urologists commonly perform it for a short or tethered frenulum that restricts foreskin movement or causes discomfort, including during erection. The service may be performed in an operating room or another appropriate procedural setting; document the frenular finding and the release performed.

Report 54164 for the frenular release itself, not for circumcision or lysis of penile adhesions. The operative note should identify the frenulum as the treated structure and describe the incision or release. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 New Mexico compares for 54164

Across 109 of 109 payment localities, the facility rate for 54164 runs from $168.05 in Arkansas to $231.20 in Alaska. New Mexico pays $181.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

54164 rates by state

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

See 54164 in every payment locality

How the 54164 rate is calculated

Each of 54164’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 54164

54164 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 54164

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

How 54164 has changed in New Mexico

Price 54164 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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