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CPT code 54231: Cavernosometry, dynamic hemodynamic study2026 Medicare rate & RVUs in Detroit, MI

Dynamic cavernosometry measures penile blood-flow and pressure response during a pharmacologically induced erection to evaluate suspected vascular causes of erectile dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality92 Medicare services in 2024

In Detroit, MI, Medicare pays $152.10 for 54231 in the office and $109.55 when it’s performed in a hospital or facility.

$152.10Office (non-facility)
$109.55Hospital or facility
+2.1%vs the national office rate ($148.97)

Check a contract rate as a % of Medicare · 54231 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 54231 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 54231 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 54231 covers

Dynamic cavernosometry is an invasive physiologic study used mainly by urologists to assess penile blood flow and pressure in men with erectile dysfunction when a vascular cause, such as impaired venous occlusion, is suspected. After medication induces an erection, the clinician infuses fluid into the corpora cavernosa and records pressure and flow measurements. The study may be performed in a urology office or facility setting.

Report 54231 when the clinician performs and documents the dynamic pressure-and-flow assessment, rather than an injection or imaging study alone. The record should support the indication, pharmacologic response, measurements, and clinical interpretation. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed 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 for this code. Medicare does not pay an assistant at surgery, and 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 Detroit, MI compares for 54231

Across 109 of 109 payment localities, the office rate for 54231 runs from $134.46 in Arkansas to $185.18 in San Benito County, CA. Detroit, MI pays $152.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

54231 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$152.10
  2. Rest of Michigan · Michigan$143.59−$8.51
  3. Los Angeles, CA · California$162.46+$10.36
  4. Washington, DC area · District of Columbia$166.70+$14.60
  5. Miami, FL · Florida$164.78+$12.68
  6. Chicago, IL · Illinois$160.62+$8.52
  7. Manhattan, NY · New York$170.13+$18.03

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

Every other payment area

54231 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$183.27$136.32
AlabamaAlabama$136.08$97.50
ArkansasArkansas$134.46$96.59
ArizonaArizona$145.47$102.74
Bakersfield, CACalifornia$154.08$105.76
Chico, CACalifornia$153.34$105.02
El Centro, CACalifornia$153.38$105.06
Fresno, CACalifornia$153.34$105.02

54231 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.

$134.46

$183.27

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

View every state and territory as a table
54231 office rate range by state
State / territoryOffice rate rangeLocalities
AK$183.271
AL$136.081
AR$134.461
AZ$145.471
CA$153.34–$185.1829
CO$152.681
CT$157.761
DC$166.701
DE$147.571
FL$149.91–$164.783
GA$142.56–$152.032
GU$155.611
HI$155.611
IA$137.631
ID$138.641
IL$147.22–$160.624
IN$139.261
KS$137.711
KY$140.031
LA$140.09–$145.732
MA$152.27–$165.162
MD$149.84–$166.703
ME$139.88–$145.222
MI$143.59–$152.102
MN$145.241
MO$138.52–$145.433
MS$136.481
MT$148.951
NC$140.991
ND$144.011
NE$138.061
NH$150.961
NJ$159.26–$165.592
NM$144.491
NV$147.651
NY$142.78–$174.395
OH$142.581
OK$139.171
OR$146.19–$156.122
PA$142.43–$154.822
PR$149.661
RI$151.781
SC$142.081
SD$143.421
TN$138.351
TX$141.70–$152.458
UT$143.671
VA$145.25–$166.702
VI$149.661
VT$144.101
WA$151.77–$167.602
WI$140.081
WV$142.851
WY$146.801

See 54231 in every payment locality

How the 54231 rate is calculated

Each of 54231’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 · 54231

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.99

1.99 RVUs× 1.000 GPCI

Practice expense2.22

2.22 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

4.4600

Conversion factor

$33.4009

Medicare rate

$148.97

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

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,264

Code
54231
Physician work
1.99
Practice expense
2.22
Malpractice
0.25

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 54231 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work1.99× 1.0001.9900
Practice expense2.22× 0.9652.1423
Malpractice0.25× 1.6860.4215
Total RVUs4.5538
Conversion factor× 33.4009

Office rate, Detroit, MI$152.10

Office: (1.99 × 1 + 2.22 × 0.965 + 0.25 × 1.686) × $33.4009 = $152.10

Facility: (1.99 × 1 + 0.9 × 0.965 + 0.25 × 1.686) × $33.4009 = $109.55

Open 54231 in the RVU calculator

Payment rules and modifiers for 54231

The CMS indicators that decide how 54231 is paid alongside other services.

CMS payment indicators · 54231

Cavernosometry, dynamic hemodynamic study

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54231 without 51 · national office

$148.97

Cavernosometry, dynamic hemodynamic study

54231-51 · Second procedure: 50%

$74.49

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 54231

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

Codes related to 54231
CodeHow it relatesOffice range, Detroit, MI
Often billed with
54230Cavernosography, contrast injectionCavernosography may accompany the pressure-and-flow study to image penile venous anatomy.$112.31
Used instead
54240Penile plethysmography, stimulus-response measurementPenile plethysmography evaluates erectile response using a different diagnostic method.$115.58
54250Nocturnal erection testing, tumescence and rigidityNocturnal tumescence and rigidity testing assesses erections during sleep rather than induced hemodynamics.$126.84

How 54231 has changed in Detroit, MI

54231 · Office / nonfacility

$152.10

Effective 2026-10-01

The base rate is $6.24 higher than on 2025-10-01, moving from $145.86 to $152.10 (4.3%).

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

    $145.86changed to$152.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.04 changed to 1.99
    • Practice expense RVU 2.08 changed to 2.22
    • Malpractice RVU 0.24 changed to 0.25
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $148.79changed to$145.86

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.04 changed to 2.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $146.36changed to$148.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $149.50changed to$146.36

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.97 changed to 2.04
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $149.62changed to$149.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.90 changed to 1.97
    • Malpractice RVU 0.24 changed to 0.25
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $149.25changed to$149.62

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.87 changed to 1.90
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $152.12changed to$149.25

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.79 changed to 1.87
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $152.05changed to$152.12

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.81 changed to 1.79
    • Malpractice RVU 0.23 changed to 0.24
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $151.88changed to$152.05

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $147.98changed to$151.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.75 changed to 1.81
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $145.55changed to$147.98

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.73 changed to 1.75
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $146.07changed to$145.55

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $145.35changed to$146.07

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $146.67changed to$145.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.72 changed to 1.73
    • Malpractice RVU 0.19 changed to 0.23
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $146.97changed to$146.67

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.83 changed to 1.72
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $146.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$152.10$109.55RVU26D
2026-07-01$152.10$109.55RVU26C
2026-04-01$152.10$109.55RVU26B
2026-01-01$152.10$109.55RVU26A
2025-10-01$145.86$117.79RVU25D
2025-07-01$145.86$117.79RVU25C
2025-04-01$145.86$117.79RVU25B
2025-01-01$145.86$117.79RVU25A
2024-10-01$148.79$120.24RVU24D
2024-07-01$148.79$120.24RVU24C
2024-04-01$148.79$120.24RVU24B
2024-03-09$148.79$120.24RVU24AR
2024-01-01$146.36$118.27RVU24A
2023-10-01$149.50$120.59RVU23D
2023-07-01$149.50$120.59RVU23C
2023-04-01$149.50$120.59RVU23B
2023-01-01$149.50$120.59RVU23A
2022-10-01$149.62$121.33RVU22D
2022-07-01$149.62$121.33RVU22C
2022-04-01$149.62$121.33RVU22B
2022-01-01$149.62$121.33RVU22A
2021-10-01$149.25$121.77RVU21D
2021-07-01$149.25$121.77RVU21C
2021-04-01$149.25$121.77RVU21B
2021-01-01$149.25$121.77RVU21A
2020-10-01$152.12$125.96RVU20D
2020-07-01$152.12$125.96RVU20C
2020-04-01$152.12$125.96RVU20B
2020-01-01$152.12$125.96RVU20A
2019-10-01$152.05$126.39RVU19D
2019-07-01$152.05$126.39RVU19C
2019-04-01$152.05$126.39RVU19B
2019-01-01$152.05$126.39RVU19A
2018-10-01$151.88$126.96RVU18D
2018-07-01$151.88$126.96RVU18C
2018-04-01$151.88$126.96RVU18B
2018-01-01$151.88$126.96RVU18AR1
2017-10-01$147.98$124.84RVU17D
2017-07-01$147.98$124.84RVU17C
2017-04-01$147.98$124.84RVU17B
2017-01-01$147.98$124.84RVU17A
2016-10-01$145.55$122.06RVU16D
2016-07-01$145.55$122.06RVU16C
2016-04-01$145.55$122.06RVU16B
2016-01-01$145.55$122.06RVU16A
2015-10-01$146.07$122.86RVU15D
2015-07-01$146.07$122.86RVU15C
2015-04-01$145.35$122.24RVU15B
2015-01-01$145.35$122.24RVU15A
2014-10-01$146.67$123.18RVU14D
2014-07-01$146.67$123.18RVU14C
2014-04-01$146.67$123.18RVU14B
2014-01-01$146.67$123.18RVU14A
2013-10-01$146.97$122.61RVU13D
2013-07-01$146.97$122.61RVU13C
2013-04-01$146.97$122.61RVU13B
2013-01-01$146.97$122.61RVU13AR

Price 54231 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

54231 billing questions

How is 54231 different from cavernosography?

54231 reports dynamic pressure and flow measurements during a pharmacologically induced erection. Cavernosography uses contrast imaging to show penile venous anatomy and may be performed with cavernosometry.

Does the pharmacologic injection alone support 54231?

No. The service involves a dynamic hemodynamic assessment, not simply injecting an agent into the corpora cavernosa.

What documentation supports reporting this code?

Document the clinical reason for the study, the pharmacologic response, the pressure and flow measurements, and the clinician’s interpretation of the findings.

Should modifier 50 be appended?

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

How does the multiple-procedure reduction affect payment?

When 54231 is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedure or procedures are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code, 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 54231PPRRVU2026_Oct_nonQPP.csv, line 6,264 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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