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CPT code 54250: Nocturnal erection testing, tumescence and rigidity2026 Medicare rate & RVUs in Nevada

Reports overnight measurement of penile tumescence and rigidity to evaluate erectile dysfunction and help distinguish sleep-related erectile responses.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Nevada, Medicare pays $122.46 for 54250 in the office.

$122.46Office (non-facility)
Not available in this settingHospital or facility
−0.9%vs the national office rate ($123.58)

Check a contract rate as a % of Medicare · 54250 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 54250 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 54250 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 54250 covers

This test monitors changes in penile size and rigidity during sleep, typically overnight, as part of an evaluation for erectile dysfunction. A urology practice may arrange the study, with staff applying or setting up monitoring equipment and a qualified clinician interpreting the recorded results. The findings can help assess whether normal sleep-related erections occur; they are considered alongside the patient’s history and other evaluation findings.

Report the study when nocturnal tumescence and rigidity are measured and interpreted, rather than for penile plethysmography or an invasive vascular study. Documentation should identify the erectile dysfunction evaluation, describe the study performed, and include the recorded findings and interpretation. Modifier 26 identifies the professional interpretation, TC identifies the technical service, and an unmodified claim represents the global service. The 0-day global includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Nevada compares for 54250

Across 109 of 109 payment localities, the office rate for 54250 runs from $113.92 in Arkansas to $159.39 in Alaska. Nevada pays $122.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

54250 in Nevada vs other payment areas
  1. Nevada · this page$122.46
  2. Los Angeles, CA · California$132.31+$9.85
  3. Washington, DC area · District of Columbia$136.18+$13.72
  4. Miami, FL · Florida$136.13+$13.67
  5. Chicago, IL · Illinois$133.39+$10.93
  6. Manhattan, NY · New York$139.51+$17.05
  7. Alaska · Alaska$159.39+$36.93

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

Every other payment area

54250 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$114.99—
ArkansasArkansas$113.92—
ArizonaArizona$121.20—
Bakersfield, CACalifornia$126.48—
Chico, CACalifornia$125.82—
El Centro, CACalifornia$125.85—
Fresno, CACalifornia$125.82—
Hanford, CACalifornia$125.82—

54250 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.

$113.92

$159.39

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

View every state and territory as a table
54250 office rate range by state
State / territoryOffice rate rangeLocalities
AK$159.391
AL$114.991
AR$113.921
AZ$121.201
CA$125.82–$147.9029
CO$125.761
CT$129.921
DC$136.181
DE$122.701
FL$125.16–$136.133
GA$120.13–$125.922
GU$126.721
HI$126.721
IA$115.581
ID$116.331
IL$123.67–$133.394
IN$116.741
KS$115.841
KY$118.061
LA$118.18–$121.922
MA$125.67–$134.392
MD$124.26–$136.183
ME$117.38–$120.602
MI$120.62–$126.842
MN$119.931
MO$117.27–$121.473
MS$115.581
MT$123.571
NC$118.071
ND$119.421
NE$115.801
NH$124.531
NJ$131.24–$135.712
NM$121.311
NV$122.461
NY$119.28–$142.615
OH$119.771
OK$117.271
OR$121.32–$127.872
PA$119.55–$128.062
PR$123.971
RI$125.661
SC$119.161
SD$118.931
TN$116.291
TX$119.09–$126.498
UT$120.201
VA$120.77–$136.182
VI$123.971
VT$119.671
WA$125.20–$135.992
WI$116.861
WV$120.791
WY$121.761

See 54250 in every payment locality

How the 54250 rate is calculated

Each of 54250’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 · 54250

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.16

2.16 RVUs× 1.000 GPCI

Practice expense1.33

1.33 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

3.7000

Conversion factor

$33.4009

Medicare rate

$123.58

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,269

Code
54250
Physician work
2.16
Practice expense
1.33
Malpractice
0.21

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 54250 in Nevada
ComponentRVULocality factorAdjusted
Physician work2.16× 1.0002.1600
Practice expense1.33× 1.0011.3313
Malpractice0.21× 0.8330.1749
Total RVUs3.6663
Conversion factor× 33.4009

Office rate, Nevada$122.46

Office: (2.16 × 1 + 1.33 × 1.001 + 0.21 × 0.833) × $33.4009 = $122.46

Open 54250 in the RVU calculator

Payment rules and modifiers for 54250

The CMS indicators that decide how 54250 is paid alongside other services.

CMS payment indicators · 54250

Nocturnal erection testing, tumescence and rigidity

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

54250 without 26 · national office

$123.58

Nocturnal erection testing, tumescence and rigidity

54250-26 · Professional component

$108.89

Pays only the interpretation and report.

When to use modifier 26

Codes related to 54250

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

Codes related to 54250
CodeHow it relatesOffice range, Nevada
Used instead
54240Penile plethysmography, stimulus-response measurementPenile plethysmography is a different method of evaluating erectile function.$112.18
54230Cavernosography, contrast injectionCavernosography evaluates penile vascular anatomy using an invasive imaging approach.$109.67
54231Cavernosometry, dynamic hemodynamic studyDynamic cavernosometry is an invasive vascular assessment, not sleep-related erection monitoring.$147.65

How 54250 has changed in Nevada

54250 · Office / nonfacility

$122.46

Effective 2026-10-01

The base rate is $5.68 higher than on 2025-10-01, moving from $116.78 to $122.46 (4.9%).

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

    $116.78changed to$122.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.22 changed to 2.16
    • Practice expense RVU 1.23 changed to 1.33
    • Malpractice RVU 0.19 changed to 0.21
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $119.80changed to$116.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.21 changed to 1.23
    • Malpractice RVU 0.20 changed to 0.19

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $117.84changed to$119.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $123.00changed to$117.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.19 changed to 1.21
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $126.70changed to$123.00

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.16 changed to 1.19
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $126.11changed to$126.70

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.14 changed to 1.16
    • Malpractice RVU 0.18 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $127.89changed to$126.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.10 changed to 1.14
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $126.34changed to$127.89

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.09 changed to 1.10
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $125.84changed to$126.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.08 changed to 1.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $126.15changed to$125.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.07 changed to 1.08
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $126.08changed to$126.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.05 changed to 1.07
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $126.53changed to$126.08

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $125.90changed to$126.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $124.46changed to$125.90

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.04 changed to 1.05
    • Malpractice RVU 0.14 changed to 0.19
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $121.41changed to$124.46

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.10 changed to 1.04
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$121.41

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$122.46Not available in this settingRVU26D
2026-07-01$122.46Not available in this settingRVU26C
2026-04-01$122.46Not available in this settingRVU26B
2026-01-01$122.46Not available in this settingRVU26A
2025-10-01$116.78Not available in this settingRVU25D
2025-07-01$116.78Not available in this settingRVU25C
2025-04-01$116.78Not available in this settingRVU25B
2025-01-01$116.78Not available in this settingRVU25A
2024-10-01$119.80Not available in this settingRVU24D
2024-07-01$119.80Not available in this settingRVU24C
2024-04-01$119.80Not available in this settingRVU24B
2024-03-09$119.80Not available in this settingRVU24AR
2024-01-01$117.84Not available in this settingRVU24A
2023-10-01$123.00Not available in this settingRVU23D
2023-07-01$123.00Not available in this settingRVU23C
2023-04-01$123.00Not available in this settingRVU23B
2023-01-01$123.00Not available in this settingRVU23A
2022-10-01$126.70Not available in this settingRVU22D
2022-07-01$126.70Not available in this settingRVU22C
2022-04-01$126.70Not available in this settingRVU22B
2022-01-01$126.70Not available in this settingRVU22A
2021-10-01$126.11Not available in this settingRVU21D
2021-07-01$126.11Not available in this settingRVU21C
2021-04-01$126.11Not available in this settingRVU21B
2021-01-01$126.11Not available in this settingRVU21A
2020-10-01$127.89Not available in this settingRVU20D
2020-07-01$127.89Not available in this settingRVU20C
2020-04-01$127.89Not available in this settingRVU20B
2020-01-01$127.89Not available in this settingRVU20A
2019-10-01$126.34Not available in this settingRVU19D
2019-07-01$126.34Not available in this settingRVU19C
2019-04-01$126.34Not available in this settingRVU19B
2019-01-01$126.34Not available in this settingRVU19A
2018-10-01$125.84Not available in this settingRVU18D
2018-07-01$125.84Not available in this settingRVU18C
2018-04-01$125.84Not available in this settingRVU18B
2018-01-01$125.84Not available in this settingRVU18AR1
2017-10-01$126.15Not available in this settingRVU17D
2017-07-01$126.15Not available in this settingRVU17C
2017-04-01$126.15Not available in this settingRVU17B
2017-01-01$126.15Not available in this settingRVU17A
2016-10-01$126.08Not available in this settingRVU16D
2016-07-01$126.08Not available in this settingRVU16C
2016-04-01$126.08Not available in this settingRVU16B
2016-01-01$126.08Not available in this settingRVU16A
2015-10-01$126.53Not available in this settingRVU15D
2015-07-01$126.53Not available in this settingRVU15C
2015-04-01$125.90Not available in this settingRVU15B
2015-01-01$125.90Not available in this settingRVU15A
2014-10-01$124.46Not available in this settingRVU14D
2014-07-01$124.46Not available in this settingRVU14C
2014-04-01$124.46Not available in this settingRVU14B
2014-01-01$124.46Not available in this settingRVU14A
2013-10-01$121.41Not available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 54250 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

54250 billing questions

How does this differ from penile plethysmography, code 54240?

Code 54250 reports measurement of nocturnal penile tumescence and rigidity during sleep. Code 54240 is penile plethysmography, a different testing method.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.

Should modifier 50 be appended?

No. The test is not billed as a bilateral service, and modifier 50 is inappropriate.

What documentation supports reporting this test?

Document the erectile dysfunction evaluation, the nocturnal monitoring performed, the recorded tumescence and rigidity findings, and the clinician’s interpretation.

How does this test differ from cavernosometry or cavernosography?

This code reports sleep-related erection monitoring. Codes 54231 and 54230 describe invasive vascular assessment methods rather than an overnight study.

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 54250PPRRVU2026_Oct_nonQPP.csv, line 6,269 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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