CPT code 54408: Prosthesis repair, multi-component device2026 Medicare rate & RVUs in Missouri
Repair of an implanted multi-component inflatable penile prosthesis is reported when the existing device is surgically repaired rather than removed and replaced.
CMS doesn’t publish an office rate for 54408 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 54408 covers
A urologist surgically repairs a previously implanted multi-component inflatable penile prosthesis when the device has a mechanical problem that can be addressed without removing and replacing it. The system includes implanted components such as cylinders and a pump, with a fluid reservoir in many designs. This is generally an operative service in a facility setting, rather than an office-based adjustment or evaluation of device function alone.
Report the repair when documentation identifies the existing multi-component device, the malfunction or damage, and the repair performed. Distinguish repair from removal alone, replacement, or insertion of a new prosthesis. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is 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.
Where 54408 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $704.16 |
| Metropolitan St. Louis, MO | Unavailable | $708.31 |
| Rest of Missouri | Unavailable | $688.07 |
How the 54408 rate is calculated
Each of 54408’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 · 54408
RVUs × geographic indexes × conversion factor
Work13.56
13.56 RVUs× 1.000 GPCI
Practice expense6.19
6.19 RVUs× 1.000 GPCI
Malpractice1.75
1.75 RVUs× 1.000 GPCI
Adjusted RVUs
21.5000
Conversion factor
$33.4009
Medicare rate
$718.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54408
54408 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54408
Prosthesis repair, multi-component device
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54408
Prosthesis repair, multi-component device
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54408 without 51 · national facility
$718.12
Prosthesis repair, multi-component device
54408-51 · Second procedure: 50%
$359.06
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%).
54408 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 54405Penile prosthesisMulti-component inflatable
- 54405 is for inserting a new multi-component inflatable prosthesis. Use 54408 when the existing device is repaired instead.
- 54406Penile prosthesis removalMulticomponent inflatable, no replacement
- 54406 describes removal of a multi-component inflatable prosthesis. It is distinct from surgically repairing the existing device under 54408.
- 54410Prosthesis replacementNon-inflatable device
- 54410 is used for removal and replacement of a penile prosthesis. Choose 54408 when the service repairs the existing device rather than replacing it.
54408 billing questions
How is repair different from insertion of a new prosthesis?
Report 54408 when the existing multi-component device is surgically repaired. Code 54405 describes insertion of a new multi-component prosthesis.
When would removal or replacement codes be more appropriate?
Use a removal code when the device is explanted without repair, or a removal-and-replacement code when the operative service replaces it. Documentation should show whether the existing device was repaired, removed, or replaced.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. The descriptor and anatomy make modifier 50 inappropriate for this service.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
How is this code affected by other procedures in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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
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