CPT code 54417: Penile prosthesis, component removal and replacement2026 Medicare rate & RVUs in Redding, CA

Removal and replacement of a penile prosthesis component during one operation, such as when a pump, cylinder, or reservoir requires replacement.

CMS RVU26DEffective Oct 1, 2026One payment locality43 Medicare services in 2024

In Redding, CA, Medicare pays $810.35 for 54417 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$810.35Hospital or facility

Check a contract rate as a % of Medicare · 54417 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 54417 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 54417 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 54417 covers

A urologist reports this service when an implanted penile prosthesis component is removed and replaced during the same operation. The clinical situation may involve a malfunctioning or damaged pump, cylinder, or reservoir while other parts of the prosthesis remain in place. These procedures are generally performed in an operating room or other surgical facility; Medicare recorded facility services for this code in 2024.

The operative report should identify the component removed and the replacement component, describe the reason for the procedure, and clarify whether other prosthesis components were retained. This code represents component replacement, not removal and replacement of the complete device or repair without component replacement. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery 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.

How Redding, CA compares for 54417

Across 109 of 109 payment localities, the facility rate for 54417 runs from $747.93 in Arkansas to $1,057.83 in Alaska. Redding, CA pays $810.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

54417 in Redding, CA vs other payment areas
  1. Redding, CA · this page$810.35
  2. Bakersfield, CA · California$816.32+$5.97
  3. Chico, CA · California$810.35
  4. El Centro, CA · California$810.69+$0.34
  5. Fresno, CA · California$810.35
  6. Hanford, CA · California$810.35
  7. Los Angeles, CA · California$850.69+$40.34

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

Every other payment area

54417 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$810.35
Merced, CACalifornia—$810.35
Modesto, CACalifornia—$810.35
Napa, CACalifornia—$881.37
Oxnard, CACalifornia—$840.89
Rest of CaliforniaCalifornia—$810.35
Riverside, CACalifornia—$832.26
Sacramento, CACalifornia—$835.04

54417 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
54417 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 54417 in every payment locality

How the 54417 rate is calculated

Each of 54417’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 · 54417

RVUs × geographic indexes × conversion factor

Office or facility?

Work15.70

15.70 RVUs× 1.000 GPCI

Practice expense6.58

6.58 RVUs× 1.000 GPCI

Malpractice2.02

2.02 RVUs× 1.000 GPCI

Adjusted RVUs

24.3000

Conversion factor

$33.4009

Medicare rate

$811.64

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

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,301

Code
54417
Physician work
15.70
Practice expense
6.58
Malpractice
2.02

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 54417 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work15.70× 1.01715.9669
Practice expense6.58× 1.0967.2117
Malpractice2.02× 0.5361.0827
Total RVUs24.2613
Conversion factor× 33.4009

Facility rate, Redding, CA$810.35

Facility: (15.7 × 1.017 + 6.58 × 1.096 + 2.02 × 0.536) × $33.4009 = $810.35

Open 54417 in the RVU calculator

Payment rules and modifiers for 54417

54417 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54417

Penile prosthesis, component removal and replacement

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 54417

Penile prosthesis, component removal and replacement

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54417 without 51 · national facility

$811.64

Penile prosthesis, component removal and replacement

54417-51 · Second procedure: 50%

$405.82

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

How 54417 has changed in Redding, CA

54417 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$810.35RVU26D
2026-07-01Not available in this setting$810.35RVU26C
2026-04-01Not available in this setting$810.35RVU26B
2026-01-01Not available in this setting$810.35RVU26A
2025-10-01Not available in this setting$880.88RVU25D
2025-07-01Not available in this setting$880.88RVU25C
2025-04-01Not available in this setting$880.88RVU25B
2025-01-01Not available in this setting$880.88RVU25A
2024-10-01Not available in this setting$899.41RVU24D
2024-07-01Not available in this setting$899.41RVU24C
2024-04-01Not available in this setting$899.41RVU24B
2024-03-09Not available in this setting$899.41RVU24AR
2024-01-01Not available in this setting$884.73RVU24A
2023-10-01Not available in this setting$905.34RVU23D
2023-07-01Not available in this setting$905.34RVU23C
2023-04-01Not available in this setting$905.34RVU23B
2023-01-01Not available in this setting$905.34RVU23A
2022-10-01Not available in this setting$916.87RVU22D
2022-07-01Not available in this setting$916.87RVU22C
2022-04-01Not available in this setting$916.87RVU22B
2022-01-01Not available in this setting$916.87RVU22A
2021-10-01Not available in this setting$921.69RVU21D
2021-07-01Not available in this setting$921.69RVU21C
2021-04-01Not available in this setting$921.69RVU21B
2021-01-01Not available in this setting$921.69RVU21A
2020-10-01Not available in this setting$943.02RVU20D
2020-07-01Not available in this setting$943.02RVU20C
2020-04-01Not available in this setting$943.02RVU20B
2020-01-01Not available in this setting$943.02RVU20A
2019-10-01Not available in this setting$942.57RVU19D
2019-07-01Not available in this setting$942.57RVU19C
2019-04-01Not available in this setting$941.76RVU19B
2019-01-01Not available in this setting$941.76RVU19A
2018-10-01Not available in this setting$943.65RVU18D
2018-07-01Not available in this setting$943.65RVU18C
2018-04-01Not available in this setting$943.65RVU18B
2018-01-01Not available in this setting$943.65RVU18AR1
2017-10-01Not available in this setting$943.53RVU17D
2017-07-01Not available in this setting$943.53RVU17C
2017-04-01Not available in this setting$943.53RVU17B
2017-01-01Not available in this setting$943.53RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 54417 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

54417 billing questions

When should this code be chosen instead of 54410?

Use this code when a prosthesis component is removed and replaced while the procedure does not replace the complete multi-component device. Code 54410 describes removal and replacement of the complete device.

How does this differ from repair code 54408?

This code describes removing and replacing a component. Code 54408 is for repair of a multi-component inflatable prosthesis rather than replacement of a component.

What operative documentation supports this code?

Document the clinical problem, the specific component removed, the component put in its place, and which other components were retained. The operative note should make clear that removal and replacement occurred during the same operation.

Can modifier 50 be used for bilateral reporting?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Does the code include postoperative care?

Yes. Medicare assigns a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

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

Show the CMS file lines behind this rate
RVUs for 54417PPRRVU2026_Oct_nonQPP.csv, line 6,301 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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