CPT code 54435: Penile repair, fracture repair2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $380.38 for 54435 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 54435 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 54435 covers

A urologist uses this code for operative repair of a penile fracture, usually a tear in the tunica albuginea after forceful bending of an erect penis. The procedure generally involves surgical exploration, management of the associated hematoma, and closure of the tunical defect. It is typically performed in an operating room, often in a hospital or ambulatory surgical setting. The operative report should identify the fracture and describe the repair performed.

Report this code for fracture repair, not for surgery to correct penile curvature or repair a different penile injury. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during the following 90 days. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this repair. 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 Delaware compares for 54435

Across 109 of 109 payment localities, the facility rate for 54435 runs from $351.05 in Arkansas to $490.43 in Alaska. Delaware pays $380.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

54435 rates by state

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

See 54435 in every payment locality

How the 54435 rate is calculated

Each of 54435’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 54435

54435 has a 90-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 54435

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

How 54435 has changed in Delaware

Price 54435 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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