CPT code 54437: Corporal tear repair, penile fracture2026 Medicare rate & RVUs in Florida
Surgical closure of a tear in the penile corporal tissue, typically performed to treat a penile fracture after trauma.
CMS doesn’t publish an office rate for 54437 in Florida.
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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On this page 9 sections
What 54437 covers
A urologist typically reports this service for operative repair of a tear in the corpora cavernosa, the erectile tissue within the penis. A classic presentation is penile fracture: an abrupt injury, often during an erection, that tears the tunica albuginea surrounding a corpus cavernosum. The surgeon exposes the injury, identifies the tear, and closes it. Repair is generally performed in an operating room rather than an office setting.
Report the code when the operative service is repair of the corporal tear itself. The operative note should identify the injured corporal tissue and document the tear and its surgical closure. This major surgery includes 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 multiple-procedure reduction. Modifier 50 is not appropriate. An assistant at surgery may be paid; 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.
Where 54437 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $661.01 |
| Miami, FL | Unavailable | $701.21 |
| Rest of Florida | Unavailable | $635.11 |
How the 54437 rate is calculated
Each of 54437’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 · 54437
RVUs × geographic indexes × conversion factor
Work11.21
11.21 RVUs× 1.000 GPCI
Practice expense5.90
5.90 RVUs× 1.000 GPCI
Malpractice1.44
1.44 RVUs× 1.000 GPCI
Adjusted RVUs
18.5500
Conversion factor
$33.4009
Medicare rate
$619.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54437
54437 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54437
Corporal tear repair, penile fracture
| 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 · 54437
Corporal tear repair, penile fracture
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
54437 without 51 · national facility
$619.59
Corporal tear repair, penile fracture
54437-51 · Second procedure: 50%
$309.80
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%).
54437 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 54440Penile repair
- 54437 identifies repair of a corporal tear, commonly from penile fracture. Use 54440 for other penile repairs, including traumatic injuries that are not corporal tears.
- 54411Prosthesis exchangeSelf-contained inflatable device
- 54411 describes replacement of a multicomponent inflatable prosthesis with corporal body repair during that procedure. It is not the code for an isolated corporal tear repair.
- 54408Prosthesis repairMulti-component device
- 54408 addresses repair of a component of an inflatable penile prosthesis. Code 54437 is for torn corporal tissue, not a malfunctioning implant component.
54437 billing questions
How is this code distinguished from 54440?
Use 54437 for repair of a tear in the corporal erectile tissue. Code 54440 is used for other penile repairs, such as repair of a traumatic penile injury not described as a corporal tear.
Does the code include the postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Should modifier 50 be used for a tear involving both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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
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