CPT code 54437: Corporal tear repair, penile fracture2026 Medicare rate & RVUs in New Mexico
Surgical closure of a tear in the penile corporal tissue, typically performed to treat a penile fracture after trauma.
In New Mexico, Medicare pays $612.90 for 54437 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 54437 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How New Mexico compares for 54437
Across 109 of 109 payment localities, the facility rate for 54437 runs from $568.47 in Arkansas to $798.01 in Alaska. New Mexico pays $612.90. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$612.90
- Los Angeles, CA · California$654.84+$41.94
- Washington, DC area · District of Columbia$680.32+$67.42
- Miami, FL · Florida$701.21+$88.31
- Chicago, IL · Illinois$685.48+$72.58
- Manhattan, NY · New York$703.66+$90.76
- Alaska · Alaska$798.01+$185.11
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $574.08 |
| ArkansasArkansas | — | $568.47 |
| ArizonaArizona | — | $606.55 |
| Bakersfield, CACalifornia | — | $626.81 |
| Chico, CACalifornia | — | $622.55 |
| El Centro, CACalifornia | — | $622.79 |
| Fresno, CACalifornia | — | $622.55 |
| Hanford, CACalifornia | — | $622.55 |
| Madera, CACalifornia | — | $622.55 |
| Merced, CACalifornia | — | $622.55 |
| Modesto, CACalifornia | — | $622.55 |
| Napa, CACalifornia | — | $682.18 |
| Oxnard, CACalifornia | — | $647.80 |
| Redding, CACalifornia | — | $622.55 |
| Rest of CaliforniaCalifornia | — | $622.55 |
| Riverside, CACalifornia | — | $638.17 |
| Sacramento, CACalifornia | — | $642.87 |
| Salinas, CACalifornia | — | $640.21 |
| San Diego, CACalifornia | — | $647.42 |
| Marin County, CACalifornia | — | $709.93 |
| San Francisco, CACalifornia | — | $708.30 |
| San Benito County, CACalifornia | — | $725.56 |
| Santa Clara County, CACalifornia | — | $718.87 |
| San Luis Obispo, CACalifornia | — | $631.03 |
| Santa Cruz, CACalifornia | — | $647.50 |
| Santa Maria, CACalifornia | — | $640.47 |
| Santa Rosa, CACalifornia | — | $653.43 |
| Stockton, CACalifornia | — | $622.55 |
| Vallejo, CACalifornia | — | $679.82 |
| Visalia, CACalifornia | — | $622.55 |
| Yuba City, CACalifornia | — | $622.55 |
| ColoradoColorado | — | $626.16 |
| ConnecticutConnecticut | — | $652.35 |
| DelawareDelaware | — | $614.24 |
| Fort Lauderdale, FLFlorida | — | $661.01 |
| Rest of FloridaFlorida | — | $635.11 |
| Atlanta, GAGeorgia | — | $633.53 |
| Rest of GeorgiaGeorgia | — | $607.54 |
| Hawaii, Guam, HIHawaii | — | $626.34 |
| IowaIowa | — | $573.83 |
| IdahoIdaho | — | $578.47 |
| East St. Louis, ILIllinois | — | $652.59 |
| Rest of IllinoisIllinois | — | $629.52 |
| Suburban Chicago, ILIllinois | — | $664.66 |
| IndianaIndiana | — | $580.48 |
| KansasKansas | — | $576.81 |
| KentuckyKentucky | — | $593.62 |
| New Orleans, LALouisiana | — | $614.50 |
| Rest of LouisianaLouisiana | — | $594.90 |
| Metropolitan Boston, MAMassachusetts | — | $667.88 |
| Rest of MassachusettsMassachusetts | — | $626.26 |
| Baltimore area, MDMaryland | — | $651.36 |
| Rest of MarylandMaryland | — | $621.75 |
| Rest of MaineMaine | — | $585.64 |
| Southern Maine, MEMaine | — | $600.07 |
| Detroit, MIMichigan | — | $645.68 |
| Rest of MichiganMichigan | — | $608.65 |
| MinnesotaMinnesota | — | $591.44 |
| Metropolitan Kansas City, MOMissouri | — | $606.46 |
| Metropolitan St. Louis, MOMissouri | — | $610.22 |
| Rest of MissouriMissouri | — | $591.14 |
| MississippiMississippi | — | $579.64 |
| MontanaMontana | — | $619.49 |
| North CarolinaNorth Carolina | — | $589.02 |
| North DakotaNorth Dakota | — | $591.02 |
| NebraskaNebraska | — | $574.50 |
| New HampshireNew Hampshire | — | $621.65 |
| Northern New JerseyNew Jersey | — | $677.98 |
| Rest of New JerseyNew Jersey | — | $657.36 |
| NevadaNevada | — | $611.75 |
| NYC suburbs and Long Island, NYNew York | — | $722.01 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $665.26 |
| Queens, NYNew York | — | $700.67 |
| Rest of New YorkNew York | — | $595.45 |
| OhioOhio | — | $602.83 |
| OklahomaOklahoma | — | $587.78 |
| Portland, OROregon | — | $635.14 |
| Rest of OregonOregon | — | $604.51 |
| Metropolitan Philadelphia, PAPennsylvania | — | $643.69 |
| Rest of PennsylvaniaPennsylvania | — | $600.78 |
| Puerto RicoPuerto Rico | — | $621.03 |
| Rhode IslandRhode Island | — | $628.01 |
| South CarolinaSouth Carolina | — | $597.40 |
| South DakotaSouth Dakota | — | $587.65 |
| TennesseeTennessee | — | $579.38 |
| Austin, TXTexas | — | $626.28 |
| Beaumont, TXTexas | — | $598.44 |
| Brazoria, TXTexas | — | $610.23 |
| Dallas, TXTexas | — | $615.34 |
| Fort Worth, TXTexas | — | $613.99 |
| Galveston, TXTexas | — | $612.93 |
| Houston, TXTexas | — | $639.29 |
| Rest of TexasTexas | — | $604.87 |
| UtahUtah | — | $602.86 |
| VirginiaVirginia | — | $602.10 |
| Virgin Islands, VIUnited States Virgin Islands | — | $621.03 |
| VermontVermont | — | $593.86 |
| Rest of WashingtonWashington | — | $623.40 |
| King County, WAWashington | — | $674.24 |
| WisconsinWisconsin | — | $578.03 |
| West VirginiaWest Virginia | — | $614.50 |
| WyomingWyoming | — | $607.08 |
54437 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,305
- Code
- 54437
- Physician work
- 11.21
- Practice expense
- 5.90
- Malpractice
- 1.44
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.21 | × 1.000 | 11.2100 |
| Practice expense | 5.90 | × 0.917 | 5.4103 |
| Malpractice | 1.44 | × 1.201 | 1.7294 |
| Total RVUs | 18.3497 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$612.90
Facility: (11.21 × 1 + 5.9 × 0.917 + 1.44 × 1.201) × $33.4009 = $612.90
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%).
How 54437 has changed in New Mexico
54437 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
January 1, 2016
RVU16A
No ratechanged toNo rate
Held through RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $612.90 | RVU26D |
| 2026-07-01 | Not available in this setting | $612.90 | RVU26C |
| 2026-04-01 | Not available in this setting | $612.90 | RVU26B |
| 2026-01-01 | Not available in this setting | $612.90 | RVU26A |
| 2025-10-01 | Not available in this setting | $648.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $648.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $648.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $648.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $662.90 | RVU24D |
| 2024-07-01 | Not available in this setting | $662.90 | RVU24C |
| 2024-04-01 | Not available in this setting | $662.90 | RVU24B |
| 2024-03-09 | Not available in this setting | $662.90 | RVU24AR |
| 2024-01-01 | Not available in this setting | $652.08 | RVU24A |
| 2023-10-01 | Not available in this setting | $663.35 | RVU23D |
| 2023-07-01 | Not available in this setting | $663.35 | RVU23C |
| 2023-04-01 | Not available in this setting | $663.35 | RVU23B |
| 2023-01-01 | Not available in this setting | $663.35 | RVU23A |
| 2022-10-01 | Not available in this setting | $669.68 | RVU22D |
| 2022-07-01 | Not available in this setting | $669.68 | RVU22C |
| 2022-04-01 | Not available in this setting | $669.68 | RVU22B |
| 2022-01-01 | Not available in this setting | $669.68 | RVU22A |
| 2021-10-01 | Not available in this setting | $672.14 | RVU21D |
| 2021-07-01 | Not available in this setting | $672.14 | RVU21C |
| 2021-04-01 | Not available in this setting | $672.14 | RVU21B |
| 2021-01-01 | Not available in this setting | $672.14 | RVU21A |
| 2020-10-01 | Not available in this setting | $690.34 | RVU20D |
| 2020-07-01 | Not available in this setting | $690.34 | RVU20C |
| 2020-04-01 | Not available in this setting | $690.34 | RVU20B |
| 2020-01-01 | Not available in this setting | $690.34 | RVU20A |
| 2019-10-01 | Not available in this setting | $694.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $694.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $694.01 | RVU19B |
| 2019-01-01 | Not available in this setting | $694.01 | RVU19A |
| 2018-10-01 | Not available in this setting | $695.59 | RVU18D |
| 2018-07-01 | Not available in this setting | $695.59 | RVU18C |
| 2018-04-01 | Not available in this setting | $695.59 | RVU18B |
| 2018-01-01 | Not available in this setting | $695.59 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $693.16 | RVU17D |
| 2017-07-01 | Not available in this setting | $693.16 | RVU17C |
| 2017-04-01 | Not available in this setting | $693.16 | RVU17B |
| 2017-01-01 | Not available in this setting | $693.16 | RVU17A |
| 2016-10-01 | Not available in this setting | $690.01 | RVU16D |
| 2016-07-01 | Not available in this setting | $690.01 | RVU16C |
| 2016-04-01 | Not available in this setting | $690.01 | RVU16B |
| 2016-01-01 | Not available in this setting | $690.01 | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
Fee sheets · Coming soon
Put 54437 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist