CPT code 54440: Penile repair2026 Medicare rate & RVUs in Missouri
Surgical repair of penile tissue, including repair after penile fracture, reported by the urologist who performs the operation.
CMS doesn’t publish an office rate for 54440 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 54440 covers
This code describes an operation to repair the penis itself, rather than to place or repair a penile prosthesis. Urologists may report it for surgical treatment of a penile fracture, in which trauma tears erectile tissue. The operation is typically performed in an operating room and repairs the injured penile tissue.
Medicare assigns physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. The standard multiple-procedure reduction applies when other procedures are performed in the same session. Modifier 50 is inappropriate. Assistant-at-surgery services 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 54440 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 | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the 54440 rate is calculated
Each of 54440’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 · 54440
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54440
54440 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54440
Penile repair
| 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 · 54440
Penile repair
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
54440 without 51 · national facility
$0.00
Penile repair
54440-51 · Second procedure: 50%
$0.00
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%).
54440 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 54437Corporal tear repairPenile fracture
- Choose 54440 for repair of the penis, commonly after traumatic injury. Choose 54437 when the service is repair of a corporeal tear in its applicable circumstances.
- 54408Prosthesis repairMulti-component device
- 54408 describes repair of a penile prosthesis. 54440 describes repair of the patient's penile tissue.
- 54430Penile reconstructionPeyronie disease, with graft
- 54440 is used for traumatic penile repair; 54430 is used for penile repair in a nontraumatic clinical circumstance.
54440 billing questions
When is 54440 appropriate for penile fracture?
Report it when the surgeon repairs the injured penis, as in operative treatment of a penile fracture. Repair of a penile prosthesis is a different service.
How does 54440 differ from 54437?
54440 describes repair of the penis, commonly after traumatic injury. 54437 is for repair of a corporeal tear in its applicable circumstances.
Is repair of a penile prosthesis included in 54440?
No. 54440 describes repair of penile tissue; 54408 describes repair of a penile prosthesis.
Does modifier 50 apply?
No. Modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How does Medicare price 54440?
It has physician fee schedule status C. CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim.
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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