Billing code 54060: Penile lesion excisionMedicare rate & RVUs
Report simple surgical removal of a penile lesion when the clinician excises the tissue rather than destroying it with a chemical, freezing, or laser method.
Medicare pays $201.07 for 54060 nationally in the office and $122.58 in a hospital or facility. Local office rates run $179.05–$261.28.
Medicare rate · 54060
Penile lesion excision
Swap in your local Medicare rate.
- Work RVUs
- 1.93
- Total RVUs
- 6.02
- Global days
- 010
National rate · 2026
$201.07
Office setting, before claim adjustments.
See every locality for 54060 → · Billed by an NP, PA or therapist? →
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 10 sections
What 54060 covers
This service covers simple surgical excision of one or more lesions on the penis, such as a penile wart, with the removed tissue separated from surrounding tissue rather than ablated. A urologist or another clinician qualified to perform the procedure may do it in an office or outpatient facility, often with local anesthesia. When tissue is submitted for examination, the pathology service is distinct from the excision and may be reported separately when supported.
Select this code for the excision technique and simple service described, not for lesion destruction by chemical treatment, cryosurgery, or laser. The note should identify the penile site, lesion findings, excision performed, and any specimen submitted. Medicare includes related postoperative visits during the 10-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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.
Where 54060 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$179.05 to $261.28
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $181.52 | $112.84 |
| Alaska* | $238.06 | $154.47 |
| Arizona | $195.93 | $119.87 |
| Arkansas | $179.05 | $111.63 |
| Atlanta | $204.94 | $125.19 |
| Austin | $207.75 | $124.70 |
| Bakersfield | $211.51 | $125.48 |
| Baltimore/Surr. Cntys | $213.39 | $129.17 |
| Beaumont | $188.93 | $117.50 |
| Brazoria | $198.67 | $120.88 |
| Chicago | $212.55 | $133.66 |
| Chico | $210.79 | $124.77 |
| Colorado | $208.32 | $124.81 |
| Connecticut | $213.95 | $129.41 |
| Dallas | $200.00 | $121.82 |
| Dc + Md/Va Suburbs | $228.35 | $135.89 |
| Delaware | $199.04 | $121.49 |
| Detroit | $202.07 | $126.33 |
| East St. Louis | $198.91 | $126.70 |
| El Centro | $210.83 | $124.81 |
| Fort Lauderdale | $209.22 | $129.71 |
| Fort Worth | $198.82 | $121.43 |
| Fresno | $210.79 | $124.77 |
| Galveston | $199.31 | $121.37 |
| Hanford-Corcoran | $210.79 | $124.77 |
| Hawaii, Guam | $215.32 | $126.07 |
| Houston | $203.70 | $125.76 |
| Idaho | $186.56 | $114.35 |
| Indiana | $187.57 | $114.80 |
| Iowa | $185.31 | $113.49 |
| Kansas | $184.75 | $113.80 |
| Kentucky | $186.12 | $116.34 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $224.56 | $131.70 |
| Madera | $210.79 | $124.77 |
| Manhattan | $230.73 | $139.52 |
| Merced | $210.79 | $124.77 |
| Metropolitan Boston | $227.78 | $134.06 |
| Metropolitan Kansas City | $193.04 | $119.34 |
| Metropolitan Philadelphia | $209.05 | $127.34 |
| Metropolitan St. Louis | $194.92 | $120.19 |
| Miami | $218.60 | $136.89 |
| Minnesota | $199.16 | $118.39 |
| Mississippi | $181.11 | $113.52 |
| Modesto | $210.79 | $124.77 |
| Montana** | $201.06 | $122.57 |
| Napa | $242.08 | $138.63 |
| Nebraska | $186.19 | $113.74 |
| Nevada** | $199.86 | $121.29 |
| New Hampshire | $205.34 | $123.63 |
| New Mexico | $192.01 | $120.03 |
| New Orleans | $194.58 | $120.72 |
| North Carolina | $189.56 | $116.33 |
| North Dakota** | $196.31 | $117.82 |
| Northern Nj | $226.25 | $135.20 |
| Nyc Suburbs/Long Island | $236.37 | $143.05 |
| Ohio | $189.95 | $118.29 |
| Oklahoma | $185.53 | $115.43 |
| Oxnard-Thousand Oaks-Ventura | $223.26 | $130.48 |
| Portland | $214.33 | $127.12 |
| Poughkpsie/N Nyc Suburbs | $217.87 | $131.93 |
| Puerto Rico | $202.37 | $123.01 |
| Queens | $232.15 | $139.37 |
| Redding | $210.79 | $124.77 |
| Rest Of California | $210.79 | $124.77 |
| Rest Of Florida | $199.45 | $124.41 |
| Rest Of Georgia | $188.72 | $118.71 |
| Rest Of Illinois | $194.40 | $122.74 |
| Rest Of Louisiana | $185.95 | $116.48 |
| Rest Of Maine | $187.76 | $115.54 |
| Rest Of Maryland | $202.60 | $123.17 |
| Rest Of Massachusetts | $207.29 | $124.64 |
| Rest Of Michigan | $190.92 | $119.26 |
| Rest Of Missouri | $183.12 | $115.46 |
| Rest Of New Jersey | $216.26 | $130.55 |
| Rest Of New York | $192.26 | $117.70 |
| Rest Of Oregon | $198.18 | $120.00 |
| Rest Of Pennsylvania | $190.09 | $118.03 |
| Rest Of Texas | $193.74 | $119.25 |
| Rest Of Washington | $206.81 | $124.16 |
| Rhode Island | $205.68 | $124.59 |
| Riverside-San Bernardino-Ontario | $213.40 | $127.37 |
| Sacramento-Roseville-Folsom | $220.64 | $129.35 |
| Salinas | $219.80 | $128.83 |
| San Diego-Chula Vista-Carlsbad | $224.54 | $130.66 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $255.58 | $144.91 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $255.31 | $144.64 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $261.28 | $148.10 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $260.17 | $146.98 |
| San Luis Obispo-Paso Robles | $216.32 | $126.92 |
| Santa Cruz-Watsonville | $226.36 | $130.99 |
| Santa Maria-Santa Barbara | $220.51 | $128.98 |
| Santa Rosa-Petaluma | $228.61 | $132.22 |
| Seattle (King Cnty) | $232.02 | $135.71 |
| South Carolina | $190.10 | $117.57 |
| South Dakota** | $195.75 | $117.26 |
| Southern Maine | $196.96 | $119.17 |
| Stockton | $210.79 | $124.77 |
| Suburban Chicago | $211.19 | $130.57 |
| Tennessee | $185.66 | $114.31 |
| Utah | $192.54 | $118.76 |
| Vallejo | $241.69 | $138.24 |
| Vermont | $195.83 | $118.12 |
| Virgin Islands | $202.37 | $123.01 |
| Virginia | $196.53 | $119.37 |
| Visalia | $210.79 | $124.77 |
| West Virginia | $187.68 | $119.47 |
| Wisconsin | $190.13 | $114.93 |
| Wyoming** | $198.99 | $120.50 |
| Yuba City | $210.79 | $124.77 |
54060 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.
$179.05
$238.06
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $238.06 | 1 |
| AL | $181.52 | 1 |
| AR | $179.05 | 1 |
| AZ | $195.93 | 1 |
| CA | $210.79–$261.28 | 29 |
| CO | $208.32 | 1 |
| CT | $213.95 | 1 |
| DC | $228.35 | 1 |
| DE | $199.04 | 1 |
| FL | $199.45–$218.60 | 3 |
| GA | $188.72–$204.94 | 2 |
| GU | $215.32 | 1 |
| HI | $215.32 | 1 |
| IA | $185.31 | 1 |
| ID | $186.56 | 1 |
| IL | $194.40–$212.55 | 4 |
| IN | $187.57 | 1 |
| KS | $184.75 | 1 |
| KY | $186.12 | 1 |
| LA | $185.95–$194.58 | 2 |
| MA | $207.29–$227.78 | 2 |
| MD | $202.60–$228.35 | 3 |
| ME | $187.76–$196.96 | 2 |
| MI | $190.92–$202.07 | 2 |
| MN | $199.16 | 1 |
| MO | $183.12–$194.92 | 3 |
| MS | $181.11 | 1 |
| MT | $201.06 | 1 |
| NC | $189.56 | 1 |
| ND | $196.31 | 1 |
| NE | $186.19 | 1 |
| NH | $205.34 | 1 |
| NJ | $216.26–$226.25 | 2 |
| NM | $192.01 | 1 |
| NV | $199.86 | 1 |
| NY | $192.26–$236.37 | 5 |
| OH | $189.95 | 1 |
| OK | $185.53 | 1 |
| OR | $198.18–$214.33 | 2 |
| PA | $190.09–$209.05 | 2 |
| PR | $202.37 | 1 |
| RI | $205.68 | 1 |
| SC | $190.10 | 1 |
| SD | $195.75 | 1 |
| TN | $185.66 | 1 |
| TX | $188.93–$207.75 | 8 |
| UT | $192.54 | 1 |
| VA | $196.53–$228.35 | 2 |
| VI | $202.37 | 1 |
| VT | $195.83 | 1 |
| WA | $206.81–$232.02 | 2 |
| WI | $190.13 | 1 |
| WV | $187.68 | 1 |
| WY | $198.99 | 1 |
How the 54060 rate is calculated
Each of 54060’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 · 54060
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.93Practice expense 3.85Malpractice 0.24
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54060
54060 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54060
Penile lesion excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 54060
Penile lesion excision
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54060 without 51 · national office
$201.07
Penile lesion excision
54060-51 · Second procedure: 50%
$100.54
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%).
54060 compared with similar codes
Compare codes
54060 vs 54050 vs 54056 vs 54057 vs 54065: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54050Penile lesion destruction
- 54050 is for chemical destruction of penile lesions; 54060 is for simple surgical excision.
- 54056Penile lesion destruction
- 54056 reports cryosurgery of penile lesions. Choose 54060 when tissue is removed by excision instead of frozen.
- 54057Penile lesion treatment
- 54057 reports laser destruction of penile lesions; 54060 describes simple excision rather than laser ablation.
- 54065Penile lesion destruction
- 54065 is for extensive destruction of penile lesions. 54060 is the simple excision service, not a destruction procedure.
54060 billing questions
When should this code be chosen instead of a penile lesion destruction code?
Use 54060 when the clinician surgically excises the lesion. Destruction codes apply when the lesion is treated by a destructive method such as chemical treatment, cryosurgery, or laser.
Can pathology be reported separately?
A pathology service may be reported separately when excised tissue is submitted and the pathologist performs a separately reportable examination. Document the specimen and its disposition.
Does this code have a postoperative global period?
Yes. Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when this is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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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