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CPT code 54120: Penile surgery2026 Medicare rate & RVUs

Reports surgical removal of part of the penis, commonly for a penile malignancy that requires more tissue removal than a local lesion excision.

CMS RVU26DEffective Oct 1, 2026109 payment localities352 Medicare services in 2024

Medicare pays $576.50 for 54120 nationally in a facility.

Medicare rate · 54120

Penile surgery

Office or facility?

Work RVUs
10.73
Total RVUs
17.26
Global days
090

National rate · 2026

$576.50

Facility setting, before claim adjustments.

See every locality for 54120 →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.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 54120 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 54120 covers

A urologist removes a portion of the penis while leaving a proximal remnant. This operation is commonly performed for penile cancer when the tumor’s extent makes a limited local excision unsuitable. The procedure is generally done in an operating room, with the operative plan guided by the tumor’s location and extent and the amount of tissue needed for resection. Reconstruction of the urinary outlet may be part of the operative work, depending on the procedure performed.

Report 54120 when the operative record supports partial rather than complete removal, and distinguish it from procedures that also include radical resection and lymph-node dissection. Document the indication, structures and extent removed, and any associated work. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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 54120 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

54120 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$534.89
AlaskaUnavailable$746.01
ArizonaUnavailable$564.49
ArkansasUnavailable$529.78
Atlanta, GAUnavailable$589.65
Austin, TXUnavailable$581.88
Bakersfield, CAUnavailable$581.64
Baltimore area, MDUnavailable$605.77
Beaumont, TXUnavailable$557.75
Brazoria, TXUnavailable$567.61

54120 rates by state

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

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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
54120 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 54120 rate is calculated

Each of 54120’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 · 54120

RVUs × geographic indexes × conversion factor

Office or facility?

Work10.73

10.73 RVUs× 1.000 GPCI

Practice expense5.14

5.14 RVUs× 1.000 GPCI

Malpractice1.39

1.39 RVUs× 1.000 GPCI

Adjusted RVUs

17.2600

Conversion factor

$33.4009

Medicare rate

$576.50

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 54120

54120 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54120

Penile surgery

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 54120

Penile surgery

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54120 without 51 · national facility

$576.50

Penile surgery

54120-51 · Second procedure: 50%

$288.25

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%).

When to use modifier 51

54120 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 54120

    Penile surgery10.73 wRVU

    Not priced

  • 54125

    Penectomy14.2 wRVU

    Not priced

  • 54130

    Radical penectomy21.29 wRVU

    Not priced

  • 54100

    Biopsy1.85 wRVU

    $203.08

How to choose

54125Penectomy
54120 describes partial removal; 54125 is used when the operation removes the penis completely.
54130Radical penectomy
54130 includes radical penile resection with bilateral inguinal lymphadenectomy. 54120 describes partial removal without that specified nodal dissection.
54100Biopsy
54100 is for biopsy of penile tissue to obtain a diagnostic specimen. 54120 reports partial removal of the penis, not a diagnostic biopsy.

Codes related to 54120

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

Codes related to 54120
CodeHow it relatesNational office range
Same family
54125PenectomyComplete penile removal, compared with the partial removal reported with 54120.No office rate
54130Radical penectomyRadical penile resection with bilateral inguinal lymphadenectomy.No office rate
54135PenectomyRadical penile resection with bilateral pelvic lymphadenectomy.No office rate

54120 billing questions

How does 54120 differ from complete penile removal?

54120 is for partial removal, with a portion of the penis left in place. Use 54125 when the operative service is complete removal.

When is 54120 different from a local lesion excision?

Report 54120 when the operation removes part of the penis, rather than treating or excising a localized lesion while preserving the organ. The operative report should establish the extent of removal.

Does 54120 have a global period?

Yes. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for 54120?

No. The bilateral adjustment does not apply to this procedure, and modifier 50 is inappropriate.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction and paid at 50%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.

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
RVUs for 54120PPRRVU2026_Oct_nonQPP.csv, line 6,250 (RVU26D)

Open CMS sourceHow we calculate rates

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