FeeBase
Log inGet started
Menu

Billing code 54417: Penile prosthesisMedicare rate & RVUs

Removal and replacement of a penile prosthesis component during one operation, such as when a pump, cylinder, or reservoir requires replacement.

CMS RVU26DEffective Oct 1, 2026109 payment localities43 Medicare services in 2024

Medicare pays $811.64 for 54417 nationally in a facility.

Medicare rate · 54417

Penile prosthesis

Swap in your local Medicare rate.

Work RVUs
15.7
Total RVUs
24.30
Global days
090

National rate · 2026

$811.64

Facility setting, before claim adjustments.

See every locality for 54417 → · 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
  1. Medicare rate
  2. What 54417 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 54417 covers

A urologist reports this service when an implanted penile prosthesis component is removed and replaced during the same operation. The clinical situation may involve a malfunctioning or damaged pump, cylinder, or reservoir while other parts of the prosthesis remain in place. These procedures are generally performed in an operating room or other surgical facility; Medicare recorded facility services for this code in 2024.

The operative report should identify the component removed and the replacement component, describe the reason for the procedure, and clarify whether other prosthesis components were retained. This code represents component replacement, not removal and replacement of the complete device or repair without component replacement. Medicare assigns a 90-day global period, including 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 50% multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 54417 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

54417 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$754.89
Alaska*Unavailable$1,057.83
ArizonaUnavailable$795.11
ArkansasUnavailable$747.93
AtlantaUnavailable$830.29
AustinUnavailable$817.75
BakersfieldUnavailable$816.32
Baltimore/Surr. CntysUnavailable$852.07
BeaumontUnavailable$787.07
BrazoriaUnavailable$799.02

54417 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
54417 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 54417 rate is calculated

Each of 54417’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 · 54417

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 15.70Practice expense 6.58Malpractice 2.02

24.3000 adjusted RVUs×$33.4009 conversion factor=$811.64

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 54417

54417 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54417

Penile prosthesis

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 · 54417

Penile prosthesis

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

54417 without 51 · national facility

$811.64

Penile prosthesis

54417-51 · Second procedure: 50%

$405.82

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

54417 compared with similar codes

Compare codes

54417 vs 54410 vs 54406 vs 54408: national Medicare rates

Swap in your local Medicare rate.

  • 54417
    Penile prosthesis · 15.7 wRVU
    —
  • 54410
    Prosthesis replacement · 14.8 wRVU
    —
  • 54406
    Penile prosthesis removal · 12.57 wRVU
    —
  • 54408
    Prosthesis repair · 13.56 wRVU
    —

How to choose

54410Prosthesis replacement
Choose 54410 when the operation removes and replaces the complete multi-component inflatable prosthesis. This code is for removal and replacement of a component.
54406Penile prosthesis removal
54406 describes removal of a multi-component inflatable prosthesis without replacement. This code requires removal and replacement of a component during the same operation.
54408Prosthesis repair
Use 54408 for repair of a multi-component inflatable prosthesis. Use this code when a component is removed and replaced rather than repaired.

Codes related to 54417

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

Codes related to 54417
CodeHow it relatesNational office range
Used instead
54410Prosthesis replacementUsed for removal and replacement of the complete multi-component inflatable prosthesis rather than a component.No office rate
54406Penile prosthesis removalDescribes removal of a multi-component inflatable prosthesis without replacement.No office rate
54408Prosthesis repairDescribes repair of a multi-component inflatable prosthesis when a component is repaired rather than replaced.No office rate
54405Penile prosthesisDescribes insertion of a multi-component inflatable prosthesis, rather than replacement of an existing component.No office rate

54417 billing questions

When should this code be chosen instead of 54410?

Use this code when a prosthesis component is removed and replaced while the procedure does not replace the complete multi-component device. Code 54410 describes removal and replacement of the complete device.

How does this differ from repair code 54408?

This code describes removing and replacing a component. Code 54408 is for repair of a multi-component inflatable prosthesis rather than replacement of a component.

What operative documentation supports this code?

Document the clinical problem, the specific component removed, the component put in its place, and which other components were retained. The operative note should make clear that removal and replacement occurred during the same operation.

Can modifier 50 be used for bilateral reporting?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Does the code include postoperative care?

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

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

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 54417PPRRVU2026_Oct_nonQPP.csv, line 6,301 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 54417 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 54417 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →