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CMS RVU26D · Effective 2026-10-01

54060 in Austin

Office / nonfacility

$207.75

Base rate per service

Facility setting

$124.70

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Urology procedure

About 54060: Simple penile lesion excision

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.

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.

CMS billing rules for 54060

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.93 · 32%
  • Practice expense (office) RVU3.85 · 64%
  • Malpractice RVU0.24 · 4%

624

Medicare services in 2024 · #3357 by national volume

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.

54060 compared with similar codes

Office rates for Austin, from the same CMS release.

54050

Penile lesion destruction

Chemical method, simple

$151.27

54050 is for chemical destruction of penile lesions; 54060 is for simple surgical excision.

54056

Penile lesion destruction

Cryosurgery

$149.20

54056 reports cryosurgery of penile lesions. Choose 54060 when tissue is removed by excision instead of frozen.

54057

Penile lesion treatment

Laser destruction

$149.03

54057 reports laser destruction of penile lesions; 54060 describes simple excision rather than laser ablation.

54065

Penile lesion destruction

Extensive treatment

$229.76

54065 is for extensive destruction of penile lesions. 54060 is the simple excision service, not a destruction procedure.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 54060 is $188.93—$18.82 lower than the $207.75 rate in Austin. Both use the same code, release and participation basis.

54060 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $207.75

  2. Beaumont

    $188.93

    $18.82 lower than Austin

  3. Brazoria

    $198.67

    $9.08 lower than Austin

  4. Dallas

    $200.00

    $7.75 lower than Austin

  5. Fort Worth

    $198.82

    $8.93 lower than Austin

  6. Galveston

    $199.31

    $8.44 lower than Austin

  7. Houston

    $203.70

    $4.05 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 54060 ranges from $179.05 in Arkansas to $261.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 54060

    Office

    $193.74

    Facility

    $119.25

    $14.01 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 54060

    Office

    $224.56

    Facility

    $131.70

    $16.81 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 54060

    Office

    $228.35

    Facility

    $135.89

    $20.60 higher than Austin for the office setting.

  • Miami

    Florida · 54060

    Office

    $218.60

    Facility

    $136.89

    $10.85 higher than Austin for the office setting.

  • Chicago

    Illinois · 54060

    Office

    $212.55

    Facility

    $133.66

    $4.80 higher than Austin for the office setting.

  • Manhattan

    New York · 54060

    Office

    $230.73

    Facility

    $139.52

    $22.98 higher than Austin for the office setting.

  • Alaska*

    Alaska · 54060

    Office

    $238.06

    Facility

    $154.47

    $30.31 higher than Austin for the office setting.

  • Alabama

    Alabama · 54060

    Office

    $181.52

    Facility

    $112.84

    $26.23 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 54060

    Office

    $179.05

    Facility

    $111.63

    $28.70 lower than Austin for the office setting.

  • Arizona

    Arizona · 54060

    Office

    $195.93

    Facility

    $119.87

    $11.82 lower than Austin for the office setting.

  • Bakersfield

    California · 54060

    Office

    $211.51

    Facility

    $125.48

    $3.76 higher than Austin for the office setting.

  • Chico

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • El Centro

    California · 54060

    Office

    $210.83

    Facility

    $124.81

    $3.08 higher than Austin for the office setting.

  • Fresno

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Madera

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Merced

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Modesto

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Napa

    California · 54060

    Office

    $242.08

    Facility

    $138.63

    $34.33 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 54060

    Office

    $223.26

    Facility

    $130.48

    $15.51 higher than Austin for the office setting.

  • Redding

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Rest Of California

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 54060

    Office

    $213.40

    Facility

    $127.37

    $5.65 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 54060

    Office

    $220.64

    Facility

    $129.35

    $12.89 higher than Austin for the office setting.

  • Salinas

    California · 54060

    Office

    $219.80

    Facility

    $128.83

    $12.05 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 54060

    Office

    $224.54

    Facility

    $130.66

    $16.79 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 54060

    Office

    $255.58

    Facility

    $144.91

    $47.83 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 54060

    Office

    $255.31

    Facility

    $144.64

    $47.56 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 54060

    Office

    $261.28

    Facility

    $148.10

    $53.53 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 54060

    Office

    $260.17

    Facility

    $146.98

    $52.42 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 54060

    Office

    $216.32

    Facility

    $126.92

    $8.57 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 54060

    Office

    $226.36

    Facility

    $130.99

    $18.61 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 54060

    Office

    $220.51

    Facility

    $128.98

    $12.76 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 54060

    Office

    $228.61

    Facility

    $132.22

    $20.86 higher than Austin for the office setting.

  • Stockton

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Vallejo

    California · 54060

    Office

    $241.69

    Facility

    $138.24

    $33.94 higher than Austin for the office setting.

  • Visalia

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Yuba City

    California · 54060

    Office

    $210.79

    Facility

    $124.77

    $3.04 higher than Austin for the office setting.

  • Colorado

    Colorado · 54060

    Office

    $208.32

    Facility

    $124.81

    $0.57 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 54060

    Office

    $213.95

    Facility

    $129.41

    $6.20 higher than Austin for the office setting.

  • Delaware

    Delaware · 54060

    Office

    $199.04

    Facility

    $121.49

    $8.71 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 54060

    Office

    $209.22

    Facility

    $129.71

    $1.47 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 54060

    Office

    $199.45

    Facility

    $124.41

    $8.30 lower than Austin for the office setting.

  • Atlanta

    Georgia · 54060

    Office

    $204.94

    Facility

    $125.19

    $2.81 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 54060

    Office

    $188.72

    Facility

    $118.71

    $19.03 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 54060

    Office

    $215.32

    Facility

    $126.07

    $7.57 higher than Austin for the office setting.

  • Iowa

    Iowa · 54060

    Office

    $185.31

    Facility

    $113.49

    $22.44 lower than Austin for the office setting.

  • Idaho

    Idaho · 54060

    Office

    $186.56

    Facility

    $114.35

    $21.19 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 54060

    Office

    $198.91

    Facility

    $126.70

    $8.84 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 54060

    Office

    $194.40

    Facility

    $122.74

    $13.35 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 54060

    Office

    $211.19

    Facility

    $130.57

    $3.44 higher than Austin for the office setting.

  • Indiana

    Indiana · 54060

    Office

    $187.57

    Facility

    $114.80

    $20.18 lower than Austin for the office setting.

  • Kansas

    Kansas · 54060

    Office

    $184.75

    Facility

    $113.80

    $23.00 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 54060

    Office

    $186.12

    Facility

    $116.34

    $21.63 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 54060

    Office

    $194.58

    Facility

    $120.72

    $13.17 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 54060

    Office

    $185.95

    Facility

    $116.48

    $21.80 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 54060

    Office

    $227.78

    Facility

    $134.06

    $20.03 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 54060

    Office

    $207.29

    Facility

    $124.64

    $0.46 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 54060

    Office

    $213.39

    Facility

    $129.17

    $5.64 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 54060

    Office

    $202.60

    Facility

    $123.17

    $5.15 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 54060

    Office

    $187.76

    Facility

    $115.54

    $19.99 lower than Austin for the office setting.

  • Southern Maine

    Maine · 54060

    Office

    $196.96

    Facility

    $119.17

    $10.79 lower than Austin for the office setting.

  • Detroit

    Michigan · 54060

    Office

    $202.07

    Facility

    $126.33

    $5.68 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 54060

    Office

    $190.92

    Facility

    $119.26

    $16.83 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 54060

    Office

    $199.16

    Facility

    $118.39

    $8.59 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 54060

    Office

    $193.04

    Facility

    $119.34

    $14.71 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 54060

    Office

    $194.92

    Facility

    $120.19

    $12.83 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 54060

    Office

    $183.12

    Facility

    $115.46

    $24.63 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 54060

    Office

    $181.11

    Facility

    $113.52

    $26.64 lower than Austin for the office setting.

  • Montana**

    Montana · 54060

    Office

    $201.06

    Facility

    $122.57

    $6.69 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 54060

    Office

    $189.56

    Facility

    $116.33

    $18.19 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 54060

    Office

    $196.31

    Facility

    $117.82

    $11.44 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 54060

    Office

    $186.19

    Facility

    $113.74

    $21.56 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 54060

    Office

    $205.34

    Facility

    $123.63

    $2.41 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 54060

    Office

    $226.25

    Facility

    $135.20

    $18.50 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 54060

    Office

    $216.26

    Facility

    $130.55

    $8.51 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 54060

    Office

    $192.01

    Facility

    $120.03

    $15.74 lower than Austin for the office setting.

  • Nevada**

    Nevada · 54060

    Office

    $199.86

    Facility

    $121.29

    $7.89 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 54060

    Office

    $236.37

    Facility

    $143.05

    $28.62 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 54060

    Office

    $217.87

    Facility

    $131.93

    $10.12 higher than Austin for the office setting.

  • Queens

    New York · 54060

    Office

    $232.15

    Facility

    $139.37

    $24.40 higher than Austin for the office setting.

  • Rest Of New York

    New York · 54060

    Office

    $192.26

    Facility

    $117.70

    $15.49 lower than Austin for the office setting.

  • Ohio

    Ohio · 54060

    Office

    $189.95

    Facility

    $118.29

    $17.80 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 54060

    Office

    $185.53

    Facility

    $115.43

    $22.22 lower than Austin for the office setting.

  • Portland

    Oregon · 54060

    Office

    $214.33

    Facility

    $127.12

    $6.58 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 54060

    Office

    $198.18

    Facility

    $120.00

    $9.57 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 54060

    Office

    $209.05

    Facility

    $127.34

    $1.30 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 54060

    Office

    $190.09

    Facility

    $118.03

    $17.66 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 54060

    Office

    $202.37

    Facility

    $123.01

    $5.38 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 54060

    Office

    $205.68

    Facility

    $124.59

    $2.07 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 54060

    Office

    $190.10

    Facility

    $117.57

    $17.65 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 54060

    Office

    $195.75

    Facility

    $117.26

    $12.00 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 54060

    Office

    $185.66

    Facility

    $114.31

    $22.09 lower than Austin for the office setting.

  • Utah

    Utah · 54060

    Office

    $192.54

    Facility

    $118.76

    $15.21 lower than Austin for the office setting.

  • Virginia

    Virginia · 54060

    Office

    $196.53

    Facility

    $119.37

    $11.22 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 54060

    Office

    $202.37

    Facility

    $123.01

    $5.38 lower than Austin for the office setting.

  • Vermont

    Vermont · 54060

    Office

    $195.83

    Facility

    $118.12

    $11.92 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 54060

    Office

    $206.81

    Facility

    $124.16

    $0.94 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 54060

    Office

    $232.02

    Facility

    $135.71

    $24.27 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 54060

    Office

    $190.13

    Facility

    $114.93

    $17.62 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 54060

    Office

    $187.68

    Facility

    $119.47

    $20.07 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 54060

    Office

    $198.99

    Facility

    $120.50

    $8.76 lower than Austin for the office setting.

See how rates vary across the country

54060 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$179.05

$238.06

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$238.061
AL$181.521
AR$179.051
AZ$195.931
CA$210.79–$261.2829
CO$208.321
CT$213.951
DC$228.351
DE$199.041
FL$199.45–$218.603
GA$188.72–$204.942
GU$215.321
HI$215.321
IA$185.311
ID$186.561
IL$194.40–$212.554
IN$187.571
KS$184.751
KY$186.121
LA$185.95–$194.582
MA$207.29–$227.782
MD$202.60–$228.353
ME$187.76–$196.962
MI$190.92–$202.072
MN$199.161
MO$183.12–$194.923
MS$181.111
MT$201.061
NC$189.561
ND$196.311
NE$186.191
NH$205.341
NJ$216.26–$226.252
NM$192.011
NV$199.861
NY$192.26–$236.375
OH$189.951
OK$185.531
OR$198.18–$214.332
PA$190.09–$209.052
PR$202.371
RI$205.681
SC$190.101
SD$195.751
TN$185.661
TX$188.93–$207.758
UT$192.541
VA$196.53–$228.352
VI$202.371
VT$195.831
WA$206.81–$232.022
WI$190.131
WV$187.681
WY$198.991

Explore 54060 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 54060 in Austin, the physician’s office rate is $207.75 and the facility-setting rate is $124.70: a difference of $83.05.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 54060 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$228.53

$207.75 × 110% = $228.53

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 54060 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,242

Code
54060
Physician work
1.93
Practice expense
3.85
Malpractice
0.24

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 54060 in Austin
ComponentRVULocality factorAdjusted
Physician work1.93× 1.0021.9339
Practice expense3.85× 1.0584.0733
Malpractice0.24× 0.8860.2126
Total RVUs6.2198
Conversion factor× 33.4009

Office / nonfacility rate, Austin$207.75

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 54060 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.931.002
Practice expense3.851.058
Malpractice0.240.886

(1.93 × 1.002 + 3.85 × 1.058 + 0.24 × 0.886) × $33.4009 = $207.75

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.931.002
Practice expense1.51.058
Malpractice0.240.886

(1.93 × 1.002 + 1.5 × 1.058 + 0.24 × 0.886) × $33.4009 = $124.70

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

54060 · Office / nonfacility

$207.75

Effective 2026-10-01

The base rate is $11.76 higher than on 2025-10-01, moving from $195.99 to $207.75 (6.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $195.99changed to$207.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.98 changed to 1.93
    • Practice expense RVU 3.69 changed to 3.85
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $195.99

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$207.75$124.70RVU26D
2026-07-01$207.75$124.70RVU26C
2026-04-01$207.75$124.70RVU26B
2026-01-01$207.75$124.70RVU26A
2025-10-01$195.99$131.71RVU25D
2025-07-01$195.99$131.71RVU25C
2025-04-01$195.99$131.71RVU25B
2025-01-01$195.99$131.71RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 54060PPRRVU2026_Oct_nonQPP.csv, line 6,242 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet