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CMS RVU26D · Effective 2026-10-01

54055 in Redding

Office / nonfacility

$146.81

Base rate per service

Facility setting

$89.34

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 54055: Extensive penile lesion destruction

Reports extensive destruction of penile lesions, such as condyloma, when treatment goes beyond simple chemical destruction of a limited lesion.

This service covers extensive destruction of lesions on the penis, commonly condyloma (genital warts). A urologist, dermatologist, or other qualified clinician may perform it in an office or procedure setting using an ablative approach such as electrosurgery. The extent of treatment, rather than a particular lesion count, distinguishes it from simple chemical destruction; technique-specific cryosurgery and laser codes are also available.

Report the service when the documented lesion burden and treatment support extensive destruction. Record the penile site, lesion distribution, method, and work performed. The service has a 10-day global period, which includes related postoperative visits during that period. 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% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 54055

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 RVU1.22 · 29%
  • Practice expense (office) RVU2.81 · 67%
  • Malpractice RVU0.14 · 3%

231

Medicare services in 2024 · #4199 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.

54055 compared with similar codes

Office rates for Redding, from the same CMS release.

54050

Penile lesion destruction

Chemical method, simple

$154.03

54050 is for simple chemical destruction. 54055 is selected for extensive destruction, supported by the treatment performed and documented extent.

54056

Penile lesion destruction

Cryosurgery

$152.02

54056 identifies cryosurgery for extensive penile lesions. Use 54055 when the service is extensive destruction by a method not identified by that technique-specific code.

54057

Penile lesion treatment

Laser destruction

$151.46

54057 identifies laser surgery for extensive penile lesions. 54055 covers extensive destruction when laser surgery is not the specified method.

54060

Penile lesion excision

Simple excision

$210.79

54060 is for excision, removing the lesion. 54055 is for destroying it without reporting an excisional approach.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 54055 is $147.24—$0.43 higher than the $146.81 rate in Redding. Both use the same code, release and participation basis.

54055 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $146.81

  2. Bakersfield

    $147.24

    $0.43 higher than Redding

  3. Chico

    $146.81

    The same base rate than Redding

  4. El Centro

    $146.84

    $0.03 higher than Redding

  5. Fresno

    $146.81

    The same base rate than Redding

  6. Hanford-Corcoran

    $146.81

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $156.56

    $9.75 higher than Redding

Other payment areas listed in California 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, 54055 ranges from $123.78 in Arkansas to $183.08 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

  • Madera

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Merced

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Modesto

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Napa

    California · 54055

    Office

    $169.39

    Facility

    $100.28

    $22.58 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 54055

    Office

    $155.74

    Facility

    $93.76

    $8.93 higher than Redding for the office setting.

  • Rest Of California

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 54055

    Office

    $148.34

    Facility

    $90.86

    $1.53 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 54055

    Office

    $153.88

    Facility

    $92.89

    $7.07 higher than Redding for the office setting.

  • Salinas

    California · 54055

    Office

    $153.30

    Facility

    $92.52

    $6.49 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 54055

    Office

    $156.76

    Facility

    $94.04

    $9.95 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 54055

    Office

    $179.10

    Facility

    $105.16

    $32.29 higher than Redding for the office setting.

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

    California · 54055

    Office

    $178.95

    Facility

    $105.01

    $32.14 higher than Redding for the office setting.

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

    California · 54055

    Office

    $183.08

    Facility

    $107.46

    $36.27 higher than Redding for the office setting.

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

    California · 54055

    Office

    $182.43

    Facility

    $106.81

    $35.62 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 54055

    Office

    $150.85

    Facility

    $91.12

    $4.04 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 54055

    Office

    $158.15

    Facility

    $94.43

    $11.34 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 54055

    Office

    $153.83

    Facility

    $92.69

    $7.02 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 54055

    Office

    $159.73

    Facility

    $95.34

    $12.92 higher than Redding for the office setting.

  • Stockton

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 54055

    Office

    $169.17

    Facility

    $100.05

    $22.36 higher than Redding for the office setting.

  • Visalia

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 54055

    Office

    $146.81

    Facility

    $89.34

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 54055

    Office

    $158.72

    Facility

    $96.94

    $11.91 higher than Redding for the office setting.

  • Miami

    Florida · 54055

    Office

    $150.28

    Facility

    $95.69

    $3.47 higher than Redding for the office setting.

  • Chicago

    Illinois · 54055

    Office

    $146.09

    Facility

    $93.39

    $0.72 lower than Redding for the office setting.

  • Manhattan

    New York · 54055

    Office

    $159.83

    Facility

    $98.90

    $13.02 higher than Redding for the office setting.

  • Alaska*

    Alaska · 54055

    Office

    $163.66

    Facility

    $107.81

    $16.85 higher than Redding for the office setting.

  • Alabama

    Alabama · 54055

    Office

    $125.52

    Facility

    $79.64

    $21.29 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 54055

    Office

    $123.78

    Facility

    $78.73

    $23.03 lower than Redding for the office setting.

  • Arizona

    Arizona · 54055

    Office

    $135.70

    Facility

    $84.89

    $11.11 lower than Redding for the office setting.

  • Colorado

    Colorado · 54055

    Office

    $144.75

    Facility

    $88.96

    $2.06 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 54055

    Office

    $148.31

    Facility

    $91.83

    $1.50 higher than Redding for the office setting.

  • Delaware

    Delaware · 54055

    Office

    $137.89

    Facility

    $86.08

    $8.92 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 54055

    Office

    $144.28

    Facility

    $91.16

    $2.53 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 54055

    Office

    $137.50

    Facility

    $87.37

    $9.31 lower than Redding for the office setting.

  • Atlanta

    Georgia · 54055

    Office

    $141.85

    Facility

    $88.57

    $4.96 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 54055

    Office

    $130.04

    Facility

    $83.27

    $16.77 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 54055

    Office

    $150.17

    Facility

    $90.55

    $3.36 higher than Redding for the office setting.

  • Iowa

    Iowa · 54055

    Office

    $128.48

    Facility

    $80.50

    $18.33 lower than Redding for the office setting.

  • Idaho

    Idaho · 54055

    Office

    $129.31

    Facility

    $81.06

    $17.50 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 54055

    Office

    $136.51

    Facility

    $88.27

    $10.30 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 54055

    Office

    $133.75

    Facility

    $85.87

    $13.06 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 54055

    Office

    $145.71

    Facility

    $91.86

    $1.10 lower than Redding for the office setting.

  • Indiana

    Indiana · 54055

    Office

    $130.03

    Facility

    $81.42

    $16.78 lower than Redding for the office setting.

  • Kansas

    Kansas · 54055

    Office

    $127.95

    Facility

    $80.55

    $18.86 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 54055

    Office

    $128.47

    Facility

    $81.85

    $18.34 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 54055

    Office

    $134.38

    Facility

    $85.03

    $12.43 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 54055

    Office

    $128.29

    Facility

    $81.88

    $18.52 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 54055

    Office

    $158.65

    Facility

    $96.03

    $11.84 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 54055

    Office

    $143.96

    Facility

    $88.74

    $2.85 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 54055

    Office

    $147.89

    Facility

    $91.63

    $1.08 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 54055

    Office

    $140.43

    Facility

    $87.36

    $6.38 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 54055

    Office

    $130.01

    Facility

    $81.76

    $16.80 lower than Redding for the office setting.

  • Southern Maine

    Maine · 54055

    Office

    $136.71

    Facility

    $84.74

    $10.10 lower than Redding for the office setting.

  • Detroit

    Michigan · 54055

    Office

    $139.20

    Facility

    $88.60

    $7.61 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 54055

    Office

    $131.72

    Facility

    $83.84

    $15.09 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 54055

    Office

    $138.71

    Facility

    $84.75

    $8.10 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 54055

    Office

    $133.45

    Facility

    $84.21

    $13.36 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 54055

    Office

    $134.79

    Facility

    $84.86

    $12.02 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 54055

    Office

    $126.21

    Facility

    $81.01

    $20.60 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 54055

    Office

    $125.02

    Facility

    $79.86

    $21.79 lower than Redding for the office setting.

  • Montana**

    Montana · 54055

    Office

    $139.27

    Facility

    $86.83

    $7.54 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 54055

    Office

    $131.31

    Facility

    $82.38

    $15.50 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 54055

    Office

    $136.50

    Facility

    $84.06

    $10.31 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 54055

    Office

    $129.15

    Facility

    $80.74

    $17.66 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 54055

    Office

    $142.55

    Facility

    $87.96

    $4.26 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 54055

    Office

    $157.18

    Facility

    $96.35

    $10.37 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 54055

    Office

    $150.00

    Facility

    $92.74

    $3.19 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 54055

    Office

    $132.43

    Facility

    $84.34

    $14.38 lower than Redding for the office setting.

  • Nevada**

    Nevada · 54055

    Office

    $138.59

    Facility

    $86.10

    $8.22 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 54055

    Office

    $163.64

    Facility

    $101.29

    $16.83 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 54055

    Office

    $151.01

    Facility

    $93.59

    $4.20 higher than Redding for the office setting.

  • Queens

    New York · 54055

    Office

    $161.04

    Facility

    $99.06

    $14.23 higher than Redding for the office setting.

  • Rest Of New York

    New York · 54055

    Office

    $133.20

    Facility

    $83.38

    $13.61 lower than Redding for the office setting.

  • Ohio

    Ohio · 54055

    Office

    $131.15

    Facility

    $83.28

    $15.66 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 54055

    Office

    $128.20

    Facility

    $81.37

    $18.61 lower than Redding for the office setting.

  • Portland

    Oregon · 54055

    Office

    $149.15

    Facility

    $90.89

    $2.34 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 54055

    Office

    $137.52

    Facility

    $85.29

    $9.29 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 54055

    Office

    $144.77

    Facility

    $90.18

    $2.04 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 54055

    Office

    $131.33

    Facility

    $83.19

    $15.48 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 54055

    Office

    $140.24

    Facility

    $87.23

    $6.57 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 54055

    Office

    $142.65

    Facility

    $88.48

    $4.16 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 54055

    Office

    $131.45

    Facility

    $82.99

    $15.36 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 54055

    Office

    $136.18

    Facility

    $83.74

    $10.63 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 54055

    Office

    $128.58

    Facility

    $80.91

    $18.23 lower than Redding for the office setting.

  • Austin

    Texas · 54055

    Office

    $144.27

    Facility

    $88.79

    $2.54 lower than Redding for the office setting.

  • Beaumont

    Texas · 54055

    Office

    $130.50

    Facility

    $82.78

    $16.31 lower than Redding for the office setting.

  • Brazoria

    Texas · 54055

    Office

    $137.73

    Facility

    $85.77

    $9.08 lower than Redding for the office setting.

  • Dallas

    Texas · 54055

    Office

    $138.61

    Facility

    $86.38

    $8.20 lower than Redding for the office setting.

  • Fort Worth

    Texas · 54055

    Office

    $137.73

    Facility

    $86.03

    $9.08 lower than Redding for the office setting.

  • Galveston

    Texas · 54055

    Office

    $138.15

    Facility

    $86.07

    $8.66 lower than Redding for the office setting.

  • Houston

    Texas · 54055

    Office

    $140.71

    Facility

    $88.64

    $6.10 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 54055

    Office

    $134.04

    Facility

    $84.28

    $12.77 lower than Redding for the office setting.

  • Utah

    Utah · 54055

    Office

    $133.17

    Facility

    $83.88

    $13.64 lower than Redding for the office setting.

  • Virginia

    Virginia · 54055

    Office

    $136.31

    Facility

    $84.76

    $10.50 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 54055

    Office

    $140.24

    Facility

    $87.23

    $6.57 lower than Redding for the office setting.

  • Vermont

    Vermont · 54055

    Office

    $136.03

    Facility

    $84.12

    $10.78 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 54055

    Office

    $143.67

    Facility

    $88.45

    $3.14 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 54055

    Office

    $161.77

    Facility

    $97.43

    $14.96 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 54055

    Office

    $132.10

    Facility

    $81.87

    $14.71 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 54055

    Office

    $129.00

    Facility

    $83.43

    $17.81 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 54055

    Office

    $138.07

    Facility

    $85.63

    $8.74 lower than Redding for the office setting.

See how rates vary across the country

54055 · 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.

$123.78

$164.95

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$163.661
AL$125.521
AR$123.781
AZ$135.701
CA$146.81–$183.0829
CO$144.751
CT$148.311
DC$158.721
DE$137.891
FL$137.50–$150.283
GA$130.04–$141.852
GU$150.171
HI$150.171
IA$128.481
ID$129.311
IL$133.75–$146.094
IN$130.031
KS$127.951
KY$128.471
LA$128.29–$134.382
MA$143.96–$158.652
MD$140.43–$158.723
ME$130.01–$136.712
MI$131.72–$139.202
MN$138.711
MO$126.21–$134.793
MS$125.021
MT$139.271
NC$131.311
ND$136.501
NE$129.151
NH$142.551
NJ$150.00–$157.182
NM$132.431
NV$138.591
NY$133.20–$163.645
OH$131.151
OK$128.201
OR$137.52–$149.152
PA$131.33–$144.772
PR$140.241
RI$142.651
SC$131.451
SD$136.181
TN$128.581
TX$130.50–$144.278
UT$133.171
VA$136.31–$158.722
VI$140.241
VT$136.031
WA$143.67–$161.772
WI$132.101
WV$129.001
WY$138.071

Explore 54055 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 54055 in Redding, the physician’s office rate is $146.81 and the facility-setting rate is $89.34: a difference of $57.47.

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 54055 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$161.49

$146.81 × 110% = $161.49

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 54055 in Redding.

PPRRVU2026_Oct_nonQPP.csv

6,239

Code
54055
Physician work
1.22
Practice expense
2.81
Malpractice
0.14

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 54055 in Redding
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0171.2407
Practice expense2.81× 1.0963.0798
Malpractice0.14× 0.5360.0750
Total RVUs4.3955
Conversion factor× 33.4009

Office / nonfacility rate, Redding$146.81

Open 54055 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense2.811.096
Malpractice0.140.536

(1.22 × 1.017 + 2.81 × 1.096 + 0.14 × 0.536) × $33.4009 = $146.81

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense1.241.096
Malpractice0.140.536

(1.22 × 1.017 + 1.24 × 1.096 + 0.14 × 0.536) × $33.4009 = $89.34

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

54055 · Office / nonfacility

$146.81

Effective 2026-10-01

The base rate is $3.75 higher than on 2025-10-01, moving from $143.06 to $146.81 (2.6%).

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

    $143.06changed to$146.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Malpractice RVU 0.15 changed to 0.14
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $143.06

    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$146.81$89.34RVU26D
2026-07-01$146.81$89.34RVU26C
2026-04-01$146.81$89.34RVU26B
2026-01-01$146.81$89.34RVU26A
2025-10-01$143.06$98.52RVU25D
2025-07-01$143.06$98.52RVU25C
2025-04-01$143.06$98.52RVU25B
2025-01-01$143.06$98.52RVU25A

54055 billing questions

How does 54055 differ from 54050?

54055 is for extensive destruction. 54050 describes simple chemical destruction, so the documented extent and method help distinguish the services.

When should a technique-specific code be considered?

Use the applicable sibling when the service is specifically cryosurgery or laser surgery: 54056 identifies cryosurgery and 54057 identifies laser surgery.

Can 54055 be reported with excision code 54060?

The codes describe different approaches: 54055 destroys lesions, while 54060 removes them by excision. Documentation should show which approach was performed.

Are related postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in 54055.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for 54055.

What documentation supports reporting 54055?

Document the penile site, lesion distribution, why treatment was extensive, the destruction method, and the work performed.

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 54055PPRRVU2026_Oct_nonQPP.csv, line 6,239 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet