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CMS RVU26D · Effective 2026-10-01

54065 in Wyoming**

Office / nonfacility

$220.61

Base rate per service

Facility setting

$148.47

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.

Genital lesion treatment

About 54065: Extensive penile lesion destruction

Report extensive destruction of penile lesions, such as condylomata, when the treatment exceeds the simple lesion-destruction services in this family.

This service covers extensive destruction of penile lesions, including condylomata, molluscum contagiosum, or herpetic lesions. A urologist or other qualified clinician may perform it in an office procedure room or facility using a destructive approach such as electrosurgery, cryosurgery, laser treatment, or curettage. The code reflects extensive treatment rather than a specific instrument or a stated lesion count.

Choose this service when the documented extent of treatment is greater than the simple destruction represented by related penile lesion codes. Record the lesions treated, their location and extent, and the method used. Related postoperative visits during the 10-day global period are included. When multiple procedures occur 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 54065

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 RVU2.41 · 36%
  • Practice expense (office) RVU4.01 · 60%
  • Malpractice RVU0.25 · 4%

1K

Medicare services in 2024 · #2935 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.

54065 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

54055

Penile lesion destruction

Extensive treatment

$138.07

54055 describes simple penile lesion destruction by electrosurgery. Use 54065 when the documented treatment is extensive.

54056

Penile lesion destruction

Cryosurgery

$142.83

54056 is for simple cryosurgical destruction of penile lesions; 54065 represents extensive destruction.

54060

Penile lesion excision

Simple excision

$198.99

54060 is for excision of penile lesions. Choose 54065 when lesions are destroyed rather than removed by excision.

The same code, a different location

How does Wyoming** compare?

54065 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $220.61

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

    $247.79

    $27.18 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $251.92

    $31.31 higher than Wyoming**

  4. Miami

    $241.04

    $20.43 higher than Wyoming**

  5. Chicago

    $234.83

    $14.22 higher than Wyoming**

  6. Manhattan

    $254.53

    $33.92 higher than Wyoming**

  7. Alaska*

    $267.99

    $47.38 higher than Wyoming**

Other payment areas listed in Wyoming 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, 54065 ranges from $199.85 in Arkansas to $286.96 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

  • Alabama

    Alabama · 54065

    Office

    $202.42

    Facility

    $139.29

    $18.19 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 54065

    Office

    $199.85

    Facility

    $137.88

    $20.76 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 54065

    Office

    $217.43

    Facility

    $147.52

    $3.18 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 54065

    Office

    $233.91

    Facility

    $154.83

    $13.30 higher than Wyoming** for the office setting.

  • Chico

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • El Centro

    California · 54065

    Office

    $233.18

    Facility

    $154.11

    $12.57 higher than Wyoming** for the office setting.

  • Fresno

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Madera

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Merced

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Modesto

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Napa

    California · 54065

    Office

    $266.34

    Facility

    $171.25

    $45.73 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 54065

    Office

    $246.27

    Facility

    $160.99

    $25.66 higher than Wyoming** for the office setting.

  • Redding

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 54065

    Office

    $235.86

    Facility

    $156.79

    $15.25 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 54065

    Office

    $243.64

    Facility

    $159.73

    $23.03 higher than Wyoming** for the office setting.

  • Salinas

    California · 54065

    Office

    $242.70

    Facility

    $159.08

    $22.09 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 54065

    Office

    $247.63

    Facility

    $161.34

    $27.02 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 54065

    Office

    $280.83

    Facility

    $179.10

    $60.22 higher than Wyoming** for the office setting.

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

    California · 54065

    Office

    $280.54

    Facility

    $178.82

    $59.93 higher than Wyoming** for the office setting.

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

    California · 54065

    Office

    $286.96

    Facility

    $182.93

    $66.35 higher than Wyoming** for the office setting.

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

    California · 54065

    Office

    $285.80

    Facility

    $181.77

    $65.19 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 54065

    Office

    $238.90

    Facility

    $156.72

    $18.29 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 54065

    Office

    $249.40

    Facility

    $161.74

    $28.79 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 54065

    Office

    $243.40

    Facility

    $159.27

    $22.79 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 54065

    Office

    $251.86

    Facility

    $163.27

    $31.25 higher than Wyoming** for the office setting.

  • Stockton

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Vallejo

    California · 54065

    Office

    $265.93

    Facility

    $170.84

    $45.32 higher than Wyoming** for the office setting.

  • Visalia

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Yuba City

    California · 54065

    Office

    $233.14

    Facility

    $154.06

    $12.53 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 54065

    Office

    $230.49

    Facility

    $153.73

    $9.88 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 54065

    Office

    $236.46

    Facility

    $158.76

    $15.85 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 54065

    Office

    $220.74

    Facility

    $149.46

    $0.13 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 54065

    Office

    $231.27

    Facility

    $158.19

    $10.66 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 54065

    Office

    $221.09

    Facility

    $152.12

    $0.48 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 54065

    Office

    $226.85

    Facility

    $153.55

    $6.24 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 54065

    Office

    $209.92

    Facility

    $145.57

    $10.69 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 54065

    Office

    $237.62

    Facility

    $155.59

    $17.01 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 54065

    Office

    $206.36

    Facility

    $140.35

    $14.25 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 54065

    Office

    $207.67

    Facility

    $141.29

    $12.94 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 54065

    Office

    $220.54

    Facility

    $154.16

    $0.07 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 54065

    Office

    $215.83

    Facility

    $149.96

    $4.78 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 54065

    Office

    $233.41

    Facility

    $159.32

    $12.80 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 54065

    Office

    $208.71

    Facility

    $141.84

    $11.90 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 54065

    Office

    $205.78

    Facility

    $140.56

    $14.83 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 54065

    Office

    $207.21

    Facility

    $143.07

    $13.40 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 54065

    Office

    $216.02

    Facility

    $148.13

    $4.59 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 54065

    Office

    $207.03

    Facility

    $143.18

    $13.58 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 54065

    Office

    $251.15

    Facility

    $165.01

    $30.54 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 54065

    Office

    $229.48

    Facility

    $153.51

    $8.87 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 54065

    Office

    $235.83

    Facility

    $158.42

    $15.22 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 54065

    Office

    $224.51

    Facility

    $151.50

    $3.90 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 54065

    Office

    $208.91

    Facility

    $142.54

    $11.70 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 54065

    Office

    $218.50

    Facility

    $147.00

    $2.11 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 54065

    Office

    $223.82

    Facility

    $154.20

    $3.21 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 54065

    Office

    $212.21

    Facility

    $146.34

    $8.40 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 54065

    Office

    $220.79

    Facility

    $146.55

    $0.18 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 54065

    Office

    $214.42

    Facility

    $146.68

    $6.19 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 54065

    Office

    $216.37

    Facility

    $147.69

    $4.24 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 54065

    Office

    $204.08

    Facility

    $141.89

    $16.53 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 54065

    Office

    $201.99

    Facility

    $139.87

    $18.62 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 54065

    Office

    $222.77

    Facility

    $150.62

    $2.16 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 54065

    Office

    $210.80

    Facility

    $143.48

    $9.81 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 54065

    Office

    $217.82

    Facility

    $145.68

    $2.79 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 54065

    Office

    $207.28

    Facility

    $140.69

    $13.33 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 54065

    Office

    $227.23

    Facility

    $152.13

    $6.62 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 54065

    Office

    $249.85

    Facility

    $166.16

    $29.24 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 54065

    Office

    $239.14

    Facility

    $160.35

    $18.53 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 54065

    Office

    $213.35

    Facility

    $147.19

    $7.26 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 54065

    Office

    $221.52

    Facility

    $149.31

    $0.91 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 54065

    Office

    $260.41

    Facility

    $174.62

    $39.80 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 54065

    Office

    $240.88

    Facility

    $161.88

    $20.27 higher than Wyoming** for the office setting.

  • Queens

    New York · 54065

    Office

    $256.00

    Facility

    $170.73

    $35.39 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 54065

    Office

    $213.61

    Facility

    $145.07

    $7.00 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 54065

    Office

    $211.20

    Facility

    $145.33

    $9.41 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 54065

    Office

    $206.59

    Facility

    $142.16

    $14.02 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 54065

    Office

    $236.80

    Facility

    $156.65

    $16.19 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 54065

    Office

    $219.77

    Facility

    $147.91

    $0.84 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 54065

    Office

    $231.34

    Facility

    $156.23

    $10.73 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 54065

    Office

    $211.34

    Facility

    $145.11

    $9.27 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 54065

    Office

    $224.13

    Facility

    $151.19

    $3.52 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 54065

    Office

    $227.83

    Facility

    $153.30

    $7.22 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 54065

    Office

    $211.35

    Facility

    $144.69

    $9.26 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 54065

    Office

    $217.24

    Facility

    $145.09

    $3.37 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 54065

    Office

    $206.73

    Facility

    $141.15

    $13.88 lower than Wyoming** for the office setting.

  • Austin

    Texas · 54065

    Office

    $229.76

    Facility

    $153.43

    $9.15 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 54065

    Office

    $210.14

    Facility

    $144.48

    $10.47 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 54065

    Office

    $220.39

    Facility

    $148.89

    $0.22 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 54065

    Office

    $221.79

    Facility

    $149.93

    $1.18 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 54065

    Office

    $220.56

    Facility

    $149.42

    $0.05 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 54065

    Office

    $221.05

    Facility

    $149.41

    $0.44 higher than Wyoming** for the office setting.

  • Houston

    Texas · 54065

    Office

    $225.63

    Facility

    $153.99

    $5.02 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 54065

    Office

    $215.14

    Facility

    $146.68

    $5.47 lower than Wyoming** for the office setting.

  • Utah

    Utah · 54065

    Office

    $213.90

    Facility

    $146.08

    $6.71 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 54065

    Office

    $218.05

    Facility

    $147.13

    $2.56 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 54065

    Office

    $224.13

    Facility

    $151.19

    $3.52 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 54065

    Office

    $217.32

    Facility

    $145.90

    $3.29 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 54065

    Office

    $228.93

    Facility

    $152.96

    $8.32 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 54065

    Office

    $255.68

    Facility

    $167.16

    $35.07 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 54065

    Office

    $211.38

    Facility

    $142.26

    $9.23 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 54065

    Office

    $208.84

    Facility

    $146.14

    $11.77 lower than Wyoming** for the office setting.

See how rates vary across the country

54065 · 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.

$199.85

$267.99

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$267.991
AL$202.421
AR$199.851
AZ$217.431
CA$233.14–$286.9629
CO$230.491
CT$236.461
DC$251.921
DE$220.741
FL$221.09–$241.043
GA$209.92–$226.852
GU$237.621
HI$237.621
IA$206.361
ID$207.671
IL$215.83–$234.834
IN$208.711
KS$205.781
KY$207.211
LA$207.03–$216.022
MA$229.48–$251.152
MD$224.51–$251.923
ME$208.91–$218.502
MI$212.21–$223.822
MN$220.791
MO$204.08–$216.373
MS$201.991
MT$222.771
NC$210.801
ND$217.821
NE$207.281
NH$227.231
NJ$239.14–$249.852
NM$213.351
NV$221.521
NY$213.61–$260.415
OH$211.201
OK$206.591
OR$219.77–$236.802
PA$211.34–$231.342
PR$224.131
RI$227.831
SC$211.351
SD$217.241
TN$206.731
TX$210.14–$229.768
UT$213.901
VA$218.05–$251.922
VI$224.131
VT$217.321
WA$228.93–$255.682
WI$211.381
WV$208.841
WY$220.611

Explore 54065 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 54065 in Wyoming**, the physician’s office rate is $220.61 and the facility-setting rate is $148.47: a difference of $72.14.

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 54065 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$242.67

$220.61 × 110% = $242.67

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 54065 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

6,243

Code
54065
Physician work
2.41
Practice expense
4.01
Malpractice
0.25

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 54065 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.41× 1.0002.4100
Practice expense4.01× 1.0004.0100
Malpractice0.25× 0.7400.1850
Total RVUs6.6050
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$220.61

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

Open 54065 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.411
Practice expense4.011
Malpractice0.250.74

(2.41 × 1 + 4.01 × 1 + 0.25 × 0.74) × $33.4009 = $220.61

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.411
Practice expense1.851
Malpractice0.250.74

(2.41 × 1 + 1.85 × 1 + 0.25 × 0.74) × $33.4009 = $148.47

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

54065 · Office / nonfacility

$220.61

Effective 2026-10-01

The base rate is $3.58 higher than on 2025-10-01, moving from $217.03 to $220.61 (1.6%).

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

    $217.03changed to$220.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.47 changed to 2.41
    • Practice expense RVU 4.04 changed to 4.01
    • Malpractice RVU 0.27 changed to 0.25
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $217.03

    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$220.61$148.47RVU26D
2026-07-01$220.61$148.47RVU26C
2026-04-01$220.61$148.47RVU26B
2026-01-01$220.61$148.47RVU26A
2025-10-01$217.03$168.19RVU25D
2025-07-01$217.03$168.19RVU25C
2025-04-01$217.03$168.19RVU25B
2025-01-01$217.03$168.19RVU25A

54065 billing questions

How is this code different from simple penile lesion destruction?

Use 54065 for extensive destruction; simple destruction codes in this family are differentiated by treatment method. Document the extent of treatment rather than relying on the instrument alone.

Can modifier 50 be reported for lesions on both sides?

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

Are postoperative visits separately reported?

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

How does the multiple-procedure reduction work?

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

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.

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 54065PPRRVU2026_Oct_nonQPP.csv, line 6,243 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet