$146.81–$183.08
Choose 54050 for simple chemical destruction; 54055 is for simple destruction by electrosurgery.
On this page
CMS RVU26D · Effective 2026-10-01
54050 Penile lesion destruction Medicare reimbursement rates in California
Reports simple chemical destruction of penile lesions, such as condyloma or molluscum, when a clinician treats them in an office or other setting. Compare 54050 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 54050 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$154.03–$192.27
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $38.24 per service.
Facility setting
$100.22–$121.47
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $21.25 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 54050 pays more and less in California
29 payment localities
$154.03 to $192.27
Urology procedure
About 54050: Chemical destruction of penile lesions
Reports simple chemical destruction of penile lesions, such as condyloma or molluscum, when a clinician treats them in an office or other setting.
This service treats one or more penile lesions by applying a chemical method to destroy the abnormal tissue. Common clinical examples include condyloma and molluscum contagiosum. Urologists and dermatologists may perform it in an office setting; the technique distinguishes this code from electrosurgery, cryosurgery, or laser treatment. The code describes simple destruction, rather than removal by excision or treatment characterized as extensive.
Report the code when the documented method is chemical and the procedure is simple. Record the treated site, lesion findings, method, and the extent of treatment. Related postoperative visits during the 10-day global period are included. 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 multiple procedure reduction. Modifier 50 is not appropriate for this penile procedure. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 54050
- 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 RVU1.26 · 29%
- Practice expense (office) RVU2.97 · 68%
- Malpractice RVU0.14 · 3%
184
Medicare services in 2024 · #4397 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.
54050 compared with similar codes
Office rates for California, from the same CMS release.
$152.02–$189.68
54056 identifies cryosurgery. This code is used when chemical treatment destroys the lesions.
$233.14–$286.96
54065 is for extensive penile lesion destruction. This code describes simple chemical treatment.
$210.79–$261.28
Use 54060 when lesions are removed by excision. This code is for chemical destruction, not excision.
Compare 54050 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $154.46 | Facility $100.64 |
| Chico | Office $154.03 | Facility $100.22 |
| El Centro | Office $154.05 | Facility $100.24 |
| Fresno | Office $154.03 | Facility $100.22 |
| Hanford-Corcoran | Office $154.03 | Facility $100.22 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $164.27 | Facility $106.19 |
| Madera | Office $154.03 | Facility $100.22 |
| Merced | Office $154.03 | Facility $100.22 |
| Modesto | Office $154.03 | Facility $100.22 |
| Napa | Office $177.86 | Facility $113.15 |
| Oxnard-Thousand Oaks-Ventura | Office $163.43 | Facility $105.40 |
| Redding | Office $154.03 | Facility $100.22 |
| Rest Of California | Office $154.03 | Facility $100.22 |
| Riverside-San Bernardino-Ontario | Office $155.56 | Facility $101.74 |
| Sacramento-Roseville-Folsom | Office $161.48 | Facility $104.37 |
| Salinas | Office $160.87 | Facility $103.96 |
| San Diego-Chula Vista-Carlsbad | Office $164.53 | Facility $105.80 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $188.10 | Facility $118.87 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $187.94 | Facility $118.71 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $192.27 | Facility $121.47 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $191.62 | Facility $120.82 |
| San Luis Obispo-Paso Robles | Office $158.30 | Facility $102.37 |
| Santa Cruz-Watsonville | Office $166.00 | Facility $106.35 |
| Santa Maria-Santa Barbara | Office $161.44 | Facility $104.19 |
| Santa Rosa-Petaluma | Office $167.67 | Facility $107.38 |
| Stockton | Office $154.03 | Facility $100.22 |
| Vallejo | Office $177.63 | Facility $112.92 |
| Visalia | Office $154.03 | Facility $100.22 |
| Yuba City | Office $154.03 | Facility $100.22 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
54050 billing questions
How does this differ from 54055?
54050 is for simple chemical destruction. Use 54055 when the documented method is electrosurgery.
When is 54065 a better fit?
54065 represents extensive penile lesion destruction. This code is for simple chemical treatment; document the extent and method performed.
Can I report modifier 50 for lesions on both sides?
No. The CMS facts identify modifier 50 as inappropriate for this code.
Are postoperative visits separately reportable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can an assistant or another surgeon be reported for this procedure?
Medicare does not pay for an assistant at surgery for this code. 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.
6,23554000,,Slitting of prepuce,A,,1.55,3.26,,1.39,,0.20,5.01,3.14,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23654001,,Slitting of prepuce,A,,2.18,3.64,,1.43,,0.27,6.09,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23754015,,I&d penis deep,A,,5.23,2.41,NA,2.41,,0.66,8.30,8.30,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23854050,,Destruction penis lesion(s),A,,1.26,2.97,,1.50,,0.14,4.37,2.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23954055,,Destruction penis lesion(s),A,,1.22,2.81,,1.24,,0.14,4.17,2.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24054056,,Cryosurgery penis lesion(s),A,,1.26,2.92,,1.58,,0.13,4.31,2.97,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24154057,,Laser surg penis lesion(s),A,,1.26,2.89,,1.31,,0.16,4.31,2.73,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00