CPT 54230: CavernosographyMedicare rate & RVUs in Delaware
Report this procedure for intracavernosal contrast injection during cavernosography to evaluate corporal venous drainage, including suspected erectile dysfunction from venous leakage.
Medicare pays $109.47 for 54230 in the office in Delaware (Delaware). Which amount applies depends on the service address.
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 9 sections
What 54230 covers
Code 54230 represents the intracavernosal contrast injection used for cavernosography, an imaging study of the penile corpora and their venous drainage. It is used in diagnostic evaluation of erectile dysfunction when a clinician is investigating possible veno-occlusive dysfunction. A urologist typically performs the injection in coordination with the imaging needed to visualize contrast flow.
Report the procedure when the contrast injection for cavernosography is performed, and document the indication and procedure. Distinguish it from dynamic cavernosometry, which assesses cavernosal pressure and flow. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for it; co-surgeons and team surgery are 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.
54230 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $109.47 | $72.51 |
How the 54230 rate is calculated
Each of 54230’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 · 54230
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.31Practice expense 1.83Malpractice 0.17
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54230
The CMS indicators that decide how 54230 is paid alongside other services.
CMS payment indicators · 54230
Cavernosography
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54230 without 51 · national office
$110.56
Cavernosography
54230-51 · Second procedure: 50%
$55.28
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%).
54230 compared with similar codes
Compare codes
54230 vs 54231 vs 54235 vs 54240: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54231Cavernosometry
- Use 54230 for the contrast injection used in cavernosography; 54231 describes dynamic measurement of cavernosal pressure and flow.
- 54235Penile injection
- 54230 involves contrast injection for imaging. Use 54235 for intracavernosal injection of a pharmacologic agent.
- 54240Penile plethysmography
- 54240 is penile plethysmography, a different diagnostic test; it does not represent contrast injection for cavernosography.
54230 billing questions
How is 54230 different from 54231?
54230 covers the contrast injection for cavernosography. Code 54231 describes dynamic cavernosometry, which measures cavernosal pressure and flow.
Can 54230 and 54231 be reported together?
They represent distinct diagnostic services and may be performed during the same evaluation. Report each only when its respective service is performed and documented.
Is 54230 the same as an intracavernosal drug injection?
No. The injection for 54230 is used for contrast imaging; 54235 describes injection of a pharmacologic agent into the corpora cavernosa.
Should modifier 50 be appended for both corpora?
No. The CMS bilateral adjustment is not appropriate for 54230; the code's descriptor or anatomy makes modifier 50 inappropriate.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. If other procedures are performed in the same session, the standard multiple procedure reduction applies.
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
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