Billing code 54360: Penile plastic surgeryMedicare rate & RVUs in Delaware
Reports reconstructive plastic surgery on the penis to correct curvature, such as chordee, when the documented procedure fits this code.
CMS doesn’t publish an office rate for 54360 in Delaware.
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 54360 covers
A urologist typically performs this reconstructive procedure to correct penile curvature or angulation, including chordee that may accompany hypospadias. The operation reshapes or adjusts penile tissue to improve alignment; the exact technique depends on the anatomy and operative findings. It is generally performed in an operating-room setting, and the operative report should identify the deformity, the correction performed, and whether urethral mobilization or other reconstruction was part of the work.
Report 54360 when the documented plastic operation matches the service, rather than selecting a hypospadias repair code solely because hypospadias is present. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care 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 multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is 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.
54360 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $647.44 |
How the 54360 rate is calculated
Each of 54360’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 · 54360
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 12.46Practice expense 5.48Malpractice 1.61
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54360
54360 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54360
Penile plastic surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54360
Penile plastic surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54360 without 51 · national facility
$652.99
Penile plastic surgery
54360-51 · Second procedure: 50%
$326.50
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%).
54360 compared with similar codes
Compare codes
54360 vs 54300 vs 54340: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54300Chordee correction
- Both are associated with penile straightening or chordee correction. Compare the documented procedure with each code's full descriptor; do not choose from the diagnosis alone.
- 54340Hypospadias repair
- 54340 describes a simple hypospadias repair. Use 54360 when the documented work is the applicable plastic correction of penile curvature rather than the hypospadias repair itself.
54360 billing questions
When should 54360 be chosen instead of a hypospadias repair code?
Use 54360 when the documented service is plastic correction of penile curvature or angulation. Choose a hypospadias repair code when the operation is the repair of the urethral defect described by that code.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this code.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is 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 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
Show the CMS file lines behind this rate
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