Use 54230 for the contrast injection used in cavernosography; 54231 describes dynamic measurement of cavernosal pressure and flow.
On this page
CMS RVU26D · Effective 2026-10-01
54230 Cavernosography Medicare reimbursement rates in Florida
Report this procedure for intracavernosal contrast injection during cavernosography to evaluate corporal venous drainage, including suspected erectile dysfunction from venous leakage. Compare 54230 office and facility rates across CMS payment localities in Florida.
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 54230 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$110.72–$121.74
3 of 3 localities have a supported rate.
Facility setting
$74.96–$82.80
3 of 3 localities have a supported rate.
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 54230 pays more and less in Florida
3 payment localities
$110.72 to $121.74
Urology diagnostic procedure
About 54230: Cavernosography contrast injection
Report this procedure for intracavernosal contrast injection during cavernosography to evaluate corporal venous drainage, including suspected erectile dysfunction from venous leakage.
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.
CMS billing rules for 54230
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.31 · 40%
- Practice expense (office) RVU1.83 · 55%
- Malpractice RVU0.17 · 5%
28
Medicare services in 2024 · #5710 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.
54230 compared with similar codes
Office rates for Florida, from the same CMS release.
54230 involves contrast injection for imaging. Use 54235 for intracavernosal injection of a pharmacologic agent.
54240 is penile plethysmography, a different diagnostic test; it does not represent contrast injection for cavernosography.
Compare 54230 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$115.94
Facility
$78.04
Miami →
Office / nonfacility
$121.74
Facility
$82.80
Rest Of Florida →
Office / nonfacility
$110.72
Facility
$74.96
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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 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.
