54440
No office rateRepair of penis
54437 identifies repair of a corporal tear, commonly from penile fracture. Use 54440 for other penile repairs, including traumatic injuries that are not corporal tears.
On this page
CMS RVU26D · Effective 2026-10-01
54437 Corporal tear repair Medicare reimbursement rates in Maine
Surgical closure of a tear in the penile corporal tissue, typically performed to treat a penile fracture after trauma. Compare 54437 office and facility rates across CMS payment localities in Maine.
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 54437 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$585.64–$600.07
2 of 2 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.
Urology surgery
About 54437: Repair of penile corporal tear
Surgical closure of a tear in the penile corporal tissue, typically performed to treat a penile fracture after trauma.
A urologist typically reports this service for operative repair of a tear in the corpora cavernosa, the erectile tissue within the penis. A classic presentation is penile fracture: an abrupt injury, often during an erection, that tears the tunica albuginea surrounding a corpus cavernosum. The surgeon exposes the injury, identifies the tear, and closes it. Repair is generally performed in an operating room rather than an office setting.
Report the code when the operative service is repair of the corporal tear itself. The operative note should identify the injured corporal tissue and document the tear and its surgical closure. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54437
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.21 · 60%
- Practice expense (office) RVU5.90 · 32%
- Malpractice RVU1.44 · 8%
59
Medicare services in 2024 · #5258 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.
54437 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
54411 describes replacement of a multicomponent inflatable prosthesis with corporal body repair during that procedure. It is not the code for an isolated corporal tear repair.
No office rate
54408 addresses repair of a component of an inflatable penile prosthesis. Code 54437 is for torn corporal tissue, not a malfunctioning implant component.
Compare 54437 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$585.64
Southern Maine →
Office / nonfacility
Unavailable
Facility
$600.07
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54437 billing questions
How is this code distinguished from 54440?
Use 54437 for repair of a tear in the corporal erectile tissue. Code 54440 is used for other penile repairs, such as repair of a traumatic penile injury not described as a corporal tear.
Does the code include the postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Should modifier 50 be used for a tear involving both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
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.
6,30254420,,Revision of penis,A,,12.08,5.43,NA,5.43,,1.54,19.05,19.05,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30354430,,Revision of penis,A,,10.78,5.26,NA,5.26,,1.37,17.41,17.41,0,090,0.10,0.80,0.10,2,2,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30454435,,Revision of penis,A,,6.64,3.99,NA,3.99,,0.86,11.49,11.49,0,090,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30554437,,Repair corporeal tear,A,,11.21,5.90,NA,5.90,,1.44,18.55,18.55,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30654440,,Repair of penis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30754450,,Preputial stretching,A,,1.09,0.91,,0.27,,0.15,2.15,1.51,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,30854500,,Biopsy of testis,A,,1.28,0.57,NA,0.57,,0.16,2.01,2.01,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00