$125.67–$134.39
Choose 54240 for stimulus-associated penile response measurement; choose 54250 for testing nocturnal tumescence and rigidity during sleep.
On this page
CMS RVU26D · Effective 2026-10-01
54240 Penile plethysmography Medicare reimbursement rates in Massachusetts
Penile plethysmography records penile response to controlled stimuli for a documented physiologic assessment of erectile or sexual arousal response. Compare 54240 office and facility rates across CMS payment localities in Massachusetts.
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 54240 in Massachusetts?
Massachusetts 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
$115.94–$126.62
2 of 2 localities have a supported rate.
Facility setting
No 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.
Diagnostic urology
About 54240: Penile stimulus-response plethysmography
Penile plethysmography records penile response to controlled stimuli for a documented physiologic assessment of erectile or sexual arousal response.
Penile plethysmography measures changes in penile circumference or volume while a patient is exposed to a controlled stimulus protocol. A trained clinician or staff member conducts the test, and a physician interprets the recorded response. It is used in specialized urology or sexual-medicine evaluations when the question concerns the physiologic response to stimuli, rather than sleep-related erections or anatomy alone.
Report 54240 when this measurement and interpretation are performed; documentation should identify the protocol, recorded response, clinical question, and interpretation. The global service includes same-day preoperative and postoperative care. The global service may be billed without a component modifier, or the interpretation with modifier 26 and the equipment and staff with modifier TC. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 54240
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.28 · 38%
- Practice expense (office) RVU1.91 · 56%
- Malpractice RVU0.20 · 6%
79
Medicare services in 2024 · #5069 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.
54240 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$113.34–$123.58
54230 is cavernosography, an imaging study of the corpora after injection. It does not measure the stimulus-response signal captured by 54240.
$152.27–$165.16
54231 assesses cavernosal hemodynamics with dynamic testing; 54240 records changes in penile circumference or volume during a stimulus protocol.
Compare 54240 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
Metropolitan Boston →
Office / nonfacility
$126.62
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$115.94
Facility
Unavailable
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54240 billing questions
How is 54240 different from 54250?
54240 measures penile response during a controlled stimulus protocol. 54250 evaluates nocturnal penile tumescence and rigidity during sleep.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the physician's interpretation or modifier TC for the equipment and staff; without either modifier, the claim represents the global service.
What documentation supports 54240?
Document the clinical question, stimulus protocol, recorded penile response, and physician interpretation so the record shows that plethysmography was performed.
Should modifier 50 be used for bilateral testing?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. Assistant-at-surgery payment requires documented medical necessity, while co-surgeon and team-surgery billing 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.
6,26354230,,Njx corpora cavernosograpy,A,,1.31,1.83,,0.71,,0.17,3.31,2.19,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,26454231,,Dynamic cavernosometry,A,,1.99,2.22,,0.90,,0.25,4.46,3.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,26554235,,Njx corpora cavernosa rx agt,A,,1.16,1.53,,0.73,,0.15,2.84,2.04,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,26654240,,Penile plethysmography,A,,1.28,1.91,,1.91,NA,0.20,3.39,3.39,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,26754240,26,Penile plethysmography,A,,1.28,0.53,,0.53,,0.18,1.99,1.99,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,26854240,TC,Penile plethysmography,A,,0.00,1.38,,1.38,NA,0.02,1.40,1.40,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,26954250,,Nctrnl pen tmscn&/rgdity tst,A,,2.16,1.33,,1.33,NA,0.21,3.70,3.70,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00