No office rate
This is a related penile plaque procedure. Compare the full code descriptors and operative documentation to determine which plaque-treatment service was performed.
On this page
CMS RVU26D · Effective 2026-10-01
54112 Penile plaque surgery Medicare reimbursement rates in Minnesota
Reports surgical treatment of Peyronie’s penile plaque when excision and graft reconstruction are required to address deformity. Compare 54112 office and facility rates across CMS payment localities in Minnesota.
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 54112 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$799.64
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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.
Urologic surgery
About 54112: Penile plaque excision with graft
Reports surgical treatment of Peyronie’s penile plaque when excision and graft reconstruction are required to address deformity.
A urologist typically performs this operation for Peyronie’s disease when a penile plaque causes deformity and treatment requires plaque excision with graft reconstruction. The service involves operative correction of the affected penile tissue, rather than a biopsy or removal of a superficial lesion such as a wart. It is generally performed in an operating room, with the operative report identifying the plaque, the reconstruction performed, and the graft used.
Report the code when the documented procedure meets the code’s graft-requiring plaque-treatment criteria. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54112
- 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 RVU16.56 · 66%
- Practice expense (office) RVU6.56 · 26%
- Malpractice RVU2.13 · 8%
68
Medicare services in 2024 · #5164 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.
54112 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
This code addresses penile lesion treatment; 54112 describes graft-requiring surgery for Peyronie’s plaque.
$461.65
This code addresses penile lesion treatment, while 54112 is selected for plaque surgery requiring graft reconstruction.
Compare 54112 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$799.64
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 54112 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,248
- Code
- 54112
- Physician work
- 16.56
- Practice expense
- 6.56
- Malpractice
- 2.13
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.56 | × 1.000 | 16.5600 |
| Practice expense | 6.56 | × 1.029 | 6.7502 |
| Malpractice | 2.13 | × 0.296 | 0.6305 |
| Total RVUs | 23.9407 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$799.64
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.56 | 1 |
| Practice expense | 6.56 | 1.029 |
| Malpractice | 2.13 | 0.296 |
(16.56 × 1 + 6.56 × 1.029 + 2.13 × 0.296) × $33.4009 = $799.64
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
54112 billing questions
When is this code used instead of a code for penile lesion excision?
Use this code for Peyronie’s plaque surgery that requires graft reconstruction. Codes for penile lesion treatment address lesions such as condyloma rather than plaque-related deformity.
What documentation supports reporting this code?
The operative report should identify the Peyronie’s plaque, describe its excision and the graft reconstruction, and establish why the procedure required grafting.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery 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 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.
6,24554105,,Biopsy of penis,A,,3.45,4.67,,1.96,,0.44,8.56,5.85,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24654110,,Treatment of penis lesion,A,,10.65,5.01,NA,5.01,,1.36,17.02,17.02,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24754111,,Treat penis lesion graft,A,,14.06,5.71,NA,5.71,,1.80,21.57,21.57,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24854112,,Treat penis lesion graft,A,,16.56,6.56,NA,6.56,,2.13,25.25,25.25,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24954115,,Treatment of penis lesion,A,,6.78,6.59,,4.20,,0.88,14.25,11.86,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25054120,,Partial removal of penis,A,,10.73,5.14,NA,5.14,,1.39,17.26,17.26,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,25154125,,Removal of penis,A,,14.20,6.21,NA,6.21,,1.96,22.37,22.37,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002