Billing code 54050: Penile lesion destructionMedicare rate & RVUs in Oklahoma
Reports simple chemical destruction of penile lesions, such as condyloma or molluscum, when a clinician treats them in an office or other setting.
Medicare pays $134.30 for 54050 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
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 54050 covers
This service treats one or more penile lesions by applying a chemical method to destroy the abnormal tissue. Common clinical examples include condyloma and molluscum contagiosum. Urologists and dermatologists may perform it in an office setting; the technique distinguishes this code from electrosurgery, cryosurgery, or laser treatment. The code describes simple destruction, rather than removal by excision or treatment characterized as extensive.
Report the code when the documented method is chemical and the procedure is simple. Record the treated site, lesion findings, method, and the extent of treatment. Related postoperative visits during the 10-day global period are included. 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 for this penile procedure. Medicare does not pay for an assistant at surgery; co-surgeons and team surgery are 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.
54050 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $134.30 | $90.46 |
How the 54050 rate is calculated
Each of 54050’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 · 54050
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.26Practice expense 2.97Malpractice 0.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54050
54050 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54050
Penile lesion destruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 54050
Penile lesion destruction
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54050 without 51 · national office
$145.96
Penile lesion destruction
54050-51 · Second procedure: 50%
$72.98
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%).
54050 compared with similar codes
Compare codes
54050 vs 54055 vs 54056 vs 54065 vs 54060: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54055Penile lesion destruction
- Choose 54050 for simple chemical destruction; 54055 is for simple destruction by electrosurgery.
- 54056Penile lesion destruction
- 54056 identifies cryosurgery. This code is used when chemical treatment destroys the lesions.
- 54065Penile lesion destruction
- 54065 is for extensive penile lesion destruction. This code describes simple chemical treatment.
- 54060Penile lesion excision
- Use 54060 when lesions are removed by excision. This code is for chemical destruction, not excision.
54050 billing questions
How does this differ from 54055?
54050 is for simple chemical destruction. Use 54055 when the documented method is electrosurgery.
When is 54065 a better fit?
54065 represents extensive penile lesion destruction. This code is for simple chemical treatment; document the extent and method performed.
Can I report modifier 50 for lesions on both sides?
No. The CMS facts identify modifier 50 as inappropriate for this code.
Are postoperative visits separately reportable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction.
Can an assistant or another surgeon be reported for this procedure?
Medicare does not pay for an assistant at surgery for this code. Co-surgeons and team surgery 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 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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