$137.52–$149.15
Use 54057 when laser energy destroys the penile lesion. Use 54055 when electrosurgery is the documented method.
On this page
CMS RVU26D · Effective 2026-10-01
54057 Penile lesion treatment Medicare reimbursement rates in Oregon
Reports laser destruction of one or more penile lesions, such as genital warts, when laser treatment is the method performed. Compare 54057 office and facility rates across CMS payment localities in Oregon.
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 54057 in Oregon?
Oregon 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
$141.98–$153.98
2 of 2 localities have a supported rate.
Facility setting
$89.42–$95.35
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 procedure
About 54057: Laser treatment of penile lesions
Reports laser destruction of one or more penile lesions, such as genital warts, when laser treatment is the method performed.
Code 54057 represents laser ablation of one or more lesions on the penis, such as external genital warts (condylomata). A urologist or dermatologist typically performs the treatment in an outpatient procedure setting, directing laser energy at lesion tissue to destroy it rather than removing it by excision. Selection is based on the penile site and laser method, not simply the number of lesions; use a method-specific sibling code when the documented treatment is chemical, electrosurgical, or cryosurgical.
The record should identify the penile lesion or lesions and document the laser treatment performed. This code has a 10-day global period, so related postoperative visits during that period are included. When another procedure subject to multiple-procedure pricing is performed in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Modifier 50 is inappropriate for this descriptor and anatomy. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 54057
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
- 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 RVU1.26 · 29%
- Practice expense (office) RVU2.89 · 67%
- Malpractice RVU0.16 · 4%
108
Medicare services in 2024 · #4823 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.
54057 compared with similar codes
Office rates for Oregon, from the same CMS release.
$142.28–$154.35
54056 identifies cryosurgery of penile lesions; 54057 identifies laser destruction.
$219.77–$236.80
54065 is for extensive penile lesion destruction by any method. 54057 identifies laser treatment and is not defined by the extensive-destruction designation.
Compare 54057 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
Portland →
Office / nonfacility
$153.98
Facility
$95.35
Rest Of Oregon →
Office / nonfacility
$141.98
Facility
$89.42
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54057 billing questions
How does 54057 differ from 54055?
54057 is for laser destruction of penile lesions. 54055 is the electrosurgical method, so the documented technique distinguishes the codes.
When should 54065 be considered instead?
54065 describes extensive destruction of penile lesions by any method. Consider it when the documented service is extensive rather than selecting a code solely for a particular destruction method.
Can modifier 50 be appended for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
Are related follow-up visits separately included during the global period?
Related postoperative visits within the 10-day global period are included in the procedure.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, and 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 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.
6,23854050,,Destruction penis lesion(s),A,,1.26,2.97,,1.50,,0.14,4.37,2.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23954055,,Destruction penis lesion(s),A,,1.22,2.81,,1.24,,0.14,4.17,2.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24054056,,Cryosurgery penis lesion(s),A,,1.26,2.92,,1.58,,0.13,4.31,2.97,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24154057,,Laser surg penis lesion(s),A,,1.26,2.89,,1.31,,0.16,4.31,2.73,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24254060,,Excision of penis lesion(s),A,,1.93,3.85,,1.50,,0.24,6.02,3.67,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24354065,,Destruction penis lesion(s),A,,2.41,4.01,,1.85,,0.25,6.67,4.51,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,24454100,,Biopsy of penis,A,,1.85,4.03,,1.06,,0.20,6.08,3.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00