Billing code 54135: PenectomyMedicare rate & RVUs in Oregon
Reports radical removal of the penis with bilateral pelvic lymph node dissection, typically as surgical treatment for penile cancer requiring pelvic nodal surgery.
CMS doesn’t publish an office rate for 54135 in Oregon.
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 54135 covers
A urologist typically performs this major operation for penile cancer when treatment includes radical removal of the penis and dissection of pelvic lymph nodes on both sides. The service includes the penile operation and the specified nodal surgery; the operative report should identify the extent of resection and the bilateral pelvic node dissection. It is performed in a surgical setting, not as a diagnostic biopsy or limited penile lesion procedure.
Select this code when the operative documentation supports radical penectomy with bilateral pelvic lymphadenectomy, rather than penectomy alone or a less extensive nodal procedure. The code is priced as bilateral, so modifier 50 does not increase payment. It has a 90-day global period that 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 others at 50%. An assistant at surgery may be paid; 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.
Where 54135 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,363.05 |
| Rest Of Oregon | Unavailable | $1,308.03 |
How the 54135 rate is calculated
Each of 54135’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 · 54135
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 27.47Practice expense 9.24Malpractice 3.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54135
54135 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54135
Penectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| 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 · 54135
Penectomy
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54135 without 51 · national facility
$1,344.39
Penectomy
54135-51 · Second procedure: 50%
$672.20
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%).
54135 compared with similar codes
Compare codes
54135 vs 54130 vs 54125 vs 54120: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54130Radical penectomy
- Use 54135 when radical penectomy includes bilateral pelvic lymphadenectomy; 54130 describes the related operation with bilateral inguinal lymphadenectomy.
- 54125Penectomy
- 54125 is for penectomy without the bilateral pelvic lymph node dissection included in 54135.
- 54120Penile surgery
- 54120 represents partial penile removal; 54135 is for radical penectomy with bilateral pelvic lymphadenectomy.
54135 billing questions
How does 54135 differ from 54130?
54135 includes bilateral pelvic lymph node dissection with radical penectomy. 54130 is the related code for radical penectomy with bilateral inguinal lymphadenectomy.
Should modifier 50 be appended?
The code is already priced as bilateral, so modifier 50 does not increase payment.
Can the pelvic node dissection be billed separately?
The nodal dissection is part of this combined service when performed with the radical penectomy described by the code. The operative report should establish that the bilateral pelvic dissection was performed.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code under the CMS facts provided.
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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