$131.67
This code is specific to a deep penile collection. Code 10060 describes drainage of a simple or single cutaneous abscess and is not selected solely because an incision is made.
On this page
CMS RVU26D · Effective 2026-10-01
54015 Penile drainage Medicare reimbursement rates in Rhode Island
Reports surgical incision and drainage of a deep penile abscess or collection, rather than treatment of a superficial lesion or preputial condition. Compare 54015 office and facility rates across CMS payment localities in Rhode Island.
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 54015 in Rhode Island?
Rhode Island 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
$280.82
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Urology procedure
About 54015: Deep penile abscess incision and drainage
Reports surgical incision and drainage of a deep penile abscess or collection, rather than treatment of a superficial lesion or preputial condition.
This service involves surgically opening a deep collection in penile tissue and draining its contents. It is typically performed by a urologist or another qualified surgeon in a facility setting when examination identifies a deep penile abscess requiring operative drainage. It is distinct from treating a penile surface lesion or making an incision in the foreskin for a preputial problem.
Report the code when the operative note supports both the penile site and the depth of the collection, with the incision and drainage described. The service has a 10-day global period, so related postoperative visits during that 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. A bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 54015
- 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
- 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 RVU5.23 · 63%
- Practice expense (office) RVU2.41 · 29%
- Malpractice RVU0.66 · 8%
79
Medicare services in 2024 · #5068 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.
54015 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$224.70
Code 10061 addresses complicated or multiple cutaneous abscess drainage. For 54015, the distinguishing documentation is a deep collection in the penis.
$149.53
Code 54050 is for destruction of penile lesion(s), not incision and drainage of a deep abscess or collection.
$171.19
Code 54000 concerns incision of the prepuce. It is not the code for opening and draining a deep penile collection.
Compare 54015 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$280.82
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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 54015 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,237
- Code
- 54015
- Physician work
- 5.23
- Practice expense
- 2.41
- Malpractice
- 0.66
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.23 | × 1.019 | 5.3294 |
| Practice expense | 2.41 | × 1.033 | 2.4895 |
| Malpractice | 0.66 | × 0.892 | 0.5887 |
| Total RVUs | 8.4076 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$280.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.23 | 1.019 |
| Practice expense | 2.41 | 1.033 |
| Malpractice | 0.66 | 0.892 |
(5.23 × 1.019 + 2.41 × 1.033 + 0.66 × 0.892) × $33.4009 = $280.82
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.
54015 billing questions
How is this distinguished from drainage of a superficial abscess?
The operative documentation should establish that the collection is deep and located in the penis. A superficial skin abscess may point to a different abscess-drainage code.
Can a penile lesion destruction code be used for an abscess?
No. Destruction codes such as 54050 address penile lesions treated by destruction; 54015 describes drainage of a deep collection.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 be used for drainage on both sides?
No. A bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
When may an assistant-at-surgery be paid?
Only when documentation establishes medical necessity. Co-surgeons and team surgery are not permitted for this service.
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.
6,23453899,,Unlisted px urinary system,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23554000,,Slitting of prepuce,A,,1.55,3.26,,1.39,,0.20,5.01,3.14,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23654001,,Slitting of prepuce,A,,2.18,3.64,,1.43,,0.27,6.09,3.88,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23754015,,I&d penis deep,A,,5.23,2.41,NA,2.41,,0.66,8.30,8.30,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537