Billing code 54057: Penile lesion treatmentMedicare rate & RVUs in Washington
Reports laser destruction of one or more penile lesions, such as genital warts, when laser treatment is the method performed.
Medicare pays $148.34–$167.00 for 54057 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). 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 54057 covers
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.
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 54057 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $148.34 | $92.77 |
| Seattle (King Cnty) | $167.00 | $102.24 |
How the 54057 rate is calculated
Each of 54057’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 · 54057
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.26Practice expense 2.89Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54057
54057 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54057
Penile lesion treatment
| 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 · 54057
Penile lesion treatment
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
54057 without 51 · national office
$143.96
Penile lesion treatment
54057-51 · Second procedure: 50%
$71.98
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%).
54057 compared with similar codes
Compare codes
54057 vs 54055 vs 54056 vs 54065: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54055Penile lesion destruction
- Use 54057 when laser energy destroys the penile lesion. Use 54055 when electrosurgery is the documented method.
- 54056Penile lesion destruction
- 54056 identifies cryosurgery of penile lesions; 54057 identifies laser destruction.
- 54065Penile lesion destruction
- 54065 is for extensive penile lesion destruction by any method. 54057 identifies laser treatment and is not defined by the extensive-destruction designation.
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 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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