$138.56
54050 is for chemical destruction of penile lesions; 54060 is for simple surgical excision.
On this page
CMS RVU26D · Effective 2026-10-01
54060 Penile lesion excision Medicare reimbursement rates in Wisconsin
Report simple surgical removal of a penile lesion when the clinician excises the tissue rather than destroying it with a chemical, freezing, or laser method. Compare 54060 office and facility rates across CMS payment localities in Wisconsin.
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 54060 in Wisconsin?
Wisconsin 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
$190.13
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
Facility setting
$114.93
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 54060: Simple penile lesion excision
Report simple surgical removal of a penile lesion when the clinician excises the tissue rather than destroying it with a chemical, freezing, or laser method.
This service covers simple surgical excision of one or more lesions on the penis, such as a penile wart, with the removed tissue separated from surrounding tissue rather than ablated. A urologist or another clinician qualified to perform the procedure may do it in an office or outpatient facility, often with local anesthesia. When tissue is submitted for examination, the pathology service is distinct from the excision and may be reported separately when supported.
Select this code for the excision technique and simple service described, not for lesion destruction by chemical treatment, cryosurgery, or laser. The note should identify the penile site, lesion findings, excision performed, and any specimen submitted. Medicare includes related postoperative visits during the 10-day global period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 54060
- 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 RVU1.93 · 32%
- Practice expense (office) RVU3.85 · 64%
- Malpractice RVU0.24 · 4%
624
Medicare services in 2024 · #3357 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.
54060 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$136.86
54056 reports cryosurgery of penile lesions. Choose 54060 when tissue is removed by excision instead of frozen.
$136.21
54057 reports laser destruction of penile lesions; 54060 describes simple excision rather than laser ablation.
$211.38
54065 is for extensive destruction of penile lesions. 54060 is the simple excision service, not a destruction procedure.
Compare 54060 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
Wisconsin →
Office / nonfacility
$190.13
Facility
$114.93
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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 54060 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
6,242
- Code
- 54060
- Physician work
- 1.93
- Practice expense
- 3.85
- Malpractice
- 0.24
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.93 | × 1.000 | 1.9300 |
| Practice expense | 3.85 | × 0.958 | 3.6883 |
| Malpractice | 0.24 | × 0.308 | 0.0739 |
| Total RVUs | 5.6922 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$190.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1 |
| Practice expense | 3.85 | 0.958 |
| Malpractice | 0.24 | 0.308 |
(1.93 × 1 + 3.85 × 0.958 + 0.24 × 0.308) × $33.4009 = $190.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1 |
| Practice expense | 1.5 | 0.958 |
| Malpractice | 0.24 | 0.308 |
(1.93 × 1 + 1.5 × 0.958 + 0.24 × 0.308) × $33.4009 = $114.93
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.
54060 billing questions
When should this code be chosen instead of a penile lesion destruction code?
Use 54060 when the clinician surgically excises the lesion. Destruction codes apply when the lesion is treated by a destructive method such as chemical treatment, cryosurgery, or laser.
Can pathology be reported separately?
A pathology service may be reported separately when excised tissue is submitted and the pathologist performs a separately reportable examination. Document the specimen and its disposition.
Does this code have a postoperative global period?
Yes. Related postoperative visits during the 10-day global period are included in the procedure.
Should modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when this is performed with another procedure in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
6,23954055,,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
6,24554105,,Biopsy of penis,A,,3.45,4.67,,1.96,,0.44,8.56,5.85,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,