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See a sample rate comparisonCPT 54050 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Destruction Of Lesion(S) Pen, Destruction Of Lesion(S) Penis (Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Penis (Eg Condyloma Papilloma
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 11 - Office 71 - Public Health Clinic |
| Common Modifiers | None AG - Primary physician UA |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 54050 |
| Medicaid Fee Schedule | View Medicaid rates for 54050 |
National average reimbursement for CPT 54050 by major payers:
$173.05
$172.02
$187.78
$224.50
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CPT 54050
5 of 25 sample ratesHigher to lower in this preview
Voorhees Nj Endoscopy Asc LLC, The Endo Center At Voorhees
The Voorhees Nj Endoscopy Asc LLC
$1,886.00Published rateMercer County Surgery Center LLC, Mercer County Surgery Center
Mercer County Surgery Center, LLC
$524.00Published ratePresbyterian Rust Medical Center Asc LLC, New Mexico Surgery Center-Multi Specialty
$248.00Published rateEndoscopy Center -Pineville LLC, Carolina Endoscopy Center -Pineville
Endoscopy Center Pineville LLC
$106.00Published rateSt. Lukes Surgical At The Villages, Inc
St Lukes Surgical At The Villages Inc
$60.00Published rate
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See a sample payer proposalCPT 54050 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54050 code is part of the Surgery services used for Surgical Procedures on the Male Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 54050 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 54050-CPT | Low | Destruction Of Lesion(S) Pen, Destruction Of Lesion(S) Penis (Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Penis (Eg Condyloma Papilloma |
| 54055-CPT | Low | Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery. |
| 54056-CPT | Low | Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery. |
| 54057-CPT | Low | Remove Abnormal Penis Tissue, Removal Of Abnormal Tissue From The Surface Of The Penis. Methods Include Swabbing With A Chemical Freezing Laser Or Minor Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54050 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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