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See a sample rate comparisonCPT 54112 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Treatment For Plaque In Penis, Surgery To Remove The Fibrous Tissue That Forms Within The Penis In Peyronies Disease. The Procedure May Involve Skin Grafts To Reconstruct An Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 22 - Increased Procedural Services GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54112 |
| Medicaid Fee Schedule | View Medicaid rates for 54112 |
National average reimbursement for CPT 54112 by major payers:
$1,167.11
$1,254.54
$1,295.24
$1,531.23
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CPT 54112
5 of 25 sample ratesHigher to lower in this preview
St. Francis Mooresville Surgery Center, LLC
$15,626.00Published rateSurgicare Surgical Associates Of Ridgewood, LLC
Surgicare Surgical Associates Of Ridgewood LLC
$3,289.00Published rateHerndon Surgery Center, Inc.
Fresno Ca Multi Asc
$2,500.00Published rateRenaissance Surgery Center Of Chattanooga, LLC
Renaissance Surgery Center Of Chattanooga LLC
$1,389.00Published rateMetropolitan Surgical Associates Inc. Dba Metropolitan Medical Assoc
Metropolitan Surgical Associates, Inc.
$700.00Published rate
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See a sample payer proposalCPT 54112 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54112 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 54112 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 |
|---|---|---|
| 54112-CPT | High | Treatment For Plaque In Penis, Surgery To Remove The Fibrous Tissue That Forms Within The Penis In Peyronies Disease. The Procedure May Involve Skin Grafts To Reconstruct An Area. |
| 54115-CPT | Moderate | Remval Foreign Body From Deep Penile Tissue (Eg Plstic Implnt), Removal Foreign Body From Deep Penile Tissue (Eg Plastic Implant) |
| 54205-CPT | Moderate | Treatment For Plaque In Penis, Injection Of Medication In Or Near The Fibrous Tissue That Forms Inside The Penis With Peyronies Disease. The Medicine Eases The Abnormal Muscle Contraction. |
| 54235-CPT | Low | Inject Of Corpora Cavernosa W/ Pharmacolog Agnt(S) (Eg Papave, Injection Of Corpora Cavernosa With Pharmacologic Agent(S) (Eg Papave |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54112 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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