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See a sample rate comparisonCPT 54120 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.
Remove All Or Part Of Penis, Surgical Removal Of All Or A Part Of The Penis. The Procedure May Include Removal Of Nearby Lymph Nodes.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 54120 |
| Medicaid Fee Schedule | View Medicaid rates for 54120 |
National average reimbursement for CPT 54120 by major payers:
$807.36
$841.80
$903.46
$1,033.55
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CPT 54120
5 of 25 sample ratesHigher to lower in this preview
Hinsdale Surgical Center, LLC
Adventist Midwest Health
$4,175.00Published rateSunrise Ophthalmology Asc LLC, Foundation For Advanced Eye Care
$2,637.00Published rateCenter For Spine Interventions Asc 2
$2,000.00Published rateThe Surgery Center Of Jacksonville LLC, Centerone Surgery Center
Center One Surgery Center
$1,290.00Published rateAsc Development Company LLC
$765.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 54120 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54120 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 54120 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 |
|---|---|---|
| 54120-CPT | Moderate | Remove All Or Part Of Penis, Surgical Removal Of All Or A Part Of The Penis. The Procedure May Include Removal Of Nearby Lymph Nodes. |
| 54125-CPT | High | Remove All Or Part Of Penis, Surgical Removal Of All Or A Part Of The Penis. The Procedure May Include Removal Of Nearby Lymph Nodes. |
| 54130-CPT | High | Remove All Or Part Of Penis, Surgical Removal Of All Or A Part Of The Penis. The Procedure May Include Removal Of Nearby Lymph Nodes. |
| 54135-CPT | High | Remove Penis Nodes, Amputation Of Penis Radical In Continuity With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54120 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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