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See a sample rate comparisonCPT 54135 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.
Remove Penis Nodes, Amputation Of Penis Radical In Continuity With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Modifiers | None UB |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54135 |
| Medicaid Fee Schedule | View Medicaid rates for 54135 |
National average reimbursement for CPT 54135 by major payers:
$1,854.24
$2,026.17
$2,070.67
$2,518.54
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CPT 54135
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes-Gi Diagnostics LLC
Saint Lukesgi Diagnostics LLC
$6,623.00Published rateKootenai Outpatient Surgery Cntr LLC, Kootenai Outpatient Surgery
Kootenai Outpatient Surgery
$1,200.00Published rateCypress Ambulatory Surgery Center, LLC, Currency Circle Surgery Center
$900.00Published rateMercy South Asc LLC, Mercy Outpatient Surgery Center - West Bend
$561.00Published rateGoldsboro Endoscopy Center Inc
$247.00Published rate
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See a sample payer proposalCPT 54135 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54135 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 54135 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 |
|---|---|---|
| 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 |
| 54318-CPT | Moderate | Urethroplasty For Third Stage, Urethroplasty For Third Stage Hypospadias Repair To Release Penis From Scrotum (Eg Third Stage Cecil Repair) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54135. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54135 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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