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See a sample rate comparisonCPT 54417 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.
Remv Replc Penis Pros Compl, Removal And Replacement Of Non Inflatable Semi Rigid Or Inflatable Self Contained Penile Prosthesis Through An Infected Field At The Same Operative Session Including Irrigation And Debridement Of Infected Tissue
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54417 |
| Medicaid Fee Schedule | View Medicaid rates for 54417 |
National average reimbursement for CPT 54417 by major payers:
$1,151.62
$1,192.71
$1,236.22
$1,460.35
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CPT 54417
5 of 25 sample ratesHigher to lower in this preview
Countryside Surgery Center, Ltd
Countryside Surgery Center Ltd
$4,215.00Published rateVentura Endoscopy Center Partners LLC
$1,158.00Published rateClinton Partners, LLC, Surgery Center Of Clinton Township
$645.00Published rateExecutive Surgery Center Of Little Rock, LLC
Executive Surgery Center Of Little Rock LLC
$425.00Published rateAllegany Ambulatory Surgery Center LLC
$160.00Published rate
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See a sample payer proposalCPT 54417 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54417 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 54417 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 |
|---|---|---|
| 54410-CPT | High | Remove Replace Penis Prosth, Removal And Replacement Of All Component S Of A Multi Component Inflatable Penile Prosthesis At The Same Operative Session |
| 54411-CPT | High | Remov Replc Penis Pros Comp, Removal And Replacement Of All Components Of A Multi Component Inflatable Penile Prosthesis Through An Infected Field At The Same Operative Session Including Irrigation And Debridement Of Infected Tissue |
| 54415-CPT | Moderate | Remove Self Contd Penis Pros, Removal Of Non Inflatable Semi Rigid Or Inflatable Self Contained Penile Prosthesis Without Replacement Of Prosthesis |
| 54417-CPT | High | Remv Replc Penis Pros Compl, Removal And Replacement Of Non Inflatable Semi Rigid Or Inflatable Self Contained Penile Prosthesis Through An Infected Field At The Same Operative Session Including Irrigation And Debridement Of Infected Tissue |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54417. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54417 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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