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See a sample rate comparisonCPT 54437 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.
Repair Of Traumatic Corporeal, Repair Of Traumatic Corporeal Tear(S)
| 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 GC - Service performed by resident under supervision 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 54437 |
| Medicaid Fee Schedule | View Medicaid rates for 54437 |
National average reimbursement for CPT 54437 by major payers:
$925.88
$918.37
$959.51
$1,114.92
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CPT 54437
5 of 25 sample ratesHigher to lower in this preview
Orthopedic Surgery Center Of The Fox Valley LLC
Orthopedic Surgery Center Of The Fox Valley
$4,608.00Published rateLutherville Endoscopy Center LLC
$2,655.00Published rateManhattan Endoscopy Center LLC, Manhattan Endo
Manhattan Endoscopy Center
$1,706.00Published rateLubbock Surgery Center, LLC
Lubbock Surgery Center LLC
$1,400.00Published rateUnited Shockwave Services, Ltd., United Therapies
$682.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 54437 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54437 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 54437 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 |
|---|---|---|
| 54420-CPT | Moderate | Release Of Prolonged Erection, One Of Various Surgeries Designed To Correct Uncontrolled Or Abnormal Blood Flow To The Penis Thus Releasing A Prolonged Erection (Priapism). |
| 54430-CPT | Moderate | Release Of Prolonged Erection, One Of Various Surgeries Designed To Correct Uncontrolled Or Abnormal Blood Flow To The Penis Thus Releasing A Prolonged Erection (Priapism). |
| 54435-CPT | Moderate | Release Of Prolonged Erection, One Of Various Surgeries Designed To Correct Uncontrolled Or Abnormal Blood Flow To The Penis Thus Releasing A Prolonged Erection (Priapism). |
| 54437-CPT | Moderate | Repair Of Traumatic Corporeal, Repair Of Traumatic Corporeal Tear(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54437. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54437 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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