54135 Remove penis & nodes
Also known as: radical penectomy with extended node dissection, penectomy with pelvic lymphadenectomy
Amputation of the penis with extensive removal of pelvic and regional lymph nodes for advanced penile malignancy.
In Plain Language
removing penis and many lymph nodes
Clinical Context
Indicated for high-grade or advanced penile cancer with suspected regional metastases. Extended dissection includes pelvic nodes.
RVU Breakdown
| Work RVU | 27.47 |
| Total RVU | 27.47 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.47, this code ranks in the 91st percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 54135?
CPT 54135 (Remove penis & nodes) is a Surgery code. Amputation of the penis with extensive removal of pelvic and regional lymph nodes for advanced penile malignancy.
What is the wRVU value for CPT 54135?
The work RVU for CPT 54135 is 27.47. This code is primarily used by Urology, Surgical Oncology. It has a 90-day global period.
When is CPT 54135 used?
Indicated for high-grade or advanced penile cancer with suspected regional metastases. Extended dissection includes pelvic nodes.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.