CPT code 54304: Chordee correction, with fibrous tissue excision2026 Medicare rate & RVUs in Florida
Reports penile straightening for chordee when correction requires excision of fibrous tissue, with or without mobilization of the urethra.
CMS doesn’t publish an office rate for 54304 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 54304 covers
This operation corrects penile curvature caused by chordee by excising fibrous tissue that contributes to the bend. The surgeon may also mobilize the urethra as needed. Pediatric urologists commonly perform it for congenital curvature, including curvature encountered in patients with hypospadias. The operative report should identify the curvature, the fibrous tissue excised, and any urethral mobilization or other reconstruction performed.
Select this code when the chordee correction includes fibrous tissue excision; penile straightening without that excision is represented by a different code. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral adjustment is not appropriate. Medicare may pay for an assistant at surgery; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 54304 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | $723.28 |
| Miami, FL | Unavailable | $768.52 |
| Rest of Florida | Unavailable | $695.65 |
How the 54304 rate is calculated
Each of 54304’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 54304
RVUs × geographic indexes × conversion factor
Work12.95
12.95 RVUs× 1.000 GPCI
Practice expense5.63
5.63 RVUs× 1.000 GPCI
Malpractice1.66
1.66 RVUs× 1.000 GPCI
Adjusted RVUs
20.2400
Conversion factor
$33.4009
Medicare rate
$676.03
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54304
54304 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54304
Chordee correction, with fibrous tissue excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54304
Chordee correction, with fibrous tissue excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54304 without 51 · national facility
$676.03
Chordee correction, with fibrous tissue excision
54304-51 · Second procedure: 50%
$338.02
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
54304 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 54300Chordee correctionStraightening, uncomplicated
- Both codes address penile straightening for chordee. Choose 54304 when fibrous tissue is excised; choose 54300 when the correction does not include that excision.
- 54340Hypospadias repairComplicated group, simple level
- 54340 is for hypospadias repair. Use 54304 for chordee correction involving fibrous tissue excision rather than substituting it for a hypospadias repair.
- 54360Penile plastic surgeryCurvature correction
- 54360 describes penile plastic surgery for indications other than chordee. Chordee correction with fibrous tissue excision points to 54304.
54304 billing questions
How does this differ from 54300?
Use 54304 when chordee correction includes excision of fibrous tissue. Code 54300 represents penile straightening without that excision.
Does urethral mobilization change code selection?
No. The distinguishing feature is excision of fibrous tissue for chordee correction; urethral mobilization may be performed with the service.
Is postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for correction on both sides?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant surgeon be reported?
CMS allows payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
What should the operative note support?
Document the chordee and its correction, specifically the fibrous tissue excised, and describe any urethral mobilization or additional reconstruction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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