CPT code 54308: Urethral reconstruction, one-stage, anterior urethra2026 Medicare rate & RVUs in Colorado
Reports one-stage reconstruction of the male anterior urethra, such as repair of an anterior urethral defect or stricture during a single operation.
In Colorado, Medicare pays $654.22 for 54308 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 54308 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 54308 covers
This service reconstructs the male anterior urethra in one operative session to restore the urinary channel. Urologists typically perform it for an anterior urethral defect, including selected strictures or hypospadias-related anatomy, in a surgical setting. The operative method and extent depend on the defect; this code is distinct from a planned reconstruction completed in stages and from a repair specifically reported under a hypospadias code.
Choose the code when the operative report supports a one-stage anterior urethral reconstruction, and document the defect’s location and extent, the reconstructive method, tissue used, and completion in one session. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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.
How Colorado compares for 54308
Across 109 of 109 payment localities, the facility rate for 54308 runs from $597.25 in Arkansas to $842.75 in Alaska. Colorado pays $654.22. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$654.22
- Los Angeles, CA · California$682.02+$27.80
- Washington, DC area · District of Columbia$710.12+$55.90
- Miami, FL · Florida$737.27+$83.05
- Chicago, IL · Illinois$721.12+$66.90
- Manhattan, NY · New York$736.23+$82.01
- Alaska · Alaska$842.75+$188.53
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $602.90 |
| ArkansasArkansas | — | $597.25 |
| ArizonaArizona | — | $635.63 |
| Bakersfield, CACalifornia | — | $653.95 |
| Chico, CACalifornia | — | $649.27 |
| El Centro, CACalifornia | — | $649.54 |
| Fresno, CACalifornia | — | $649.27 |
| Hanford, CACalifornia | — | $649.27 |
| Madera, CACalifornia | — | $649.27 |
| Merced, CACalifornia | — | $649.27 |
| Modesto, CACalifornia | — | $649.27 |
| Napa, CACalifornia | — | $707.85 |
| Oxnard, CACalifornia | — | $674.33 |
| Redding, CACalifornia | — | $649.27 |
| Rest of CaliforniaCalifornia | — | $649.27 |
| Riverside, CACalifornia | — | $666.41 |
| Sacramento, CACalifornia | — | $669.50 |
| Salinas, CACalifornia | — | $666.70 |
| San Diego, CACalifornia | — | $673.47 |
| Marin County, CACalifornia | — | $735.46 |
| San Francisco, CACalifornia | — | $733.67 |
| San Benito County, CACalifornia | — | $751.62 |
| Santa Clara County, CACalifornia | — | $744.28 |
| San Luis Obispo, CACalifornia | — | $657.24 |
| Santa Cruz, CACalifornia | — | $672.98 |
| Santa Maria, CACalifornia | — | $666.77 |
| Santa Rosa, CACalifornia | — | $679.08 |
| Stockton, CACalifornia | — | $649.27 |
| Vallejo, CACalifornia | — | $705.26 |
| Visalia, CACalifornia | — | $649.27 |
| Yuba City, CACalifornia | — | $649.27 |
| ConnecticutConnecticut | — | $682.55 |
| DelawareDelaware | — | $643.48 |
| Fort Lauderdale, FLFlorida | — | $694.03 |
| Rest of FloridaFlorida | — | $667.37 |
| Atlanta, GAGeorgia | — | $663.79 |
| Rest of GeorgiaGeorgia | — | $639.09 |
| Hawaii, Guam, HIHawaii | — | $652.16 |
| IowaIowa | — | $601.40 |
| IdahoIdaho | — | $606.34 |
| East St. Louis, ILIllinois | — | $687.66 |
| Rest of IllinoisIllinois | — | $662.56 |
| Suburban Chicago, ILIllinois | — | $697.60 |
| IndianaIndiana | — | $608.32 |
| KansasKansas | — | $605.01 |
| KentuckyKentucky | — | $623.92 |
| New Orleans, LALouisiana | — | $645.22 |
| Rest of LouisianaLouisiana | — | $625.44 |
| Metropolitan Boston, MAMassachusetts | — | $695.98 |
| Rest of MassachusettsMassachusetts | — | $654.66 |
| Baltimore area, MDMaryland | — | $681.59 |
| Rest of MarylandMaryland | — | $650.98 |
| Rest of MaineMaine | — | $614.20 |
| Southern Maine, MEMaine | — | $627.84 |
| Detroit, MIMichigan | — | $678.69 |
| Rest of MichiganMichigan | — | $639.66 |
| MinnesotaMinnesota | — | $617.20 |
| Metropolitan Kansas City, MOMissouri | — | $636.46 |
| Metropolitan St. Louis, MOMissouri | — | $640.19 |
| Rest of MissouriMissouri | — | $622.03 |
| MississippiMississippi | — | $609.44 |
| MontanaMontana | — | $648.87 |
| North CarolinaNorth Carolina | — | $617.51 |
| North DakotaNorth Dakota | — | $617.63 |
| NebraskaNebraska | — | $601.88 |
| New HampshireNew Hampshire | — | $649.98 |
| Northern New JerseyNew Jersey | — | $708.11 |
| Rest of New JerseyNew Jersey | — | $687.59 |
| New MexicoNew Mexico | — | $644.20 |
| NevadaNevada | — | $640.35 |
| NYC suburbs and Long Island, NYNew York | — | $755.54 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $696.16 |
| Queens, NYNew York | — | $732.34 |
| Rest of New YorkNew York | — | $624.04 |
| OhioOhio | — | $633.27 |
| OklahomaOklahoma | — | $617.38 |
| Portland, OROregon | — | $662.62 |
| Rest of OregonOregon | — | $632.56 |
| Metropolitan Philadelphia, PAPennsylvania | — | $674.16 |
| Rest of PennsylvaniaPennsylvania | — | $630.88 |
| Puerto RicoPuerto Rico | — | $650.23 |
| Rhode IslandRhode Island | — | $657.20 |
| South CarolinaSouth Carolina | — | $626.97 |
| South DakotaSouth Dakota | — | $613.94 |
| TennesseeTennessee | — | $607.68 |
| Austin, TXTexas | — | $654.54 |
| Beaumont, TXTexas | — | $628.55 |
| Brazoria, TXTexas | — | $638.99 |
| Dallas, TXTexas | — | $644.44 |
| Fort Worth, TXTexas | — | $643.27 |
| Galveston, TXTexas | — | $641.89 |
| Houston, TXTexas | — | $670.81 |
| Rest of TexasTexas | — | $634.41 |
| UtahUtah | — | $632.47 |
| VirginiaVirginia | — | $630.31 |
| Virgin Islands, VIUnited States Virgin Islands | — | $650.23 |
| VermontVermont | — | $621.06 |
| Rest of WashingtonWashington | — | $651.53 |
| King County, WAWashington | — | $701.94 |
| WisconsinWisconsin | — | $604.67 |
| West VirginiaWest Virginia | — | $647.44 |
| WyomingWyoming | — | $635.26 |
54308 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 54308 rate is calculated
Each of 54308’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 · 54308
RVUs × geographic indexes × conversion factor
Work12.30
12.30 RVUs× 1.000 GPCI
Practice expense5.55
5.55 RVUs× 1.000 GPCI
Malpractice1.58
1.58 RVUs× 1.000 GPCI
Adjusted RVUs
19.4300
Conversion factor
$33.4009
Medicare rate
$648.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,274
- Code
- 54308
- Physician work
- 12.30
- Practice expense
- 5.55
- Malpractice
- 1.58
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.30 | × 1.012 | 12.4476 |
| Practice expense | 5.55 | × 1.064 | 5.9052 |
| Malpractice | 1.58 | × 0.781 | 1.2340 |
| Total RVUs | 19.5868 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$654.22
Facility: (12.3 × 1.012 + 5.55 × 1.064 + 1.58 × 0.781) × $33.4009 = $654.22
Payment rules and modifiers for 54308
54308 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54308
Urethral reconstruction, one-stage, anterior urethra
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 54308
Urethral reconstruction, one-stage, anterior urethra
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
54308 without 51 · national facility
$648.98
Urethral reconstruction, one-stage, anterior urethra
54308-51 · Second procedure: 50%
$324.49
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%).
How 54308 has changed in Colorado
54308 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $654.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $654.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $654.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $654.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $704.80 | RVU25D |
| 2025-07-01 | Not available in this setting | $704.80 | RVU25C |
| 2025-04-01 | Not available in this setting | $704.80 | RVU25B |
| 2025-01-01 | Not available in this setting | $704.80 | RVU25A |
| 2024-10-01 | Not available in this setting | $720.32 | RVU24D |
| 2024-07-01 | Not available in this setting | $720.32 | RVU24C |
| 2024-04-01 | Not available in this setting | $720.32 | RVU24B |
| 2024-03-09 | Not available in this setting | $720.32 | RVU24AR |
| 2024-01-01 | Not available in this setting | $708.56 | RVU24A |
| 2023-10-01 | Not available in this setting | $720.72 | RVU23D |
| 2023-07-01 | Not available in this setting | $720.72 | RVU23C |
| 2023-04-01 | Not available in this setting | $720.72 | RVU23B |
| 2023-01-01 | Not available in this setting | $720.72 | RVU23A |
| 2022-10-01 | Not available in this setting | $725.18 | RVU22D |
| 2022-07-01 | Not available in this setting | $725.18 | RVU22C |
| 2022-04-01 | Not available in this setting | $725.18 | RVU22B |
| 2022-01-01 | Not available in this setting | $725.18 | RVU22A |
| 2021-10-01 | Not available in this setting | $729.02 | RVU21D |
| 2021-07-01 | Not available in this setting | $729.02 | RVU21C |
| 2021-04-01 | Not available in this setting | $729.02 | RVU21B |
| 2021-01-01 | Not available in this setting | $729.02 | RVU21A |
| 2020-10-01 | Not available in this setting | $748.58 | RVU20D |
| 2020-07-01 | Not available in this setting | $748.58 | RVU20C |
| 2020-04-01 | Not available in this setting | $748.58 | RVU20B |
| 2020-01-01 | Not available in this setting | $748.58 | RVU20A |
| 2019-10-01 | Not available in this setting | $752.08 | RVU19D |
| 2019-07-01 | Not available in this setting | $752.08 | RVU19C |
| 2019-04-01 | Not available in this setting | $752.08 | RVU19B |
| 2019-01-01 | Not available in this setting | $752.08 | RVU19A |
| 2018-10-01 | Not available in this setting | $753.09 | RVU18D |
| 2018-07-01 | Not available in this setting | $753.09 | RVU18C |
| 2018-04-01 | Not available in this setting | $753.09 | RVU18B |
| 2018-01-01 | Not available in this setting | $753.09 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $747.97 | RVU17D |
| 2017-07-01 | Not available in this setting | $747.97 | RVU17C |
| 2017-04-01 | Not available in this setting | $747.97 | RVU17B |
| 2017-01-01 | Not available in this setting | $747.97 | RVU17A |
| 2016-10-01 | Not available in this setting | $742.86 | RVU16D |
| 2016-07-01 | Not available in this setting | $742.86 | RVU16C |
| 2016-04-01 | Not available in this setting | $742.86 | RVU16B |
| 2016-01-01 | Not available in this setting | $742.86 | RVU16A |
| 2015-10-01 | Not available in this setting | $743.70 | RVU15D |
| 2015-07-01 | Not available in this setting | $743.70 | RVU15C |
| 2015-04-01 | Not available in this setting | $740.00 | RVU15B |
| 2015-01-01 | Not available in this setting | $740.00 | RVU15A |
| 2014-10-01 | Not available in this setting | $727.19 | RVU14D |
| 2014-07-01 | Not available in this setting | $727.19 | RVU14C |
| 2014-04-01 | Not available in this setting | $727.19 | RVU14B |
| 2014-01-01 | Not available in this setting | $727.19 | RVU14A |
| 2013-10-01 | Not available in this setting | $699.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $699.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $699.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $699.21 | RVU13AR |
Where the Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
54308 billing questions
How is this distinguished from 54312?
Use 54312 when the one-stage reconstruction includes a free graft. Code 54308 describes the one-stage reconstruction without that free-graft distinction.
When is a staged reconstruction reported instead?
When the operative plan divides anterior urethral reconstruction into separate stages, compare 54316 for the first stage and 54318 for the second.
Does the 90-day global include related postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code.
May an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are payable only with supporting documentation; team surgery is not permitted.
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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