CPT code 54318: Urethral reconstruction, second stage2026 Medicare rate & RVUs in Iowa

In Iowa, Medicare pays $599.71 for 54318 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 54318 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 54318 covers

This code represents the planned second operation in a staged reconstruction of the male anterior urethra. The surgeon completes the urethral channel using tissue shaped or prepared during the initial operation, often closing a temporary urethral opening. Urologists typically perform the procedure in an operating room when a urethral defect or stricture is managed in stages rather than reconstructed in one operation.

Report it for the second stage, not for the initial preparation or a one-stage repair. The operative report should identify the prior staged reconstruction and describe the work completing the urethra. Medicare assigns a 90-day global period, including 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 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 Iowa compares for 54318

Across 109 of 109 payment localities, the facility rate for 54318 runs from $595.19 in Arkansas to $838.70 in Alaska. Iowa pays $599.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

54318 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 54318 in every payment locality

How the 54318 rate is calculated

Each of 54318’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.

Payment rules and modifiers for 54318

54318 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 54318

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 54318 has changed in Iowa

Price 54318 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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

Open CMS sourceHow we calculate rates