CPT code 54322: Urethral reconstruction, second-stage hypospadias repair2026 Medicare rate & RVUs in Utah
Reports the second operation in a staged hypospadias repair, reconstructing the urethral passage from tissue prepared during the earlier stage.
In Utah, Medicare pays $687.33 for 54322 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 54322 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 54322 covers
This code represents the later operation in a planned staged repair of hypospadias. The surgeon uses tissue prepared during the first operation to form or complete the urethral passage; correction of associated chordee may also be performed. Pediatric urologists commonly perform this reconstruction in a hospital or ambulatory surgical setting, although the code is not limited to pediatric patients.
Select the code when the operative report documents a second-stage reconstruction, rather than a first-stage or one-stage repair. Documentation should identify the prior staged operation, the urethral reconstruction performed, and any chordee correction. The 90-day global period 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. An assistant at surgery may be paid; 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.
How Utah compares for 54322
Across 109 of 109 payment localities, the facility rate for 54322 runs from $649.47 in Arkansas to $918.56 in Alaska. Utah pays $687.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$687.33
- Los Angeles, CA · California$738.75+$51.42
- Washington, DC area · District of Columbia$769.96+$82.63
- Miami, FL · Florida$801.96+$114.63
- Chicago, IL · Illinois$784.60+$97.27
- Manhattan, NY · New York$799.10+$111.77
- Alaska · Alaska$918.56+$231.23
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $655.51 |
| ArkansasArkansas | — | $649.47 |
| ArizonaArizona | — | $690.42 |
| Bakersfield, CACalifornia | — | $708.90 |
| Chico, CACalifornia | — | $703.72 |
| El Centro, CACalifornia | — | $704.01 |
| Fresno, CACalifornia | — | $703.72 |
| Hanford, CACalifornia | — | $703.72 |
| Madera, CACalifornia | — | $703.72 |
| Merced, CACalifornia | — | $703.72 |
| Modesto, CACalifornia | — | $703.72 |
| Napa, CACalifornia | — | $765.44 |
| Oxnard, CACalifornia | — | $730.24 |
| Redding, CACalifornia | — | $703.72 |
| Rest of CaliforniaCalifornia | — | $703.72 |
| Riverside, CACalifornia | — | $722.70 |
| Sacramento, CACalifornia | — | $725.17 |
| Salinas, CACalifornia | — | $722.13 |
| San Diego, CACalifornia | — | $729.09 |
| Marin County, CACalifornia | — | $794.72 |
| San Francisco, CACalifornia | — | $792.73 |
| San Benito County, CACalifornia | — | $812.16 |
| Santa Clara County, CACalifornia | — | $804.04 |
| San Luis Obispo, CACalifornia | — | $711.93 |
| Santa Cruz, CACalifornia | — | $728.27 |
| Santa Maria, CACalifornia | — | $722.10 |
| Santa Rosa, CACalifornia | — | $734.86 |
| Stockton, CACalifornia | — | $703.72 |
| Vallejo, CACalifornia | — | $762.57 |
| Visalia, CACalifornia | — | $703.72 |
| Yuba City, CACalifornia | — | $703.72 |
| ColoradoColorado | — | $709.65 |
| ConnecticutConnecticut | — | $740.85 |
| DelawareDelaware | — | $698.84 |
| Fort Lauderdale, FLFlorida | — | $754.47 |
| Rest of FloridaFlorida | — | $725.75 |
| Atlanta, GAGeorgia | — | $720.93 |
| Rest of GeorgiaGeorgia | — | $695.35 |
| Hawaii, Guam, HIHawaii | — | $706.33 |
| IowaIowa | — | $653.27 |
| IdahoIdaho | — | $658.67 |
| East St. Louis, ILIllinois | — | $748.74 |
| Rest of IllinoisIllinois | — | $721.05 |
| Suburban Chicago, ILIllinois | — | $758.23 |
| IndianaIndiana | — | $660.77 |
| KansasKansas | — | $657.43 |
| KentuckyKentucky | — | $678.58 |
| New Orleans, LALouisiana | — | $701.44 |
| Rest of LouisianaLouisiana | — | $680.33 |
| Metropolitan Boston, MAMassachusetts | — | $754.06 |
| Rest of MassachusettsMassachusetts | — | $710.30 |
| Baltimore area, MDMaryland | — | $739.84 |
| Rest of MarylandMaryland | — | $706.81 |
| Rest of MaineMaine | — | $667.38 |
| Southern Maine, MEMaine | — | $681.47 |
| Detroit, MIMichigan | — | $738.17 |
| Rest of MichiganMichigan | — | $695.68 |
| MinnesotaMinnesota | — | $669.15 |
| Metropolitan Kansas City, MOMissouri | — | $691.76 |
| Metropolitan St. Louis, MOMissouri | — | $695.71 |
| Rest of MissouriMissouri | — | $676.87 |
| MississippiMississippi | — | $662.95 |
| MontanaMontana | — | $704.64 |
| North CarolinaNorth Carolina | — | $670.86 |
| North DakotaNorth Dakota | — | $670.04 |
| NebraskaNebraska | — | $653.69 |
| New HampshireNew Hampshire | — | $705.29 |
| Northern New JerseyNew Jersey | — | $767.98 |
| Rest of New JerseyNew Jersey | — | $746.22 |
| New MexicoNew Mexico | — | $700.65 |
| NevadaNevada | — | $695.19 |
| NYC suburbs and Long Island, NYNew York | — | $820.10 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $755.67 |
| Queens, NYNew York | — | $794.50 |
| Rest of New YorkNew York | — | $677.85 |
| OhioOhio | — | $688.60 |
| OklahomaOklahoma | — | $671.28 |
| Portland, OROregon | — | $718.29 |
| Rest of OregonOregon | — | $686.63 |
| Metropolitan Philadelphia, PAPennsylvania | — | $732.07 |
| Rest of PennsylvaniaPennsylvania | — | $685.88 |
| Puerto RicoPuerto Rico | — | $705.98 |
| Rhode IslandRhode Island | — | $713.40 |
| South CarolinaSouth Carolina | — | $681.47 |
| South DakotaSouth Dakota | — | $665.95 |
| TennesseeTennessee | — | $660.31 |
| Austin, TXTexas | — | $710.09 |
| Beaumont, TXTexas | — | $683.41 |
| Brazoria, TXTexas | — | $693.82 |
| Dallas, TXTexas | — | $699.79 |
| Fort Worth, TXTexas | — | $698.64 |
| Galveston, TXTexas | — | $697.01 |
| Houston, TXTexas | — | $729.04 |
| Rest of TexasTexas | — | $689.35 |
| VirginiaVirginia | — | $684.33 |
| Virgin Islands, VIUnited States Virgin Islands | — | $705.98 |
| VermontVermont | — | $673.97 |
| Rest of WashingtonWashington | — | $706.83 |
| King County, WAWashington | — | $760.19 |
| WisconsinWisconsin | — | $656.29 |
| West VirginiaWest Virginia | — | $704.92 |
| WyomingWyoming | — | $689.56 |
54322 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 54322 rate is calculated
Each of 54322’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 · 54322
RVUs × geographic indexes × conversion factor
Work13.63
13.63 RVUs× 1.000 GPCI
Practice expense5.72
5.72 RVUs× 1.000 GPCI
Malpractice1.75
1.75 RVUs× 1.000 GPCI
Adjusted RVUs
21.1000
Conversion factor
$33.4009
Medicare rate
$704.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,278
- Code
- 54322
- Physician work
- 13.63
- Practice expense
- 5.72
- Malpractice
- 1.75
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.63 | × 1.000 | 13.6300 |
| Practice expense | 5.72 | × 0.940 | 5.3768 |
| Malpractice | 1.75 | × 0.898 | 1.5715 |
| Total RVUs | 20.5783 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$687.33
Facility: (13.63 × 1 + 5.72 × 0.94 + 1.75 × 0.898) × $33.4009 = $687.33
Payment rules and modifiers for 54322
54322 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54322
Urethral reconstruction, second-stage hypospadias repair
| 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 · 54322
Urethral reconstruction, second-stage hypospadias repair
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
54322 without 51 · national facility
$704.76
Urethral reconstruction, second-stage hypospadias repair
54322-51 · Second procedure: 50%
$352.38
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 54322 has changed in Utah
54322 · 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 | $687.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $687.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $687.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $687.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $738.74 | RVU25D |
| 2025-07-01 | Not available in this setting | $738.74 | RVU25C |
| 2025-04-01 | Not available in this setting | $738.74 | RVU25B |
| 2025-01-01 | Not available in this setting | $738.74 | RVU25A |
| 2024-10-01 | Not available in this setting | $755.26 | RVU24D |
| 2024-07-01 | Not available in this setting | $755.26 | RVU24C |
| 2024-04-01 | Not available in this setting | $755.26 | RVU24B |
| 2024-03-09 | Not available in this setting | $755.26 | RVU24AR |
| 2024-01-01 | Not available in this setting | $742.94 | RVU24A |
| 2023-10-01 | Not available in this setting | $754.90 | RVU23D |
| 2023-07-01 | Not available in this setting | $754.90 | RVU23C |
| 2023-04-01 | Not available in this setting | $754.90 | RVU23B |
| 2023-01-01 | Not available in this setting | $754.90 | RVU23A |
| 2022-10-01 | Not available in this setting | $759.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $759.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $759.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $759.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $763.85 | RVU21D |
| 2021-07-01 | Not available in this setting | $763.85 | RVU21C |
| 2021-04-01 | Not available in this setting | $763.85 | RVU21B |
| 2021-01-01 | Not available in this setting | $763.85 | RVU21A |
| 2020-10-01 | Not available in this setting | $794.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $794.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $794.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $794.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $805.01 | RVU19D |
| 2019-07-01 | Not available in this setting | $805.01 | RVU19C |
| 2019-04-01 | Not available in this setting | $805.01 | RVU19B |
| 2019-01-01 | Not available in this setting | $805.01 | RVU19A |
| 2018-10-01 | Not available in this setting | $805.05 | RVU18D |
| 2018-07-01 | Not available in this setting | $805.05 | RVU18C |
| 2018-04-01 | Not available in this setting | $805.05 | RVU18B |
| 2018-01-01 | Not available in this setting | $805.05 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $792.66 | RVU17D |
| 2017-07-01 | Not available in this setting | $792.66 | RVU17C |
| 2017-04-01 | Not available in this setting | $792.66 | RVU17B |
| 2017-01-01 | Not available in this setting | $792.66 | RVU17A |
| 2016-10-01 | Not available in this setting | $780.58 | RVU16D |
| 2016-07-01 | Not available in this setting | $780.58 | RVU16C |
| 2016-04-01 | Not available in this setting | $780.58 | RVU16B |
| 2016-01-01 | Not available in this setting | $780.58 | RVU16A |
| 2015-10-01 | Not available in this setting | $795.07 | RVU15D |
| 2015-07-01 | Not available in this setting | $795.07 | RVU15C |
| 2015-04-01 | Not available in this setting | $791.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $791.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $779.54 | RVU14D |
| 2014-07-01 | Not available in this setting | $779.54 | RVU14C |
| 2014-04-01 | Not available in this setting | $779.54 | RVU14B |
| 2014-01-01 | Not available in this setting | $779.54 | RVU14A |
| 2013-10-01 | Not available in this setting | $751.64 | RVU13D |
| 2013-07-01 | Not available in this setting | $751.64 | RVU13C |
| 2013-04-01 | Not available in this setting | $751.64 | RVU13B |
| 2013-01-01 | Not available in this setting | $751.64 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
54322 billing questions
How does this code differ from 54308?
54322 describes the later, second-stage operation in a staged hypospadias repair. Code 54308 is for the first stage.
Can chordee correction be part of this service?
Yes. The reconstruction may include chordee correction; the operative report should describe the work performed.
When is a one-stage hypospadias repair code more appropriate?
Use a one-stage repair code when the surgeon completes the reconstruction in a single operation, rather than returning for the planned second stage.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
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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