CPT code 54324: Hypospadias repair, midshaft to proximal penile2026 Medicare rate & RVUs

Medicare pays $869.76 for 54324 nationally in a facility.

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

What 54324 covers

A pediatric urologist typically performs this operation for congenital hypospadias when the urethral opening is along the midshaft or proximal penile portion. The surgeon reconstructs the urethral channel in one operation; the procedure may also address associated penile curvature or provide tissue coverage as part of the reconstruction. It is generally performed in an operating room under anesthesia.

Select this code when the documented opening location and completed one-stage reconstruction match this service, rather than a repair for a more distal or perineal opening or a staged repair. The operative report should identify the meatal location, describe the urethral reconstruction, and establish that it was completed in one operation. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures 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.

Where 54324 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

54324 rates by state

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

How the 54324 rate is calculated

Each of 54324’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 54324

54324 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

54324 compared with similar codes

How to choose

54322Urethral reconstructionSecond-stage hypospadias repair

Choose 54322 for a more distal-to-midpenile opening. This code applies to a midshaft-to-proximal penile opening.

54326Urethral reconstructionPerineal hypospadias

Choose 54326 when the opening is perineal; this code addresses a midshaft-to-proximal penile opening.

54328Penile reconstructionPenis and urethra

54328 is used for a staged hypospadias repair approach. This code represents reconstruction completed in one operation.

Codes related to 54324

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

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