CPT code 54324: Hypospadias repair, midshaft to proximal penile2026 Medicare rate & RVUs in Maine
One-stage reconstruction for hypospadias with a midshaft or proximal penile opening, reported when the surgeon repairs the urethra in a single operation.
CMS doesn’t publish an office rate for 54324 in Maine.
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 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 in Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | Unavailable | $824.10 |
| Southern Maine, ME | Unavailable | $840.74 |
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.
How the rate is built · 54324
RVUs × geographic indexes × conversion factor
Work17.11
17.11 RVUs× 1.000 GPCI
Practice expense6.74
6.74 RVUs× 1.000 GPCI
Malpractice2.19
2.19 RVUs× 1.000 GPCI
Adjusted RVUs
26.0400
Conversion factor
$33.4009
Medicare rate
$869.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54324
54324 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54324
Hypospadias repair, midshaft to proximal penile
| 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 · 54324
Hypospadias repair, midshaft to proximal penile
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
54324 without 51 · national facility
$869.76
Hypospadias repair, midshaft to proximal penile
54324-51 · Second procedure: 50%
$434.88
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%).
54324 compared with similar codes
Compare codes · National
4 codes, side by side
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.
54324 billing questions
How does this differ from code 54322?
This code is for a midshaft-to-proximal penile opening with one-stage reconstruction. Code 54322 applies to a more distal-to-midpenile location.
How does this differ from code 54326?
Code 54326 is for a perineal opening with one-stage reconstruction. Use this code when the opening is in the midshaft-to-proximal penile region.
What documentation supports selecting this code?
The operative report should state the urethral opening's location and describe the reconstruction completed in one operation.
Is modifier 50 appropriate?
No. The CMS bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.
How are related postoperative visits handled?
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?
An assistant at surgery may be paid. Co-surgeons are paid 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
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