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CPT code 54332: Penile revision, penis and urethra2026 Medicare rate & RVUs

Reports complex revision surgery involving the penis and urethra, typically when prior reconstruction leaves anatomy requiring further operative correction.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $906.83 for 54332 nationally in a facility.

Medicare rate · 54332

Penile revision, penis and urethra

Office or facility?

Work RVUs
17.91
Total RVUs
27.15
Global days
090

National rate · 2026

$906.83

Facility setting, before claim adjustments.

See every locality for 54332 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 54332 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 54332 covers

This code represents complex revision surgery involving both penile and urethral anatomy. A urologist may perform it when a prior operation, such as hypospadias reconstruction, leaves persistent or recurrent deformity requiring operative correction. The operative report should identify the prior repair, the current anatomic problem, and the work performed on the penis and urethra; the code is not selected solely because a patient has a history of surgery.

Report the service for the documented revision procedure, distinguishing it from an initial urethral reconstruction or a more limited penile correction. The code has 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.

Where 54332 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

54332 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$844.42
AlaskaUnavailable$1,186.34
ArizonaUnavailable$888.55
ArkansasUnavailable$836.78
Atlanta, GAUnavailable$927.84
Austin, TXUnavailable$912.66
Bakersfield, CAUnavailable$910.25
Baltimore area, MDUnavailable$951.59
Beaumont, TXUnavailable$880.52
Brazoria, TXUnavailable$892.56

54332 rates by state

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

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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
54332 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 54332 rate is calculated

Each of 54332’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 · 54332

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.91

17.91 RVUs× 1.000 GPCI

Practice expense6.93

6.93 RVUs× 1.000 GPCI

Malpractice2.31

2.31 RVUs× 1.000 GPCI

Adjusted RVUs

27.1500

Conversion factor

$33.4009

Medicare rate

$906.83

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 54332

54332 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54332

Penile revision, penis and urethra

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 54332

Penile revision, penis and 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

54332 without 51 · national facility

$906.83

Penile revision, penis and urethra

54332-51 · Second procedure: 50%

$453.42

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%).

When to use modifier 51

54332 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 54332

    Penile revision, penis and urethra17.91 wRVU

    Not priced

  • 54328

    Penile reconstruction, penis and urethra16.47 wRVU

    Not priced

  • 54336

    Hypospadias repair, second stage, crippled state21.08 wRVU

    Not priced

  • 54352

    Hypospadias revision, previously repaired hypospadias25.48 wRVU

    Not priced

  • 54308

    Urethral reconstruction, one-stage, anterior urethra12.3 wRVU

    Not priced

How to choose

54328Penile reconstructionPenis and urethra
Both are in the penis-and-urethra revision family. Choose the code that matches the specific procedure documented in the operative report, not simply the diagnosis or history.
54336Hypospadias repairSecond stage, crippled state
This is another neighboring revision code. Distinguish it from 54332 by the actual operative service and the applicable full code descriptor.
54352Hypospadias revisionPreviously repaired hypospadias
54352 is specifically associated with revision of a prior hypospadias repair; 54332 represents a different penis-and-urethra revision service.
54308Urethral reconstructionOne-stage, anterior urethra
54308 describes urethral reconstruction. Use 54332 when the documented procedure is the complex revision involving penile and urethral anatomy.

Codes related to 54332

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

Codes related to 54332
CodeHow it relatesNational office range
Same family
54328Penile reconstruction, penis and urethraNeighboring code in the penis-and-urethra revision family; distinguish by the specific operative service.No office rate
54336Hypospadias repair, second stage, crippled stateAnother penis-and-urethra revision code; use the code matching the documented procedure.No office rate
Used instead
54352Hypospadias revision, previously repaired hypospadiasRevision specifically associated with a prior hypospadias repair.No office rate
54300Chordee correction, straightening, uncomplicatedPenile correction for chordee when the operative service is not this complex revision.No office rate
54308Urethral reconstruction, one-stage, anterior urethraUrethral reconstruction when the operative service is reconstruction rather than revision of penile and urethral anatomy.No office rate

54332 billing questions

When should this code be chosen over a urethroplasty code?

Use this code when the documented operation is a complex revision involving penile and urethral anatomy. A urethroplasty code describes urethral reconstruction; base selection on the operative service rather than the patient's history alone.

Is modifier 50 appropriate?

No. The CMS bilateral adjustment does not apply because the descriptor or anatomy makes modifier 50 inappropriate.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

What documentation supports reporting this revision?

Document the prior operation, the current penile and urethral findings, and the revision work performed. The operative note should make clear why the service is a revision rather than an initial reconstruction.

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
RVUs for 54332PPRRVU2026_Oct_nonQPP.csv, line 6,282 (RVU26D)

Open CMS sourceHow we calculate rates

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