CPT code 54340: Hypospadias repair, complicated group, simple level2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 54340 in California.

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

What 54340 covers

Code 54340 identifies the simple level within the complicated-repair group for hypospadias. A urologist uses it for operative reconstruction of the urethral opening and penile urethra in a patient with congenital hypospadias when the documented work fits this level rather than a more extensive repair. These procedures are commonly performed in an operating room, including for pediatric patients, though the code is not limited to children.

Select the code from the operative report’s description of the reconstruction and its extent, not from the diagnosis alone. Document the anatomy addressed, the repair performed, and the reason the work meets this complicated-repair category. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this code.

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 54340 pays more and less in California

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

29 of 29 payment localities

How the 54340 rate is calculated

Each of 54340’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 54340

54340 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

54340 compared with similar codes

How to choose

54344Hypospadias repairUrethral mobilization and reconstruction

Choose 54340 for the simple level of complicated repair. Code 54344 is associated with urethral mobilization, so the operative report should support that additional work when selecting it.

54348Hypospadias repairChordee division and urethral reconstruction

This code describes a more extensive repair involving urethral mobilization and correction of chordee; 54340 represents the simple level in the complicated-repair group.

54352Hypospadias revisionPreviously repaired hypospadias

Use 54352 for revision of a prior hypospadias repair. Code 54340 describes a different repair level, not specifically revision of an earlier operation.

Codes related to 54340

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