CPT code 54344: Hypospadias repair, urethral mobilization and reconstruction2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 54344 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 54344 covers

This operation reconstructs the urethra in a patient with hypospadias when repair requires extensive dissection, mobilization of the urethra, and urethroplasty. A urologist typically performs it in an operating room, often for a patient whose urethral opening is not at the usual location. The operative plan and anatomy determine whether this level of reconstruction is needed; chordee correction distinguishes the related code 54348.

Report 54344 when the operative note supports the extensive dissection, urethral mobilization, and urethroplasty performed. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one 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-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 54344 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 54344 rate is calculated

Each of 54344’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 54344

54344 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

54344 compared with similar codes

How to choose

54340Hypospadias repairComplicated group, simple level

54340 represents a simpler complicated hypospadias repair. Report 54344 when the operative work includes extensive dissection, urethral mobilization, and urethroplasty.

54348Hypospadias repairChordee division and urethral reconstruction

54348 includes chordee correction in addition to the extensive dissection, urethral mobilization, and urethroplasty described for 54344.

54352Hypospadias revisionPreviously repaired hypospadias

54352 is for revision of a prior hypospadias repair. Use 54344 for the complicated reconstruction it describes, rather than a revision of an earlier repair.

54308Urethral reconstructionOne-stage, anterior urethra

54308 describes a first-stage hypospadias repair. Choose it when the documented operative plan is staged rather than the extensive reconstruction represented by 54344.

Codes related to 54344

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