CPT code 54348: Hypospadias repair, chordee division and urethral reconstruction2026 Medicare rate & RVUs in Missouri
Reports complex congenital hypospadias repair involving correction of penile curvature and reconstruction of the urethra during the same operation.
CMS doesn’t publish an office rate for 54348 in Missouri.
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 54348 covers
This operation corrects congenital hypospadias when treatment includes releasing the penile curvature, or chordee, and reconstructing the urethral channel. A urologist typically performs it in an operating room, often for a child with an abnormally positioned urethral opening and associated curvature. The operative work addresses both the penile deformity and urethral reconstruction, rather than a simple repair or chordee correction alone.
Select this code when the operative report supports the complex repair, chordee division, and urethral reconstruction. Document the relevant anatomy, the curvature treated, and the reconstructive steps. CMS assigns 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. Assistant-at-surgery payment may be made; 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 54348 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $891.78 |
| Metropolitan St. Louis, MO | Unavailable | $896.75 |
| Rest of Missouri | Unavailable | $873.52 |
How the 54348 rate is calculated
Each of 54348’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 · 54348
RVUs × geographic indexes × conversion factor
Work17.86
17.86 RVUs× 1.000 GPCI
Practice expense7.01
7.01 RVUs× 1.000 GPCI
Malpractice2.31
2.31 RVUs× 1.000 GPCI
Adjusted RVUs
27.1800
Conversion factor
$33.4009
Medicare rate
$907.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54348
54348 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54348
Hypospadias repair, chordee division and urethral reconstruction
| 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 · 54348
Hypospadias repair, chordee division and urethral reconstruction
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
54348 without 51 · national facility
$907.84
Hypospadias repair, chordee division and urethral reconstruction
54348-51 · Second procedure: 50%
$453.92
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%).
54348 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 54340Hypospadias repairComplicated group, simple level
- Choose 54340 for a simple hypospadias repair. This code is for the more complex repair that includes chordee division and urethral reconstruction.
- 54344Hypospadias repairUrethral mobilization and reconstruction
- Both describe complicated hypospadias repair with urethral reconstruction. The operative distinction is urethral mobilization for 54344 versus chordee division for this code.
- 54300Chordee correctionStraightening, uncomplicated
- 54300 describes penile chordee correction without the full hypospadias repair and urethral reconstruction represented here.
54348 billing questions
How does this differ from 54344?
Use 54348 when the complicated repair includes division of chordee and urethral reconstruction. Code 54344 describes a complicated repair involving urethral mobilization and urethral reconstruction.
When is 54340 a better fit?
54340 is for a simple hypospadias repair. This code represents a more involved operation that includes chordee division and urethral reconstruction.
Can chordee correction be reported separately?
The chordee division is part of the service represented by this code. Do not separately report a chordee procedure for the same work.
Should modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How does the multiple-procedure reduction work?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery may be paid. Co-surgeon payment requires 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
Show the CMS file lines behind this rate
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