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CPT code 54352: Hypospadias revision, previously repaired hypospadias2026 Medicare rate & RVUs

Surgical revision of a prior hypospadias repair addresses recurrent urethral or penile problems, such as a fistula, narrowing, or persistent curvature.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,260.22 for 54352 nationally in a facility.

Medicare rate · 54352

Hypospadias revision, previously repaired hypospadias

Office or facility?

Work RVUs
25.48
Total RVUs
37.73
Global days
090

National rate · 2026

$1,260.22

Facility setting, before claim adjustments.

See every locality for 54352 →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 54352 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 54352 covers

A urologist performs this operation to correct a structural problem that persists or develops after an earlier hypospadias repair. Revision may involve rebuilding the urethra or correcting associated penile curvature or deformity. Common reasons for reoperation include a urethrocutaneous fistula, narrowing at the reconstructed urethra or meatus, or recurrent curvature. The procedure is generally performed in an operating room, often by a pediatric or reconstructive urologist.

Report the code when the operative work revises a previously repaired hypospadias, rather than treating it as a first repair. The operative report should identify the prior repair, the current anatomic problem, and the revision performed. Urethral reconstruction and correction of curvature that form part of the revision are included in the service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. 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 54352 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

54352 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,175.32
AlaskaUnavailable$1,656.20
ArizonaUnavailable$1,235.19
ArkansasUnavailable$1,164.95
Atlanta, GAUnavailable$1,289.52
Austin, TXUnavailable$1,266.86
Bakersfield, CAUnavailable$1,262.47
Baltimore area, MDUnavailable$1,321.61
Beaumont, TXUnavailable$1,225.47
Brazoria, TXUnavailable$1,240.30

54352 rates by state

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

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Explore a state

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
54352 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 54352 rate is calculated

Each of 54352’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 · 54352

RVUs × geographic indexes × conversion factor

Office or facility?

Work25.48

25.48 RVUs× 1.000 GPCI

Practice expense8.98

8.98 RVUs× 1.000 GPCI

Malpractice3.27

3.27 RVUs× 1.000 GPCI

Adjusted RVUs

37.7300

Conversion factor

$33.4009

Medicare rate

$1,260.22

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

Payment rules and modifiers for 54352

54352 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54352

Hypospadias revision, previously repaired hypospadias

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 · 54352

Hypospadias revision, previously repaired hypospadias

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

54352 without 51 · national facility

$1,260.22

Hypospadias revision, previously repaired hypospadias

54352-51 · Second procedure: 50%

$630.11

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

54352 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 54352

    Hypospadias revision, previously repaired hypospadias25.48 wRVU

    Not priced

  • 54340

    Hypospadias repair, complicated group, simple level9.47 wRVU

    Not priced

  • 54344

    Hypospadias repair, urethral mobilization and reconstruction16.63 wRVU

    Not priced

  • 54348

    Hypospadias repair, chordee division and urethral reconstruction17.86 wRVU

    Not priced

  • 54308

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

    Not priced

How to choose

54340Hypospadias repairComplicated group, simple level
This code addresses revision of a previously repaired hypospadias. Code 54340 describes a simple hypospadias complication repair; select based on the documented operation and applicable criteria.
54344Hypospadias repairUrethral mobilization and reconstruction
Use 54352 for revision of a prior hypospadias repair. Code 54344 is a separate complication-repair option when its specific operative criteria are met.
54348Hypospadias repairChordee division and urethral reconstruction
Code 54348 is another hypospadias complication-repair option. Code 54352 identifies revision of the prior repair; the operative details determine which service applies.
54308Urethral reconstructionOne-stage, anterior urethra
Code 54308 is a urethral reconstruction option for a different repair circumstance. Code 54352 is for revising a previously repaired hypospadias.

Codes related to 54352

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

Codes related to 54352
CodeHow it relatesNational office range
Used instead
54340Hypospadias repair, complicated group, simple levelA simple hypospadias complication repair may fit this code instead of revision of the prior repair.No office rate
54344Hypospadias repair, urethral mobilization and reconstructionConsider for a complication repair when the documented service meets that code's criteria.No office rate
54348Hypospadias repair, chordee division and urethral reconstructionAnother complication-repair option; distinguish it by the specific operation documented.No office rate
54308Urethral reconstruction, one-stage, anterior urethraA urethral reconstruction option for a repair service that is not revision of a prior hypospadias repair.No office rate
54312Urethral reconstruction, hypospadias repairA related urethral reconstruction code for a different operative circumstance.No office rate

54352 billing questions

When should I report this instead of a code for an initial hypospadias repair?

Use this code when the operation revises a previously repaired hypospadias. A first-time reconstruction is coded according to the applicable repair service, not as a revision.

Can urethral reconstruction or curvature correction be reported separately?

Those elements are included when they are part of the revision of the prior hypospadias repair. The operative report should describe the problem and the work performed.

Should modifier 50 be appended for a bilateral procedure?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the 90-day global period affect follow-up billing?

The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and additional procedures are paid at 50%.

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.

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 54352PPRRVU2026_Oct_nonQPP.csv, line 6,287 (RVU26D)

Open CMS sourceHow we calculate rates

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