No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
54332 Penile revision Medicare reimbursement rates
Reports complex revision surgery involving the penis and urethra, typically when prior reconstruction leaves anatomy requiring further operative correction. Compare 54332 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 54332?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 54332 pays more and less
Urologic surgery
About 54332: Complex penile and urethral revision
Reports complex revision surgery involving the penis and urethra, typically when prior reconstruction leaves anatomy requiring further operative correction.
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.
CMS billing rules for 54332
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.91 · 66%
- Practice expense (office) RVU6.93 · 26%
- Malpractice RVU2.31 · 9%
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.
54332 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
This is another neighboring revision code. Distinguish it from 54332 by the actual operative service and the applicable full code descriptor.
No office rate
54352 is specifically associated with revision of a prior hypospadias repair; 54332 represents a different penis-and-urethra revision service.
No office rate
54308 describes urethral reconstruction. Use 54332 when the documented procedure is the complex revision involving penile and urethral anatomy.
See how rates vary across the country
54332 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 54332 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $844.42 |
| Alaska* | Office Unavailable | Facility $1186.34 |
| Arizona | Office Unavailable | Facility $888.55 |
| Arkansas | Office Unavailable | Facility $836.78 |
| Atlanta | Office Unavailable | Facility $927.84 |
| Austin | Office Unavailable | Facility $912.66 |
| Bakersfield | Office Unavailable | Facility $910.25 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $951.59 |
| Beaumont | Office Unavailable | Facility $880.52 |
| Brazoria | Office Unavailable | Facility $892.56 |
| Chicago | Office Unavailable | Facility $1012.10 |
| Chico | Office Unavailable | Facility $903.42 |
| Colorado | Office Unavailable | Facility $911.93 |
| Connecticut | Office Unavailable | Facility $952.82 |
| Dallas | Office Unavailable | Facility $900.34 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $989.06 |
| Delaware | Office Unavailable | Facility $899.26 |
| Detroit | Office Unavailable | Facility $951.66 |
| East St. Louis | Office Unavailable | Facility $966.55 |
| El Centro | Office Unavailable | Facility $903.81 |
| Fort Lauderdale | Office Unavailable | Facility $972.19 |
| Fort Worth | Office Unavailable | Facility $899.02 |
| Fresno | Office Unavailable | Facility $903.42 |
| Galveston | Office Unavailable | Facility $896.73 |
| Hanford-Corcoran | Office Unavailable | Facility $903.42 |
| Hawaii, Guam | Office Unavailable | Facility $906.06 |
| Houston | Office Unavailable | Facility $939.01 |
| Idaho | Office Unavailable | Facility $847.66 |
| Indiana | Office Unavailable | Facility $850.28 |
| Iowa | Office Unavailable | Facility $840.63 |
| Kansas | Office Unavailable | Facility $846.34 |
| Kentucky | Office Unavailable | Facility $874.58 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $947.80 |
| Madera | Office Unavailable | Facility $903.42 |
| Manhattan | Office Unavailable | Facility $1027.83 |
| Merced | Office Unavailable | Facility $903.42 |
| Metropolitan Boston | Office Unavailable | Facility $967.78 |
| Metropolitan Kansas City | Office Unavailable | Facility $890.94 |
| Metropolitan Philadelphia | Office Unavailable | Facility $941.98 |
| Metropolitan St. Louis | Office Unavailable | Facility $895.88 |
| Miami | Office Unavailable | Facility $1034.30 |
| Minnesota | Office Unavailable | Facility $859.23 |
| Mississippi | Office Unavailable | Facility $854.52 |
| Modesto | Office Unavailable | Facility $903.42 |
| Montana** | Office Unavailable | Facility $906.68 |
| Napa | Office Unavailable | Facility $980.17 |
| Nebraska | Office Unavailable | Facility $841.02 |
| Nevada** | Office Unavailable | Facility $894.18 |
| New Hampshire | Office Unavailable | Facility $906.68 |
| New Mexico | Office Unavailable | Facility $903.13 |
| New Orleans | Office Unavailable | Facility $903.67 |
| North Carolina | Office Unavailable | Facility $863.47 |
| North Dakota** | Office Unavailable | Facility $861.00 |
| Northern Nj | Office Unavailable | Facility $986.80 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1054.99 |
| Ohio | Office Unavailable | Facility $887.31 |
| Oklahoma | Office Unavailable | Facility $864.86 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $936.62 |
| Portland | Office Unavailable | Facility $922.35 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $971.95 |
| Puerto Rico | Office Unavailable | Facility $908.22 |
| Queens | Office Unavailable | Facility $1021.35 |
| Redding | Office Unavailable | Facility $903.42 |
| Rest Of California | Office Unavailable | Facility $903.42 |
| Rest Of Florida | Office Unavailable | Facility $935.46 |
| Rest Of Georgia | Office Unavailable | Facility $896.65 |
| Rest Of Illinois | Office Unavailable | Facility $930.14 |
| Rest Of Louisiana | Office Unavailable | Facility $876.98 |
| Rest Of Maine | Office Unavailable | Facility $859.15 |
| Rest Of Maryland | Office Unavailable | Facility $909.27 |
| Rest Of Massachusetts | Office Unavailable | Facility $913.01 |
| Rest Of Michigan | Office Unavailable | Facility $896.65 |
| Rest Of Missouri | Office Unavailable | Facility $872.89 |
| Rest Of New Jersey | Office Unavailable | Facility $959.54 |
| Rest Of New York | Office Unavailable | Facility $872.35 |
| Rest Of Oregon | Office Unavailable | Facility $882.99 |
| Rest Of Pennsylvania | Office Unavailable | Facility $883.61 |
| Rest Of Texas | Office Unavailable | Facility $887.55 |
| Rest Of Washington | Office Unavailable | Facility $908.44 |
| Rhode Island | Office Unavailable | Facility $917.51 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $928.48 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $930.30 |
| Salinas | Office Unavailable | Facility $926.38 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $934.81 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1016.82 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1014.20 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1039.15 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1028.42 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $913.38 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $933.36 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $926.21 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $941.76 |
| Seattle (King Cnty) | Office Unavailable | Facility $975.17 |
| South Carolina | Office Unavailable | Facility $877.67 |
| South Dakota** | Office Unavailable | Facility $855.60 |
| Southern Maine | Office Unavailable | Facility $876.28 |
| Stockton | Office Unavailable | Facility $903.42 |
| Suburban Chicago | Office Unavailable | Facility $976.84 |
| Tennessee | Office Unavailable | Facility $850.05 |
| Utah | Office Unavailable | Facility $885.08 |
| Vallejo | Office Unavailable | Facility $976.39 |
| Vermont | Office Unavailable | Facility $866.40 |
| Virgin Islands | Office Unavailable | Facility $908.22 |
| Virginia | Office Unavailable | Facility $880.22 |
| Visalia | Office Unavailable | Facility $903.42 |
| West Virginia | Office Unavailable | Facility $909.77 |
| Wisconsin | Office Unavailable | Facility $843.72 |
| Wyoming** | Office Unavailable | Facility $886.77 |
| Yuba City | Office Unavailable | Facility $903.42 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,27954324,,Reconstruction of urethra,A,,17.11,6.74,NA,6.74,,2.19,26.04,26.04,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28054326,,Reconstruction of urethra,A,,16.59,6.66,NA,6.66,,2.13,25.38,25.38,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28154328,,Revise penis/urethra,A,,16.47,6.64,NA,6.64,,2.12,25.23,25.23,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28254332,,Revise penis/urethra,A,,17.91,6.93,NA,6.93,,2.31,27.15,27.15,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28354336,,Revise penis/urethra,A,,21.08,8.08,NA,8.08,,2.71,31.87,31.87,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28454340,,Rpr hypspad comp simple,A,,9.47,4.90,NA,4.90,,1.22,15.59,15.59,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28554344,,Rrp hypspad comp moblj&urtp,A,,16.63,6.66,NA,6.66,,2.14,25.43,25.43,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00