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Billing code 54336: Hypospadias repairMedicare rate & RVUs

Reports the second operation in a staged reconstruction for severe, previously operated hypospadias when the surgeon completes urethral reconstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,064.49 for 54336 nationally in a facility.

Medicare rate · 54336

Hypospadias repair

Swap in your local Medicare rate.

Work RVUs
21.08
Total RVUs
31.87
Global days
090

National rate · 2026

$1,064.49

Facility setting, before claim adjustments.

See every locality for 54336 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 54336 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 54336 covers

A urologist uses this code for the second stage of reconstructing severe hypospadias in a previously operated or otherwise extensively damaged penis. After the first-stage procedure has prepared tissue for reconstruction, the surgeon completes the urethral repair, typically by forming a urethral channel from the prepared tissue. This is major reconstructive surgery, generally performed in an operating room rather than as a minor office correction.

Report the code for the second-stage operation, not the preparatory first stage or a one-stage repair. The operative report should establish the history and severity of the prior repair, the staged plan, and the reconstructive work completed at this operation. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. 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 54336 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

54336 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$991.47
Alaska*Unavailable$1,393.43
ArizonaUnavailable$1,043.09
ArkansasUnavailable$982.53
AtlantaUnavailable$1,089.11
AustinUnavailable$1,071.23
BakersfieldUnavailable$1,068.38
Baltimore/Surr. CntysUnavailable$1,116.91
BeaumontUnavailable$1,033.77
BrazoriaUnavailable$1,047.78

54336 rates by state

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

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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
54336 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 54336 rate is calculated

Each of 54336’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 · 54336

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 21.08Practice expense 8.08Malpractice 2.71

31.8700 adjusted RVUs×$33.4009 conversion factor=$1,064.49

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 54336

54336 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54336

Hypospadias repair

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 · 54336

Hypospadias repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

54336 without 51 · national facility

$1,064.49

Hypospadias repair

54336-51 · Second procedure: 50%

$532.25

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

54336 compared with similar codes

Compare codes

54336 vs 54332 vs 54328 vs 54352 vs 54340: national Medicare rates

Swap in your local Medicare rate.

  • 54336
    Hypospadias repair · 21.08 wRVU
    —
  • 54332
    Penile revision · 17.91 wRVU
    —
  • 54328
    Penile reconstruction · 16.47 wRVU
    —
  • 54352
    Hypospadias revision · 25.48 wRVU
    —
  • 54340
    Hypospadias repair · 9.47 wRVU
    —

How to choose

54332Penile revision
54332 is the first-stage procedure in the crippled-state staged reconstruction; 54336 is the second-stage completion.
54328Penile reconstruction
54328 describes a one-stage crippled-state repair. Choose 54336 when the documented operation completes a two-stage reconstruction.
54352Hypospadias revision
54352 is used for revision of a prior hypospadias repair. 54336 is specific to the second stage of a crippled-state reconstruction.
54340Hypospadias repair
54340 addresses complicated hypospadias repair, such as repair involving a fistula or stricture; 54336 describes the second stage of crippled-state reconstruction.

Codes related to 54336

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

Codes related to 54336
CodeHow it relatesNational office range
Same family
54332Penile revisionFirst-stage operation in the staged crippled-state hypospadias reconstruction.No office rate
Used instead
54328Penile reconstructionOne-stage repair for crippled-state hypospadias rather than completion of a staged repair.No office rate
54352Hypospadias revisionRevision of a prior hypospadias repair when the procedure is not the second stage described here.No office rate
54340Hypospadias repairComplicated hypospadias repair, such as correction of a fistula or stricture, rather than staged crippled-state reconstruction.No office rate

54336 billing questions

When should 54336 be reported instead of 54332?

Use 54336 for the second-stage operation in a staged crippled-state hypospadias reconstruction. Code 54332 describes the first stage.

How does 54336 differ from 54328?

54336 is for the second stage of a two-stage reconstruction. 54328 describes a one-stage repair in the crippled state.

What documentation supports the second-stage code?

Document the prior repair and resulting severity, the staged reconstruction plan, and the operative work that completes the urethral reconstruction.

Are the preoperative and postoperative visits separately included?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

Can modifier 50 be used for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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 54336PPRRVU2026_Oct_nonQPP.csv, line 6,283 (RVU26D)

Open CMS sourceHow we calculate rates

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