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Billing code 54344: Hypospadias repairMedicare rate & RVUs

Reports complex hypospadias reconstruction involving urethral mobilization and urethroplasty when the operative work exceeds a simpler repair.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $849.38 for 54344 nationally in a facility.

Medicare rate · 54344

Hypospadias repair

Swap in your local Medicare rate.

Work RVUs
16.63
Total RVUs
25.43
Global days
090

National rate · 2026

$849.38

Facility setting, before claim adjustments.

See every locality for 54344 → · 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 54344 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 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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

54344 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$790.56
Alaska*Unavailable$1,109.48
ArizonaUnavailable$832.20
ArkansasUnavailable$783.35
AtlantaUnavailable$868.98
AustinUnavailable$855.25
BakersfieldUnavailable$853.35
Baltimore/Surr. CntysUnavailable$891.45
BeaumontUnavailable$824.29
BrazoriaUnavailable$836.10

54344 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

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View every state and territory as a table
54344 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 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.

How the rate is built · 54344

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 16.63Practice expense 6.66Malpractice 2.14

25.4300 adjusted RVUs×$33.4009 conversion factor=$849.38

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

Payment rules and modifiers for 54344

54344 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 54344

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 · 54344

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

54344 without 51 · national facility

$849.38

Hypospadias repair

54344-51 · Second procedure: 50%

$424.69

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

54344 compared with similar codes

Compare codes

54344 vs 54340 vs 54348 vs 54352 vs 54308: national Medicare rates

Swap in your local Medicare rate.

  • 54344
    Hypospadias repair · 16.63 wRVU
    —
  • 54340
    Hypospadias repair · 9.47 wRVU
    —
  • 54348
    Hypospadias repair · 17.86 wRVU
    —
  • 54352
    Hypospadias revision · 25.48 wRVU
    —
  • 54308
    Urethral reconstruction · 12.3 wRVU
    —

How to choose

54340Hypospadias repair
54340 represents a simpler complicated hypospadias repair. Report 54344 when the operative work includes extensive dissection, urethral mobilization, and urethroplasty.
54348Hypospadias repair
54348 includes chordee correction in addition to the extensive dissection, urethral mobilization, and urethroplasty described for 54344.
54352Hypospadias revision
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 reconstruction
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.

Codes related to 54344
CodeHow it relatesNational office range
Same family
54340Hypospadias repairRelated complicated hypospadias repair with a simpler operative scope.No office rate
54348Hypospadias repairAdds chordee correction to the extensive reconstruction.No office rate
Used instead
54352Hypospadias revisionFor revision of a prior hypospadias repair rather than the repair represented by 54344.No office rate
54308Urethral reconstructionA first-stage hypospadias repair when the planned reconstruction is staged.No office rate

54344 billing questions

How does 54344 differ from 54348?

54348 includes chordee correction along with the extensive dissection, urethral mobilization, and urethroplasty. Use 54344 when the documented reconstruction does not include that chordee correction.

When is 54344 more appropriate than 54340?

Choose 54344 when the repair includes extensive dissection, mobilization of the urethra, and urethroplasty. The operative note should support those specific elements rather than a simpler complicated repair.

What documentation supports reporting 54344?

Document the hypospadias anatomy, extent of dissection, urethral mobilization, and urethroplasty performed. The operative description should make clear why the reconstruction required this level of work.

Does the 90-day global period include postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can another procedure be reported in the same session?

A separately reportable procedure may be subject to the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%. The operative record should support each procedure reported.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services 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
RVUs for 54344PPRRVU2026_Oct_nonQPP.csv, line 6,285 (RVU26D)

Open CMS sourceHow we calculate rates

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