No office rate
54332 is the first-stage procedure in the crippled-state staged reconstruction; 54336 is the second-stage completion.
On this page
CMS RVU26D · Effective 2026-10-01
54336 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1055.63
Base rate per service
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.
Urologic surgery
About 54336: Second-stage crippled-state hypospadias repair
Reports the second operation in a staged reconstruction for severe, previously operated hypospadias when the surgeon completes urethral reconstruction.
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.
CMS billing rules for 54336
- 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 RVU21.08 · 66%
- Practice expense (office) RVU8.08 · 25%
- Malpractice RVU2.71 · 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.
54336 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
54328 describes a one-stage crippled-state repair. Choose 54336 when the documented operation completes a two-stage reconstruction.
No office rate
54352 is used for revision of a prior hypospadias repair. 54336 is specific to the second stage of a crippled-state reconstruction.
No office rate
54340 addresses complicated hypospadias repair, such as repair involving a fistula or stricture; 54336 describes the second stage of crippled-state reconstruction.
The same code, a different location
How does Delaware compare?
54336 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 54336
Office
Unavailable
Facility
$991.47
No comparable office rate is available.
Arkansas
Arkansas · 54336
Office
Unavailable
Facility
$982.53
No comparable office rate is available.
Arizona
Arizona · 54336
Office
Unavailable
Facility
$1043.09
No comparable office rate is available.
Bakersfield
California · 54336
Office
Unavailable
Facility
$1068.38
No comparable office rate is available.
Chico
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
El Centro
California · 54336
Office
Unavailable
Facility
$1060.82
No comparable office rate is available.
Fresno
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Hanford-Corcoran
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Madera
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Merced
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Modesto
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Napa
California · 54336
Office
Unavailable
Facility
$1150.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54336
Office
Unavailable
Facility
$1099.19
No comparable office rate is available.
Redding
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Rest Of California
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54336
Office
Unavailable
Facility
$1089.76
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54336
Office
Unavailable
Facility
$1091.82
No comparable office rate is available.
Salinas
California · 54336
Office
Unavailable
Facility
$1087.22
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54336
Office
Unavailable
Facility
$1097.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54336
Office
Unavailable
Facility
$1193.06
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54336
Office
Unavailable
Facility
$1189.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54336
Office
Unavailable
Facility
$1219.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54336
Office
Unavailable
Facility
$1206.64
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54336
Office
Unavailable
Facility
$1071.97
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54336
Office
Unavailable
Facility
$1095.30
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54336
Office
Unavailable
Facility
$1087.00
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54336
Office
Unavailable
Facility
$1105.14
No comparable office rate is available.
Stockton
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Vallejo
California · 54336
Office
Unavailable
Facility
$1145.70
No comparable office rate is available.
Visalia
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Yuba City
California · 54336
Office
Unavailable
Facility
$1060.37
No comparable office rate is available.
Colorado
Colorado · 54336
Office
Unavailable
Facility
$1070.38
No comparable office rate is available.
Connecticut
Connecticut · 54336
Office
Unavailable
Facility
$1118.36
No comparable office rate is available.
Fort Lauderdale
Florida · 54336
Office
Unavailable
Facility
$1141.13
No comparable office rate is available.
Rest Of Florida
Florida · 54336
Office
Unavailable
Facility
$1098.14
No comparable office rate is available.
Atlanta
Georgia · 54336
Office
Unavailable
Facility
$1089.11
No comparable office rate is available.
Rest Of Georgia
Georgia · 54336
Office
Unavailable
Facility
$1052.72
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54336
Office
Unavailable
Facility
$1063.35
No comparable office rate is available.
Iowa
Iowa · 54336
Office
Unavailable
Facility
$986.97
No comparable office rate is available.
Idaho
Idaho · 54336
Office
Unavailable
Facility
$995.19
No comparable office rate is available.
East St. Louis
Illinois · 54336
Office
Unavailable
Facility
$1134.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 54336
Office
Unavailable
Facility
$1091.97
No comparable office rate is available.
Suburban Chicago
Illinois · 54336
Office
Unavailable
Facility
$1146.58
No comparable office rate is available.
Indiana
Indiana · 54336
Office
Unavailable
Facility
$998.26
No comparable office rate is available.
Kansas
Kansas · 54336
Office
Unavailable
Facility
$993.68
No comparable office rate is available.
Kentucky
Kentucky · 54336
Office
Unavailable
Facility
$1026.84
No comparable office rate is available.
New Orleans
Louisiana · 54336
Office
Unavailable
Facility
$1060.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54336
Office
Unavailable
Facility
$1029.65
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54336
Office
Unavailable
Facility
$1135.75
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54336
Office
Unavailable
Facility
$1071.68
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54336
Office
Unavailable
Facility
$1116.91
No comparable office rate is available.
Rest Of Maryland
Maryland · 54336
Office
Unavailable
Facility
$1067.34
No comparable office rate is available.
Rest Of Maine
Maine · 54336
Office
Unavailable
Facility
$1008.68
No comparable office rate is available.
Southern Maine
Maine · 54336
Office
Unavailable
Facility
$1028.66
No comparable office rate is available.
Detroit
Michigan · 54336
Office
Unavailable
Facility
$1117.14
No comparable office rate is available.
Rest Of Michigan
Michigan · 54336
Office
Unavailable
Facility
$1052.68
No comparable office rate is available.
Minnesota
Minnesota · 54336
Office
Unavailable
Facility
$1008.59
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54336
Office
Unavailable
Facility
$1045.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54336
Office
Unavailable
Facility
$1051.71
No comparable office rate is available.
Rest Of Missouri
Missouri · 54336
Office
Unavailable
Facility
$1024.89
No comparable office rate is available.
Mississippi
Mississippi · 54336
Office
Unavailable
Facility
$1003.35
No comparable office rate is available.
Montana**
Montana · 54336
Office
Unavailable
Facility
$1064.31
No comparable office rate is available.
North Carolina
North Carolina · 54336
Office
Unavailable
Facility
$1013.73
No comparable office rate is available.
North Dakota**
North Dakota · 54336
Office
Unavailable
Facility
$1010.72
No comparable office rate is available.
Nebraska
Nebraska · 54336
Office
Unavailable
Facility
$987.40
No comparable office rate is available.
New Hampshire
New Hampshire · 54336
Office
Unavailable
Facility
$1064.24
No comparable office rate is available.
Northern Nj
New Jersey · 54336
Office
Unavailable
Facility
$1158.18
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54336
Office
Unavailable
Facility
$1126.26
No comparable office rate is available.
New Mexico
New Mexico · 54336
Office
Unavailable
Facility
$1060.28
No comparable office rate is available.
Nevada**
Nevada · 54336
Office
Unavailable
Facility
$1049.64
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54336
Office
Unavailable
Facility
$1238.13
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54336
Office
Unavailable
Facility
$1140.82
No comparable office rate is available.
Queens
New York · 54336
Office
Unavailable
Facility
$1198.67
No comparable office rate is available.
Rest Of New York
New York · 54336
Office
Unavailable
Facility
$1024.11
No comparable office rate is available.
Ohio
Ohio · 54336
Office
Unavailable
Facility
$1041.73
No comparable office rate is available.
Oklahoma
Oklahoma · 54336
Office
Unavailable
Facility
$1015.42
No comparable office rate is available.
Portland
Oregon · 54336
Office
Unavailable
Facility
$1082.54
No comparable office rate is available.
Rest Of Oregon
Oregon · 54336
Office
Unavailable
Facility
$1036.52
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54336
Office
Unavailable
Facility
$1105.70
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54336
Office
Unavailable
Facility
$1037.38
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54336
Office
Unavailable
Facility
$1066.10
No comparable office rate is available.
Rhode Island
Rhode Island · 54336
Office
Unavailable
Facility
$1076.99
No comparable office rate is available.
South Carolina
South Carolina · 54336
Office
Unavailable
Facility
$1030.40
No comparable office rate is available.
South Dakota**
South Dakota · 54336
Office
Unavailable
Facility
$1004.38
No comparable office rate is available.
Tennessee
Tennessee · 54336
Office
Unavailable
Facility
$998.02
No comparable office rate is available.
Austin
Texas · 54336
Office
Unavailable
Facility
$1071.23
No comparable office rate is available.
Beaumont
Texas · 54336
Office
Unavailable
Facility
$1033.77
No comparable office rate is available.
Brazoria
Texas · 54336
Office
Unavailable
Facility
$1047.78
No comparable office rate is available.
Dallas
Texas · 54336
Office
Unavailable
Facility
$1056.89
No comparable office rate is available.
Fort Worth
Texas · 54336
Office
Unavailable
Facility
$1055.37
No comparable office rate is available.
Galveston
Texas · 54336
Office
Unavailable
Facility
$1052.66
No comparable office rate is available.
Houston
Texas · 54336
Office
Unavailable
Facility
$1102.26
No comparable office rate is available.
Rest Of Texas
Texas · 54336
Office
Unavailable
Facility
$1041.94
No comparable office rate is available.
Utah
Utah · 54336
Office
Unavailable
Facility
$1039.06
No comparable office rate is available.
Virginia
Virginia · 54336
Office
Unavailable
Facility
$1033.29
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54336
Office
Unavailable
Facility
$1066.10
No comparable office rate is available.
Vermont
Vermont · 54336
Office
Unavailable
Facility
$1017.07
No comparable office rate is available.
Rest Of Washington
Washington · 54336
Office
Unavailable
Facility
$1066.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54336
Office
Unavailable
Facility
$1144.39
No comparable office rate is available.
Wisconsin
Wisconsin · 54336
Office
Unavailable
Facility
$990.51
No comparable office rate is available.
West Virginia
West Virginia · 54336
Office
Unavailable
Facility
$1068.15
No comparable office rate is available.
Wyoming**
Wyoming · 54336
Office
Unavailable
Facility
$1040.95
No comparable office rate is available.
See how rates vary across the country
54336 · 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 54336 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1161.19
$1055.63 × 110% = $1161.19
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 54336 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,283
- Code
- 54336
- Physician work
- 21.08
- Practice expense
- 8.08
- Malpractice
- 2.71
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.08 | × 1.005 | 21.1854 |
| Practice expense | 8.08 | × 0.988 | 7.9830 |
| Malpractice | 2.71 | × 0.899 | 2.4363 |
| Total RVUs | 31.6047 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1055.63
Open 54336 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.08 | 1.005 |
| Practice expense | 8.08 | 0.988 |
| Malpractice | 2.71 | 0.899 |
(21.08 × 1.005 + 8.08 × 0.988 + 2.71 × 0.899) × $33.4009 = $1055.63
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
54336 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1055.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $1055.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $1055.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $1055.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $1150.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $1150.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $1150.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $1150.25 | RVU25A |
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 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.
6,28054326,,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
6,28654348,,Rpr hypspad comp dsj & urtp,A,,17.86,7.01,NA,7.01,,2.31,27.18,27.18,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503