No office rate
Choose 54340 for a simple hypospadias repair. This code is for the more complex repair that includes chordee division and urethral reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
54348 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$900.22
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 54348: Complicated hypospadias repair with chordee correction
Reports complex congenital hypospadias repair involving correction of penile curvature and reconstruction of the urethra during the same operation.
This operation corrects congenital hypospadias when treatment includes releasing the penile curvature, or chordee, and reconstructing the urethral channel. A urologist typically performs it in an operating room, often for a child with an abnormally positioned urethral opening and associated curvature. The operative work addresses both the penile deformity and urethral reconstruction, rather than a simple repair or chordee correction alone.
Select this code when the operative report supports the complex repair, chordee division, and urethral reconstruction. Document the relevant anatomy, the curvature treated, and the reconstructive steps. CMS assigns 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. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54348
- 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 RVU17.86 · 66%
- Practice expense (office) RVU7.01 · 26%
- Malpractice RVU2.31 · 8%
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.
54348 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Both describe complicated hypospadias repair with urethral reconstruction. The operative distinction is urethral mobilization for 54344 versus chordee division for this code.
No office rate
54300 describes penile chordee correction without the full hypospadias repair and urethral reconstruction represented here.
The same code, a different location
How does Delaware compare?
54348 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 · 54348
Office
Unavailable
Facility
$845.08
No comparable office rate is available.
Arkansas
Arkansas · 54348
Office
Unavailable
Facility
$837.40
No comparable office rate is available.
Arizona
Arizona · 54348
Office
Unavailable
Facility
$889.47
No comparable office rate is available.
Bakersfield
California · 54348
Office
Unavailable
Facility
$911.48
No comparable office rate is available.
Chico
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
El Centro
California · 54348
Office
Unavailable
Facility
$905.04
No comparable office rate is available.
Fresno
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Hanford-Corcoran
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Madera
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Merced
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Modesto
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Napa
California · 54348
Office
Unavailable
Facility
$981.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54348
Office
Unavailable
Facility
$938.07
No comparable office rate is available.
Redding
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Rest Of California
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54348
Office
Unavailable
Facility
$929.71
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54348
Office
Unavailable
Facility
$931.68
No comparable office rate is available.
Salinas
California · 54348
Office
Unavailable
Facility
$927.76
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54348
Office
Unavailable
Facility
$936.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54348
Office
Unavailable
Facility
$1018.76
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54348
Office
Unavailable
Facility
$1016.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54348
Office
Unavailable
Facility
$1041.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54348
Office
Unavailable
Facility
$1030.42
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54348
Office
Unavailable
Facility
$914.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54348
Office
Unavailable
Facility
$934.90
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54348
Office
Unavailable
Facility
$927.61
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54348
Office
Unavailable
Facility
$943.32
No comparable office rate is available.
Stockton
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Vallejo
California · 54348
Office
Unavailable
Facility
$978.13
No comparable office rate is available.
Visalia
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Yuba City
California · 54348
Office
Unavailable
Facility
$904.65
No comparable office rate is available.
Colorado
Colorado · 54348
Office
Unavailable
Facility
$913.08
No comparable office rate is available.
Connecticut
Connecticut · 54348
Office
Unavailable
Facility
$954.00
No comparable office rate is available.
Fort Lauderdale
Florida · 54348
Office
Unavailable
Facility
$973.22
No comparable office rate is available.
Rest Of Florida
Florida · 54348
Office
Unavailable
Facility
$936.34
No comparable office rate is available.
Atlanta
Georgia · 54348
Office
Unavailable
Facility
$928.88
No comparable office rate is available.
Rest Of Georgia
Georgia · 54348
Office
Unavailable
Facility
$897.36
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54348
Office
Unavailable
Facility
$907.43
No comparable office rate is available.
Iowa
Iowa · 54348
Office
Unavailable
Facility
$841.41
No comparable office rate is available.
Idaho
Idaho · 54348
Office
Unavailable
Facility
$848.44
No comparable office rate is available.
East St. Louis
Illinois · 54348
Office
Unavailable
Facility
$967.34
No comparable office rate is available.
Rest Of Illinois
Illinois · 54348
Office
Unavailable
Facility
$930.91
No comparable office rate is available.
Suburban Chicago
Illinois · 54348
Office
Unavailable
Facility
$977.90
No comparable office rate is available.
Indiana
Indiana · 54348
Office
Unavailable
Facility
$851.09
No comparable office rate is available.
Kansas
Kansas · 54348
Office
Unavailable
Facility
$847.09
No comparable office rate is available.
Kentucky
Kentucky · 54348
Office
Unavailable
Facility
$875.29
No comparable office rate is available.
New Orleans
Louisiana · 54348
Office
Unavailable
Facility
$904.52
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54348
Office
Unavailable
Facility
$877.67
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54348
Office
Unavailable
Facility
$969.23
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54348
Office
Unavailable
Facility
$914.13
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54348
Office
Unavailable
Facility
$952.76
No comparable office rate is available.
Rest Of Maryland
Maryland · 54348
Office
Unavailable
Facility
$910.28
No comparable office rate is available.
Rest Of Maine
Maine · 54348
Office
Unavailable
Facility
$859.94
No comparable office rate is available.
Southern Maine
Maine · 54348
Office
Unavailable
Facility
$877.26
No comparable office rate is available.
Detroit
Michigan · 54348
Office
Unavailable
Facility
$952.57
No comparable office rate is available.
Rest Of Michigan
Michigan · 54348
Office
Unavailable
Facility
$897.42
No comparable office rate is available.
Minnesota
Minnesota · 54348
Office
Unavailable
Facility
$860.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54348
Office
Unavailable
Facility
$891.78
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54348
Office
Unavailable
Facility
$896.75
No comparable office rate is available.
Rest Of Missouri
Missouri · 54348
Office
Unavailable
Facility
$873.52
No comparable office rate is available.
Mississippi
Mississippi · 54348
Office
Unavailable
Facility
$855.15
No comparable office rate is available.
Montana**
Montana · 54348
Office
Unavailable
Facility
$907.68
No comparable office rate is available.
North Carolina
North Carolina · 54348
Office
Unavailable
Facility
$864.30
No comparable office rate is available.
North Dakota**
North Dakota · 54348
Office
Unavailable
Facility
$862.01
No comparable office rate is available.
Nebraska
Nebraska · 54348
Office
Unavailable
Facility
$841.82
No comparable office rate is available.
New Hampshire
New Hampshire · 54348
Office
Unavailable
Facility
$907.79
No comparable office rate is available.
Northern Nj
New Jersey · 54348
Office
Unavailable
Facility
$988.13
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54348
Office
Unavailable
Facility
$960.72
No comparable office rate is available.
New Mexico
New Mexico · 54348
Office
Unavailable
Facility
$903.91
No comparable office rate is available.
Nevada**
Nevada · 54348
Office
Unavailable
Facility
$895.19
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54348
Office
Unavailable
Facility
$1056.39
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54348
Office
Unavailable
Facility
$973.13
No comparable office rate is available.
Queens
New York · 54348
Office
Unavailable
Facility
$1022.73
No comparable office rate is available.
Rest Of New York
New York · 54348
Office
Unavailable
Facility
$873.21
No comparable office rate is available.
Ohio
Ohio · 54348
Office
Unavailable
Facility
$888.08
No comparable office rate is available.
Oklahoma
Oklahoma · 54348
Office
Unavailable
Facility
$865.58
No comparable office rate is available.
Portland
Oregon · 54348
Office
Unavailable
Facility
$923.62
No comparable office rate is available.
Rest Of Oregon
Oregon · 54348
Office
Unavailable
Facility
$883.98
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54348
Office
Unavailable
Facility
$943.07
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54348
Office
Unavailable
Facility
$884.39
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54348
Office
Unavailable
Facility
$909.25
No comparable office rate is available.
Rhode Island
Rhode Island · 54348
Office
Unavailable
Facility
$918.56
No comparable office rate is available.
South Carolina
South Carolina · 54348
Office
Unavailable
Facility
$878.47
No comparable office rate is available.
South Dakota**
South Dakota · 54348
Office
Unavailable
Facility
$856.60
No comparable office rate is available.
Tennessee
Tennessee · 54348
Office
Unavailable
Facility
$850.81
No comparable office rate is available.
Austin
Texas · 54348
Office
Unavailable
Facility
$913.81
No comparable office rate is available.
Beaumont
Texas · 54348
Office
Unavailable
Facility
$881.29
No comparable office rate is available.
Brazoria
Texas · 54348
Office
Unavailable
Facility
$893.53
No comparable office rate is available.
Dallas
Texas · 54348
Office
Unavailable
Facility
$901.31
No comparable office rate is available.
Fort Worth
Texas · 54348
Office
Unavailable
Facility
$899.97
No comparable office rate is available.
Galveston
Texas · 54348
Office
Unavailable
Facility
$897.70
No comparable office rate is available.
Houston
Texas · 54348
Office
Unavailable
Facility
$939.98
No comparable office rate is available.
Rest Of Texas
Texas · 54348
Office
Unavailable
Facility
$888.41
No comparable office rate is available.
Utah
Utah · 54348
Office
Unavailable
Facility
$885.92
No comparable office rate is available.
Virginia
Virginia · 54348
Office
Unavailable
Facility
$881.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54348
Office
Unavailable
Facility
$909.25
No comparable office rate is available.
Vermont
Vermont · 54348
Office
Unavailable
Facility
$867.38
No comparable office rate is available.
Rest Of Washington
Washington · 54348
Office
Unavailable
Facility
$909.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54348
Office
Unavailable
Facility
$976.69
No comparable office rate is available.
Wisconsin
Wisconsin · 54348
Office
Unavailable
Facility
$844.61
No comparable office rate is available.
West Virginia
West Virginia · 54348
Office
Unavailable
Facility
$910.42
No comparable office rate is available.
Wyoming**
Wyoming · 54348
Office
Unavailable
Facility
$887.78
No comparable office rate is available.
See how rates vary across the country
54348 · 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 54348 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$990.24
$900.22 × 110% = $990.24
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 54348 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,286
- Code
- 54348
- Physician work
- 17.86
- Practice expense
- 7.01
- Malpractice
- 2.31
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.86 | × 1.005 | 17.9493 |
| Practice expense | 7.01 | × 0.988 | 6.9259 |
| Malpractice | 2.31 | × 0.899 | 2.0767 |
| Total RVUs | 26.9519 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$900.22
Open 54348 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.86 | 1.005 |
| Practice expense | 7.01 | 0.988 |
| Malpractice | 2.31 | 0.899 |
(17.86 × 1.005 + 7.01 × 0.988 + 2.31 × 0.899) × $33.4009 = $900.22
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
54348 · 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 | $900.22 | RVU26D |
| 2026-07-01 | Not available in this setting | $900.22 | RVU26C |
| 2026-04-01 | Not available in this setting | $900.22 | RVU26B |
| 2026-01-01 | Not available in this setting | $900.22 | RVU26A |
| 2025-10-01 | Not available in this setting | $979.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $979.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $979.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $979.24 | RVU25A |
54348 billing questions
How does this differ from 54344?
Use 54348 when the complicated repair includes division of chordee and urethral reconstruction. Code 54344 describes a complicated repair involving urethral mobilization and urethral reconstruction.
When is 54340 a better fit?
54340 is for a simple hypospadias repair. This code represents a more involved operation that includes chordee division and urethral reconstruction.
Can chordee correction be reported separately?
The chordee division is part of the service represented by this code. Do not separately report a chordee procedure for the same work.
Should modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How does the multiple-procedure reduction work?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery 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 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.
6,28354336,,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
6,28754352,,Revj prior hypspad repair,A,,25.48,8.98,NA,8.98,,3.27,37.73,37.73,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28854360,,Penis plastic surgery,A,,12.46,5.48,NA,5.48,,1.61,19.55,19.55,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28954380,,Repair penis,A,,13.83,6.06,NA,6.06,,1.77,21.66,21.66,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,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