No office rate
This code addresses revision of a previously repaired hypospadias. Code 54340 describes a simple hypospadias complication repair; select based on the documented operation and applicable criteria.
On this page
CMS RVU26D · Effective 2026-10-01
54352 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1252.80
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.
Urology surgery
About 54352: Revision of prior hypospadias repair
Surgical revision of a prior hypospadias repair addresses recurrent urethral or penile problems, such as a fistula, narrowing, or persistent curvature.
A urologist performs this operation to correct a structural problem that persists or develops after an earlier hypospadias repair. Revision may involve rebuilding the urethra or correcting associated penile curvature or deformity. Common reasons for reoperation include a urethrocutaneous fistula, narrowing at the reconstructed urethra or meatus, or recurrent curvature. The procedure is generally performed in an operating room, often by a pediatric or reconstructive urologist.
Report the code when the operative work revises a previously repaired hypospadias, rather than treating it as a first repair. The operative report should identify the prior repair, the current anatomic problem, and the revision performed. Urethral reconstruction and correction of curvature that form part of the revision are included in the service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54352
- 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 RVU25.48 · 68%
- Practice expense (office) RVU8.98 · 24%
- Malpractice RVU3.27 · 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.
54352 compared with similar codes
Office rates for Madera, from the same CMS release.
No office rate
Use 54352 for revision of a prior hypospadias repair. Code 54344 is a separate complication-repair option when its specific operative criteria are met.
No office rate
Code 54348 is another hypospadias complication-repair option. Code 54352 identifies revision of the prior repair; the operative details determine which service applies.
No office rate
Code 54308 is a urethral reconstruction option for a different repair circumstance. Code 54352 is for revising a previously repaired hypospadias.
The same code, a different location
How does Madera compare?
54352 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
Unavailable
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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Modesto
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Napa
California · 54352
Office
Unavailable
Facility
$1355.48
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 54352
Office
Unavailable
Facility
$1297.46
No comparable office rate is available.
Redding
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Rest Of California
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 54352
Office
Unavailable
Facility
$1288.27
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 54352
Office
Unavailable
Facility
$1289.07
No comparable office rate is available.
Salinas
California · 54352
Office
Unavailable
Facility
$1283.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 54352
Office
Unavailable
Facility
$1294.51
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 54352
Office
Unavailable
Facility
$1404.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 54352
Office
Unavailable
Facility
$1401.24
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 54352
Office
Unavailable
Facility
$1435.73
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 54352
Office
Unavailable
Facility
$1420.55
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 54352
Office
Unavailable
Facility
$1265.70
No comparable office rate is available.
Santa Cruz-Watsonville
California · 54352
Office
Unavailable
Facility
$1291.90
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 54352
Office
Unavailable
Facility
$1283.16
No comparable office rate is available.
Santa Rosa-Petaluma
California · 54352
Office
Unavailable
Facility
$1303.46
No comparable office rate is available.
Stockton
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Vallejo
California · 54352
Office
Unavailable
Facility
$1350.12
No comparable office rate is available.
Visalia
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Yuba City
California · 54352
Office
Unavailable
Facility
$1252.80
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 54352
Office
Unavailable
Facility
$1371.90
No comparable office rate is available.
Miami
Florida · 54352
Office
Unavailable
Facility
$1439.51
No comparable office rate is available.
Chicago
Illinois · 54352
Office
Unavailable
Facility
$1409.11
No comparable office rate is available.
Manhattan
New York · 54352
Office
Unavailable
Facility
$1427.28
No comparable office rate is available.
Alaska*
Alaska · 54352
Office
Unavailable
Facility
$1656.20
No comparable office rate is available.
Alabama
Alabama · 54352
Office
Unavailable
Facility
$1175.32
No comparable office rate is available.
Arkansas
Arkansas · 54352
Office
Unavailable
Facility
$1164.95
No comparable office rate is available.
Arizona
Arizona · 54352
Office
Unavailable
Facility
$1235.19
No comparable office rate is available.
Colorado
Colorado · 54352
Office
Unavailable
Facility
$1265.71
No comparable office rate is available.
Connecticut
Connecticut · 54352
Office
Unavailable
Facility
$1323.27
No comparable office rate is available.
Delaware
Delaware · 54352
Office
Unavailable
Facility
$1249.84
No comparable office rate is available.
Fort Lauderdale
Florida · 54352
Office
Unavailable
Facility
$1352.37
No comparable office rate is available.
Rest Of Florida
Florida · 54352
Office
Unavailable
Facility
$1301.96
No comparable office rate is available.
Atlanta
Georgia · 54352
Office
Unavailable
Facility
$1289.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 54352
Office
Unavailable
Facility
$1248.79
No comparable office rate is available.
Hawaii, Guam
Hawaii · 54352
Office
Unavailable
Facility
$1255.33
No comparable office rate is available.
Iowa
Iowa · 54352
Office
Unavailable
Facility
$1168.86
No comparable office rate is available.
Idaho
Idaho · 54352
Office
Unavailable
Facility
$1178.66
No comparable office rate is available.
East St. Louis
Illinois · 54352
Office
Unavailable
Facility
$1346.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 54352
Office
Unavailable
Facility
$1295.61
No comparable office rate is available.
Suburban Chicago
Illinois · 54352
Office
Unavailable
Facility
$1358.59
No comparable office rate is available.
Indiana
Indiana · 54352
Office
Unavailable
Facility
$1182.18
No comparable office rate is available.
Kansas
Kansas · 54352
Office
Unavailable
Facility
$1177.25
No comparable office rate is available.
Kentucky
Kentucky · 54352
Office
Unavailable
Facility
$1217.64
No comparable office rate is available.
New Orleans
Louisiana · 54352
Office
Unavailable
Facility
$1257.37
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 54352
Office
Unavailable
Facility
$1221.14
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 54352
Office
Unavailable
Facility
$1341.28
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 54352
Office
Unavailable
Facility
$1267.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 54352
Office
Unavailable
Facility
$1321.61
No comparable office rate is available.
Rest Of Maryland
Maryland · 54352
Office
Unavailable
Facility
$1263.37
No comparable office rate is available.
Rest Of Maine
Maine · 54352
Office
Unavailable
Facility
$1194.94
No comparable office rate is available.
Southern Maine
Maine · 54352
Office
Unavailable
Facility
$1217.21
No comparable office rate is available.
Detroit
Michigan · 54352
Office
Unavailable
Facility
$1324.64
No comparable office rate is available.
Rest Of Michigan
Michigan · 54352
Office
Unavailable
Facility
$1248.21
No comparable office rate is available.
Minnesota
Minnesota · 54352
Office
Unavailable
Facility
$1192.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 54352
Office
Unavailable
Facility
$1239.41
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 54352
Office
Unavailable
Facility
$1246.04
No comparable office rate is available.
Rest Of Missouri
Missouri · 54352
Office
Unavailable
Facility
$1215.98
No comparable office rate is available.
Mississippi
Mississippi · 54352
Office
Unavailable
Facility
$1190.02
No comparable office rate is available.
Montana**
Montana · 54352
Office
Unavailable
Facility
$1260.00
No comparable office rate is available.
North Carolina
North Carolina · 54352
Office
Unavailable
Facility
$1200.69
No comparable office rate is available.
North Dakota**
North Dakota · 54352
Office
Unavailable
Facility
$1195.34
No comparable office rate is available.
Nebraska
Nebraska · 54352
Office
Unavailable
Facility
$1169.19
No comparable office rate is available.
New Hampshire
New Hampshire · 54352
Office
Unavailable
Facility
$1258.86
No comparable office rate is available.
Northern Nj
New Jersey · 54352
Office
Unavailable
Facility
$1369.25
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 54352
Office
Unavailable
Facility
$1332.45
No comparable office rate is available.
New Mexico
New Mexico · 54352
Office
Unavailable
Facility
$1257.27
No comparable office rate is available.
Nevada**
Nevada · 54352
Office
Unavailable
Facility
$1242.28
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 54352
Office
Unavailable
Facility
$1464.97
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 54352
Office
Unavailable
Facility
$1349.94
No comparable office rate is available.
Queens
New York · 54352
Office
Unavailable
Facility
$1417.55
No comparable office rate is available.
Rest Of New York
New York · 54352
Office
Unavailable
Facility
$1212.78
No comparable office rate is available.
Ohio
Ohio · 54352
Office
Unavailable
Facility
$1234.99
No comparable office rate is available.
Oklahoma
Oklahoma · 54352
Office
Unavailable
Facility
$1203.77
No comparable office rate is available.
Portland
Oregon · 54352
Office
Unavailable
Facility
$1279.17
No comparable office rate is available.
Rest Of Oregon
Oregon · 54352
Office
Unavailable
Facility
$1226.58
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 54352
Office
Unavailable
Facility
$1308.91
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 54352
Office
Unavailable
Facility
$1229.61
No comparable office rate is available.
Puerto Rico
Puerto Rico · 54352
Office
Unavailable
Facility
$1261.88
No comparable office rate is available.
Rhode Island
Rhode Island · 54352
Office
Unavailable
Facility
$1274.49
No comparable office rate is available.
South Carolina
South Carolina · 54352
Office
Unavailable
Facility
$1221.04
No comparable office rate is available.
South Dakota**
South Dakota · 54352
Office
Unavailable
Facility
$1187.69
No comparable office rate is available.
Tennessee
Tennessee · 54352
Office
Unavailable
Facility
$1182.35
No comparable office rate is available.
Austin
Texas · 54352
Office
Unavailable
Facility
$1266.86
No comparable office rate is available.
Beaumont
Texas · 54352
Office
Unavailable
Facility
$1225.47
No comparable office rate is available.
Brazoria
Texas · 54352
Office
Unavailable
Facility
$1240.30
No comparable office rate is available.
Dallas
Texas · 54352
Office
Unavailable
Facility
$1251.17
No comparable office rate is available.
Fort Worth
Texas · 54352
Office
Unavailable
Facility
$1249.59
No comparable office rate is available.
Galveston
Texas · 54352
Office
Unavailable
Facility
$1246.14
No comparable office rate is available.
Houston
Texas · 54352
Office
Unavailable
Facility
$1305.99
No comparable office rate is available.
Rest Of Texas
Texas · 54352
Office
Unavailable
Facility
$1234.32
No comparable office rate is available.
Utah
Utah · 54352
Office
Unavailable
Facility
$1231.08
No comparable office rate is available.
Virginia
Virginia · 54352
Office
Unavailable
Facility
$1223.01
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 54352
Office
Unavailable
Facility
$1261.88
No comparable office rate is available.
Vermont
Vermont · 54352
Office
Unavailable
Facility
$1203.26
No comparable office rate is available.
Rest Of Washington
Washington · 54352
Office
Unavailable
Facility
$1261.07
No comparable office rate is available.
Seattle (King Cnty)
Washington · 54352
Office
Unavailable
Facility
$1350.87
No comparable office rate is available.
Wisconsin
Wisconsin · 54352
Office
Unavailable
Facility
$1172.04
No comparable office rate is available.
West Virginia
West Virginia · 54352
Office
Unavailable
Facility
$1268.00
No comparable office rate is available.
Wyoming**
Wyoming · 54352
Office
Unavailable
Facility
$1231.82
No comparable office rate is available.
See how rates vary across the country
54352 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 54352 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1378.08
$1252.80 × 110% = $1378.08
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 54352 in Madera.
PPRRVU2026_Oct_nonQPP.csv
6,287
- Code
- 54352
- Physician work
- 25.48
- Practice expense
- 8.98
- Malpractice
- 3.27
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.48 | × 1.017 | 25.9132 |
| Practice expense | 8.98 | × 1.096 | 9.8421 |
| Malpractice | 3.27 | × 0.536 | 1.7527 |
| Total RVUs | 37.5080 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1252.80
Open 54352 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.48 | 1.017 |
| Practice expense | 8.98 | 1.096 |
| Malpractice | 3.27 | 0.536 |
(25.48 × 1.017 + 8.98 × 1.096 + 3.27 × 0.536) × $33.4009 = $1252.80
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
54352 · 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 | $1252.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $1252.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $1252.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $1252.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $1372.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $1372.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $1372.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $1372.48 | RVU25A |
54352 billing questions
When should I report this instead of a code for an initial hypospadias repair?
Use this code when the operation revises a previously repaired hypospadias. A first-time reconstruction is coded according to the applicable repair service, not as a revision.
Can urethral reconstruction or curvature correction be reported separately?
Those elements are included when they are part of the revision of the prior hypospadias repair. The operative report should describe the problem and the work performed.
Should modifier 50 be appended for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and additional procedures are paid at 50%.
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.
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.
6,28454340,,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
6,29054385,,Repair penis,A,,16.15,6.92,NA,6.92,,2.08,25.15,25.15,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508