Billing code 54332: Penile revisionMedicare rate & RVUs in Guam
Reports complex revision surgery involving the penis and urethra, typically when prior reconstruction leaves anatomy requiring further operative correction.
CMS doesn’t publish an office rate for 54332 in Guam.
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 9 sections
What 54332 covers
This code represents complex revision surgery involving both penile and urethral anatomy. A urologist may perform it when a prior operation, such as hypospadias reconstruction, leaves persistent or recurrent deformity requiring operative correction. The operative report should identify the prior repair, the current anatomic problem, and the work performed on the penis and urethra; the code is not selected solely because a patient has a history of surgery.
Report the service for the documented revision procedure, distinguishing it from an initial urethral reconstruction or a more limited penile correction. The code has 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; 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.
54332 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $906.06 |
How the 54332 rate is calculated
Each of 54332’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 · 54332
RVUs × geographic indexes × conversion factor
Work17.91
17.91 RVUs× 1.000 GPCI
Practice expense6.93
6.93 RVUs× 1.000 GPCI
Malpractice2.31
2.31 RVUs× 1.000 GPCI
Adjusted RVUs
27.1500
Conversion factor
$33.4009
Medicare rate
$906.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54332
54332 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54332
Penile revision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54332
Penile revision
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54332 without 51 · national facility
$906.83
Penile revision
54332-51 · Second procedure: 50%
$453.42
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%).
54332 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 54328Penile reconstruction
- Both are in the penis-and-urethra revision family. Choose the code that matches the specific procedure documented in the operative report, not simply the diagnosis or history.
- 54336Hypospadias repair
- This is another neighboring revision code. Distinguish it from 54332 by the actual operative service and the applicable full code descriptor.
- 54352Hypospadias revision
- 54352 is specifically associated with revision of a prior hypospadias repair; 54332 represents a different penis-and-urethra revision service.
- 54308Urethral reconstruction
- 54308 describes urethral reconstruction. Use 54332 when the documented procedure is the complex revision involving penile and urethral anatomy.
54332 billing questions
When should this code be chosen over a urethroplasty code?
Use this code when the documented operation is a complex revision involving penile and urethral anatomy. A urethroplasty code describes urethral reconstruction; base selection on the operative service rather than the patient's history alone.
Is modifier 50 appropriate?
No. The CMS bilateral adjustment does not apply because the descriptor or anatomy makes modifier 50 inappropriate.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
What documentation supports reporting this revision?
Document the prior operation, the current penile and urethral findings, and the revision work performed. The operative note should make clear why the service is a revision rather than an initial reconstruction.
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
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