No office rate
54340 represents a simpler complicated hypospadias repair. Report 54344 when the operative work includes extensive dissection, urethral mobilization, and urethroplasty.
On this page
CMS RVU26D · Effective 2026-10-01
54344 Hypospadias repair Medicare reimbursement rates in Kansas
Reports complex hypospadias reconstruction involving urethral mobilization and urethroplasty when the operative work exceeds a simpler repair. Compare 54344 office and facility rates across CMS payment localities in Kansas.
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.
What does Medicare pay for 54344 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$792.58
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urologic surgery
About 54344: Complicated hypospadias repair with urethroplasty
Reports complex hypospadias reconstruction involving urethral mobilization and urethroplasty when the operative work exceeds a simpler repair.
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.
CMS billing rules for 54344
- 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 RVU16.63 · 65%
- Practice expense (office) RVU6.66 · 26%
- Malpractice RVU2.14 · 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.
54344 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
54348 includes chordee correction in addition to the extensive dissection, urethral mobilization, and urethroplasty described for 54344.
No office rate
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.
No office rate
54308 describes a first-stage hypospadias repair. Choose it when the documented operative plan is staged rather than the extensive reconstruction represented by 54344.
Compare 54344 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$792.58
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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 54344 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,285
- Code
- 54344
- Physician work
- 16.63
- Practice expense
- 6.66
- Malpractice
- 2.14
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.63 | × 1.000 | 16.6300 |
| Practice expense | 6.66 | × 0.904 | 6.0206 |
| Malpractice | 2.14 | × 0.504 | 1.0786 |
| Total RVUs | 23.7292 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$792.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.63 | 1 |
| Practice expense | 6.66 | 0.904 |
| Malpractice | 2.14 | 0.504 |
(16.63 × 1 + 6.66 × 0.904 + 2.14 × 0.504) × $33.4009 = $792.58
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.
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 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.
6,28254332,,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
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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958