No office rate
Both codes address penile straightening for chordee. Choose 54304 when fibrous tissue is excised; choose 54300 when the correction does not include that excision.
On this page
CMS RVU26D · Effective 2026-10-01
54304 Chordee correction Medicare reimbursement rates in Kentucky
Reports penile straightening for chordee when correction requires excision of fibrous tissue, with or without mobilization of the urethra. Compare 54304 office and facility rates across CMS payment localities in Kentucky.
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 54304 in Kentucky?
Kentucky 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
$650.45
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 54304: Chordee correction with fibrous tissue excision
Reports penile straightening for chordee when correction requires excision of fibrous tissue, with or without mobilization of the urethra.
This operation corrects penile curvature caused by chordee by excising fibrous tissue that contributes to the bend. The surgeon may also mobilize the urethra as needed. Pediatric urologists commonly perform it for congenital curvature, including curvature encountered in patients with hypospadias. The operative report should identify the curvature, the fibrous tissue excised, and any urethral mobilization or other reconstruction performed.
Select this code when the chordee correction includes fibrous tissue excision; penile straightening without that excision is represented by a different code. The service has a 90-day global period, which includes 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 multiple-procedure reduction. Bilateral adjustment is not appropriate. Medicare may pay for an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 54304
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.95 · 64%
- Practice expense (office) RVU5.63 · 28%
- Malpractice RVU1.66 · 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.
54304 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
54340 is for hypospadias repair. Use 54304 for chordee correction involving fibrous tissue excision rather than substituting it for a hypospadias repair.
No office rate
54360 describes penile plastic surgery for indications other than chordee. Chordee correction with fibrous tissue excision points to 54304.
Compare 54304 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$650.45
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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 54304 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,273
- Code
- 54304
- Physician work
- 12.95
- Practice expense
- 5.63
- Malpractice
- 1.66
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.95 | × 1.000 | 12.9500 |
| Practice expense | 5.63 | × 0.889 | 5.0051 |
| Malpractice | 1.66 | × 0.915 | 1.5189 |
| Total RVUs | 19.4740 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$650.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.95 | 1 |
| Practice expense | 5.63 | 0.889 |
| Malpractice | 1.66 | 0.915 |
(12.95 × 1 + 5.63 × 0.889 + 1.66 × 0.915) × $33.4009 = $650.45
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.
54304 billing questions
How does this differ from 54300?
Use 54304 when chordee correction includes excision of fibrous tissue. Code 54300 represents penile straightening without that excision.
Does urethral mobilization change code selection?
No. The distinguishing feature is excision of fibrous tissue for chordee correction; urethral mobilization may be performed with the service.
Is postoperative care included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for correction on both sides?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant surgeon be reported?
CMS allows payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
What should the operative note support?
Document the chordee and its correction, specifically the fibrous tissue excised, and describe any urethral mobilization or additional 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 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.
6,27054250,26,Nctrnl pen tmscn&/rgdity tst,A,,2.16,0.90,,0.90,,0.20,3.26,3.26,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27154250,TC,Nctrnl pen tmscn&/rgdity tst,A,,0.00,0.43,,0.43,NA,0.01,0.44,0.44,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
6,27254300,,Revision of penis,A,,10.92,5.27,NA,5.27,,1.43,17.62,17.62,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27354304,,Revision of penis,A,,12.95,5.63,NA,5.63,,1.66,20.24,20.24,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27454308,,Reconstruction of urethra,A,,12.30,5.55,NA,5.55,,1.58,19.43,19.43,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27554312,,Reconstruction of urethra,A,,14.15,6.21,NA,6.21,,1.82,22.18,22.18,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27654316,,Reconstruction of urethra,A,,17.60,6.87,NA,6.87,,2.26,26.73,26.73,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631