No office rate
Choose 54308 for the first stage of a staged repair; 54322 represents the later reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
54322 Urethral reconstruction Medicare reimbursement rates in Missouri
Reports the second operation in a staged hypospadias repair, reconstructing the urethral passage from tissue prepared during the earlier stage. Compare 54322 office and facility rates across CMS payment localities in Missouri.
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 54322 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$676.87–$695.71
3 of 3 localities have a supported rate.
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.
Where 54322 pays more and less in Missouri
Urology surgery
About 54322: Second-stage hypospadias urethral reconstruction
Reports the second operation in a staged hypospadias repair, reconstructing the urethral passage from tissue prepared during the earlier stage.
This code represents the later operation in a planned staged repair of hypospadias. The surgeon uses tissue prepared during the first operation to form or complete the urethral passage; correction of associated chordee may also be performed. Pediatric urologists commonly perform this reconstruction in a hospital or ambulatory surgical setting, although the code is not limited to pediatric patients.
Select the code when the operative report documents a second-stage reconstruction, rather than a first-stage or one-stage repair. Documentation should identify the prior staged operation, the urethral reconstruction performed, and any chordee correction. The 90-day global period 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 54322
- 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 RVU13.63 · 65%
- Practice expense (office) RVU5.72 · 27%
- Malpractice RVU1.75 · 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.
54322 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
54324 is a one-stage repair for hypospadias distal to midshaft. Use 54322 when the reconstruction is the second stage of a planned repair.
No office rate
54326 is a one-stage repair for more proximal hypospadias, extending from midshaft toward the perineum. Code 54322 identifies a second-stage procedure.
Compare 54322 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$691.76
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$695.71
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$676.87
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54322 billing questions
How does this code differ from 54308?
54322 describes the later, second-stage operation in a staged hypospadias repair. Code 54308 is for the first stage.
Can chordee correction be part of this service?
Yes. The reconstruction may include chordee correction; the operative report should describe the work performed.
When is a one-stage hypospadias repair code more appropriate?
Use a one-stage repair code when the surgeon completes the reconstruction in a single operation, rather than returning for the planned second stage.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
CMS permits payment for an assistant at surgery. Co-surgeons and team surgery are not permitted for this code.
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.
6,27554312,,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
6,27754318,,Reconstruction of urethra,A,,12.12,5.70,NA,5.70,,1.56,19.38,19.38,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27854322,,Reconstruction of urethra,A,,13.63,5.72,NA,5.72,,1.75,21.10,21.10,0,090,0.10,0.80,0.10,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,27954324,,Reconstruction of urethra,A,,17.11,6.74,NA,6.74,,2.19,26.04,26.04,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28054326,,Reconstruction of urethra,A,,16.59,6.66,NA,6.66,,2.13,25.38,25.38,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,28154328,,Revise penis/urethra,A,,16.47,6.64,NA,6.64,,2.12,25.23,25.23,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00