No office rate
54332 is the first-stage procedure in the crippled-state staged reconstruction; 54336 is the second-stage completion.
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CMS RVU26D · Effective 2026-10-01
54336 Hypospadias repair Medicare reimbursement rates in New Jersey
Reports the second operation in a staged reconstruction for severe, previously operated hypospadias when the surgeon completes urethral reconstruction. Compare 54336 office and facility rates across CMS payment localities in New Jersey.
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 54336 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1126.26–$1158.18
2 of 2 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.
Urologic surgery
About 54336: Second-stage crippled-state hypospadias repair
Reports the second operation in a staged reconstruction for severe, previously operated hypospadias when the surgeon completes urethral reconstruction.
A urologist uses this code for the second stage of reconstructing severe hypospadias in a previously operated or otherwise extensively damaged penis. After the first-stage procedure has prepared tissue for reconstruction, the surgeon completes the urethral repair, typically by forming a urethral channel from the prepared tissue. This is major reconstructive surgery, generally performed in an operating room rather than as a minor office correction.
Report the code for the second-stage operation, not the preparatory first stage or a one-stage repair. The operative report should establish the history and severity of the prior repair, the staged plan, and the reconstructive work completed at this operation. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54336
- 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 RVU21.08 · 66%
- Practice expense (office) RVU8.08 · 25%
- Malpractice RVU2.71 · 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.
54336 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
54328 describes a one-stage crippled-state repair. Choose 54336 when the documented operation completes a two-stage reconstruction.
No office rate
54352 is used for revision of a prior hypospadias repair. 54336 is specific to the second stage of a crippled-state reconstruction.
No office rate
54340 addresses complicated hypospadias repair, such as repair involving a fistula or stricture; 54336 describes the second stage of crippled-state reconstruction.
Compare 54336 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$1158.18
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$1126.26
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54336 billing questions
When should 54336 be reported instead of 54332?
Use 54336 for the second-stage operation in a staged crippled-state hypospadias reconstruction. Code 54332 describes the first stage.
How does 54336 differ from 54328?
54336 is for the second stage of a two-stage reconstruction. 54328 describes a one-stage repair in the crippled state.
What documentation supports the second-stage code?
Document the prior repair and resulting severity, the staged reconstruction plan, and the operative work that completes the urethral reconstruction.
Are the preoperative and postoperative visits separately included?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can modifier 50 be used for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while 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.
6,28054326,,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
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