No office rate
Choose 54340 for a simple hypospadias repair. This code is for the more complex repair that includes chordee division and urethral reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
54348 Hypospadias repair Medicare reimbursement rates in Pennsylvania
Reports complex congenital hypospadias repair involving correction of penile curvature and reconstruction of the urethra during the same operation. Compare 54348 office and facility rates across CMS payment localities in Pennsylvania.
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 54348 in Pennsylvania?
Pennsylvania 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
$884.39–$943.07
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 54348: Complicated hypospadias repair with chordee correction
Reports complex congenital hypospadias repair involving correction of penile curvature and reconstruction of the urethra during the same operation.
This operation corrects congenital hypospadias when treatment includes releasing the penile curvature, or chordee, and reconstructing the urethral channel. A urologist typically performs it in an operating room, often for a child with an abnormally positioned urethral opening and associated curvature. The operative work addresses both the penile deformity and urethral reconstruction, rather than a simple repair or chordee correction alone.
Select this code when the operative report supports the complex repair, chordee division, and urethral reconstruction. Document the relevant anatomy, the curvature treated, and the reconstructive steps. CMS assigns 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. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 54348
- 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 RVU17.86 · 66%
- Practice expense (office) RVU7.01 · 26%
- Malpractice RVU2.31 · 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.
54348 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Both describe complicated hypospadias repair with urethral reconstruction. The operative distinction is urethral mobilization for 54344 versus chordee division for this code.
No office rate
54300 describes penile chordee correction without the full hypospadias repair and urethral reconstruction represented here.
Compare 54348 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$943.07
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$884.39
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54348 billing questions
How does this differ from 54344?
Use 54348 when the complicated repair includes division of chordee and urethral reconstruction. Code 54344 describes a complicated repair involving urethral mobilization and urethral reconstruction.
When is 54340 a better fit?
54340 is for a simple hypospadias repair. This code represents a more involved operation that includes chordee division and urethral reconstruction.
Can chordee correction be reported separately?
The chordee division is part of the service represented by this code. Do not separately report a chordee procedure for the same work.
Should modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How does the multiple-procedure reduction work?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery 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.
6,28354336,,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
6,28954380,,Repair penis,A,,13.83,6.06,NA,6.06,,1.77,21.66,21.66,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00