Billing code 54300: Chordee correctionMedicare rate & RVUs in Texas
Reports operative straightening of penile curvature from chordee when the repair fits the uncomplicated service rather than complex reconstruction or urethral repair.
CMS doesn’t publish an office rate for 54300 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 54300 covers
This operation corrects chordee, a tethering or curvature of the penis, commonly encountered with hypospadias. A urologist typically performs the repair in an operating room, releasing or adjusting tissue to straighten the shaft; circumcision may be performed during the same operation. The service addresses penile straightening, not reconstruction of the urethral channel itself.
Select this code when the operative report supports an uncomplicated straightening procedure; use the more complex sibling when the documented repair warrants that level. Documentation should describe the curvature, operative findings, corrective steps, and any associated urethral work. Medicare 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 multiple-procedure reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 54300 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $594.02 |
| Beaumont | Unavailable | $569.29 |
| Brazoria | Unavailable | $579.35 |
| Dallas | Unavailable | $584.32 |
| Fort Worth | Unavailable | $583.18 |
| Galveston | Unavailable | $581.99 |
| Houston | Unavailable | $608.17 |
| Rest Of Texas | Unavailable | $574.91 |
How the 54300 rate is calculated
Each of 54300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 54300
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.92Practice expense 5.27Malpractice 1.43
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 54300
54300 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54300
Chordee correction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 54300
Chordee correction
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
54300 without 51 · national facility
$588.52
Chordee correction
54300-51 · Second procedure: 50%
$294.26
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
54300 compared with similar codes
Compare codes
54300 vs 54304 vs 54360 vs 54308 vs 54352: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 54304Chordee correction
- Both address penile chordee straightening. Choose 54304 when the documented repair is complicated rather than the uncomplicated service represented by 54300.
- 54360Penile plastic surgery
- 54300 is for straightening chordee; 54360 is penile plastic surgery for a different indication, not chordee correction.
- 54308Urethral reconstruction
- 54300 corrects penile curvature, while 54308 concerns reconstruction of the urethral channel.
- 54352Hypospadias revision
- 54352 describes revision of a prior hypospadias repair. Use 54300 for the current chordee straightening service, not simply because the patient has a prior repair.
54300 billing questions
How is this code distinguished from 54304?
Use 54300 for an uncomplicated penile straightening repair. The operative documentation should support the level of complexity; 54304 is the related code for a more complicated repair.
Can circumcision be performed with this procedure?
Yes. Circumcision may be performed as part of the chordee operation; the operative report should make clear what was done.
Does modifier 50 apply when curvature involves the penis?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
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?
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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