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CMS RVU26D · Effective 2026-10-01

54300 Chordee correction Medicare reimbursement rates in Virginia

Reports operative straightening of penile curvature from chordee when the repair fits the uncomplicated service rather than complex reconstruction or urethral repair. Compare 54300 office and facility rates across CMS payment localities in Virginia.

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 54300 in Virginia?

Virginia 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

$571.49–$644.95

2 of 2 localities have a supported rate.

Lowest: Virginia

Highest: Dc + Md/Va Suburbs

A spread of $73.46 per service.

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.

Find 54300 in your payment locality →

Urologic surgery

About 54300: Uncomplicated penile chordee straightening

Reports operative straightening of penile curvature from chordee when the repair fits the uncomplicated service rather than complex reconstruction or urethral repair.

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.

CMS billing rules for 54300

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 RVU10.92 · 62%
  • Practice expense (office) RVU5.27 · 30%
  • Malpractice RVU1.43 · 8%

205

Medicare services in 2024 · #4309 by national volume

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.

54300 compared with similar codes

Office rates for Virginia, from the same CMS release.

54304

Chordee correction

With fibrous tissue excision

No office rate

Both address penile chordee straightening. Choose 54304 when the documented repair is complicated rather than the uncomplicated service represented by 54300.

54360

Penile plastic surgery

Curvature correction

No office rate

54300 is for straightening chordee; 54360 is penile plastic surgery for a different indication, not chordee correction.

54308

Urethral reconstruction

One-stage, anterior urethra

No office rate

54300 corrects penile curvature, while 54308 concerns reconstruction of the urethral channel.

54352

Hypospadias revision

Previously repaired hypospadias

No office rate

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.

Compare 54300 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

Office and facility base rates · shared scale starting at $0

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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 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.

RVUs for 54300PPRRVU2026_Oct_nonQPP.csv, line 6,272 (RVU26D)