CPT code 54352: Hypospadias revision2026 Medicare rate & RVUs in Virginia
Surgical revision of a prior hypospadias repair addresses recurrent urethral or penile problems, such as a fistula, narrowing, or persistent curvature.
CMS doesn’t publish an office rate for 54352 in Virginia.
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 54352 covers
A urologist performs this operation to correct a structural problem that persists or develops after an earlier hypospadias repair. Revision may involve rebuilding the urethra or correcting associated penile curvature or deformity. Common reasons for reoperation include a urethrocutaneous fistula, narrowing at the reconstructed urethra or meatus, or recurrent curvature. The procedure is generally performed in an operating room, often by a pediatric or reconstructive urologist.
Report the code when the operative work revises a previously repaired hypospadias, rather than treating it as a first repair. The operative report should identify the prior repair, the current anatomic problem, and the revision performed. Urethral reconstruction and correction of curvature that form part of the revision are included in the service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 54352 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | Unavailable | $1,371.90 |
| Virginia | Unavailable | $1,223.01 |
How the 54352 rate is calculated
Each of 54352’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 · 54352
RVUs × geographic indexes × conversion factor
Work25.48
25.48 RVUs× 1.000 GPCI
Practice expense8.98
8.98 RVUs× 1.000 GPCI
Malpractice3.27
3.27 RVUs× 1.000 GPCI
Adjusted RVUs
37.7300
Conversion factor
$33.4009
Medicare rate
$1,260.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 54352
54352 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 54352
Hypospadias revision
| 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 · 54352
Hypospadias revision
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
54352 without 51 · national facility
$1,260.22
Hypospadias revision
54352-51 · Second procedure: 50%
$630.11
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%).
54352 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 54340Hypospadias repair
- This code addresses revision of a previously repaired hypospadias. Code 54340 describes a simple hypospadias complication repair; select based on the documented operation and applicable criteria.
- 54344Hypospadias repair
- Use 54352 for revision of a prior hypospadias repair. Code 54344 is a separate complication-repair option when its specific operative criteria are met.
- 54348Hypospadias repair
- Code 54348 is another hypospadias complication-repair option. Code 54352 identifies revision of the prior repair; the operative details determine which service applies.
- 54308Urethral reconstruction
- Code 54308 is a urethral reconstruction option for a different repair circumstance. Code 54352 is for revising a previously repaired hypospadias.
54352 billing questions
When should I report this instead of a code for an initial hypospadias repair?
Use this code when the operation revises a previously repaired hypospadias. A first-time reconstruction is coded according to the applicable repair service, not as a revision.
Can urethral reconstruction or curvature correction be reported separately?
Those elements are included when they are part of the revision of the prior hypospadias repair. The operative report should describe the problem and the work performed.
Should modifier 50 be appended for a bilateral procedure?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and additional procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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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