No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
54352 Hypospadias revision Medicare reimbursement rates in Wisconsin
Surgical revision of a prior hypospadias repair addresses recurrent urethral or penile problems, such as a fistula, narrowing, or persistent curvature. Compare 54352 office and facility rates across CMS payment localities in Wisconsin.
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 54352 in Wisconsin?
Wisconsin has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1172.04
1 of 1 localities have a supported rate.
Payment area: Wisconsin
One mapped payment locality.
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.
Urology surgery
About 54352: Revision of prior hypospadias repair
Surgical revision of a prior hypospadias repair addresses recurrent urethral or penile problems, such as a fistula, narrowing, or persistent curvature.
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.
CMS billing rules for 54352
- 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 RVU25.48 · 68%
- Practice expense (office) RVU8.98 · 24%
- Malpractice RVU3.27 · 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.
54352 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
Use 54352 for revision of a prior hypospadias repair. Code 54344 is a separate complication-repair option when its specific operative criteria are met.
No office rate
Code 54348 is another hypospadias complication-repair option. Code 54352 identifies revision of the prior repair; the operative details determine which service applies.
No office rate
Code 54308 is a urethral reconstruction option for a different repair circumstance. Code 54352 is for revising a previously repaired hypospadias.
Compare 54352 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.
1 of 1 payment localities
Wisconsin →
Office / nonfacility
Unavailable
Facility
$1172.04
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 54352 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
6,287
- Code
- 54352
- Physician work
- 25.48
- Practice expense
- 8.98
- Malpractice
- 3.27
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.48 | × 1.000 | 25.4800 |
| Practice expense | 8.98 | × 0.958 | 8.6028 |
| Malpractice | 3.27 | × 0.308 | 1.0072 |
| Total RVUs | 35.0900 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$1172.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.48 | 1 |
| Practice expense | 8.98 | 0.958 |
| Malpractice | 3.27 | 0.308 |
(25.48 × 1 + 8.98 × 0.958 + 3.27 × 0.308) × $33.4009 = $1172.04
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
6,28454340,,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
6,29054385,,Repair penis,A,,16.15,6.92,NA,6.92,,2.08,25.15,25.15,0,090,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,