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See a sample rate comparisonCPT 54300 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Plastic Operation Of Penis For, Plastic Operation Of Penis For Straightening Of Chordee (Eghypospadias) With Or Without Mobilization Of Urethra
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None SG - Scene to Hospital ESRD facility UB |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 54300 |
| Medicaid Fee Schedule | View Medicaid rates for 54300 |
National average reimbursement for CPT 54300 by major payers:
$806.40
$864.13
$948.57
$1,059.20
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CPT 54300
5 of 25 sample ratesHigher to lower in this preview
Florida Orthopaedic Institute Surgery Center LLC
$6,506.00Published rateUpnt Surgery LLC
$3,825.00Published rateMay Street Surgi Center, LLC, May Street Surgi Center
May Street Surgi Center, LLC
$2,622.00Published rateGastroenterology & Surgery Center Of Arkansas, II, LLC.
Gastroenterology Surgery Center Of Arkansas II LLC
$1,724.00Published rateOak Tree Surgery Center, LLC
Oak Tree Surgery Center, Ll, LLC
$799.00Published rate
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See a sample payer proposalCPT 54300 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54300 code is part of the Surgery services used for Surgical Procedures on the Male Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 54300 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 54300-CPT | Moderate | Plastic Operation Of Penis For, Plastic Operation Of Penis For Straightening Of Chordee (Eghypospadias) With Or Without Mobilization Of Urethra |
| 54304-CPT | Moderate | Plastic Operation On Penis For, Plastic Operation On Penis For Correction Of Chordee Or For First Stage Hypospadias Repair With Or Without Transplantation Of Prepuce Andor Skin Flaps |
| 54352-CPT | High | Revision Of Prior Hypospadias Repair Requiring Extensive Dissection And Excision Of Previously Constructed Structures Including Re-Release Of Chordee And Reconstruction Of Urethra And Penis Byuse Of Local Skin As Grafts And Island Flaps And Skin Brought In As Flaps Or Grafts (Desc Rvsd 1/1/22) |
| 54400-CPT | Moderate | Penis Implant Surgery, Surgery To Implant A Prosthesis Into The Penis. A Prosthesis May Be Semi-Rigid Or Inflatable. The Inflatable Prosthesis May Include A Pump And Reservoir As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54300 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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