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See a sample rate comparisonCPT 54324 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Urethroplasty By Local Skin Flaps (Eg Flip-Flap Prepucial Flap)
| 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 GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54324 |
| Medicaid Fee Schedule | View Medicaid rates for 54324 |
National average reimbursement for CPT 54324 by major payers:
$1,250.08
$1,304.03
$1,414.10
$1,587.64
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CPT 54324
5 of 25 sample ratesHigher to lower in this preview
Glbesc, LLC, Memorialcare Outpatient Surgical Center Long Beach
Glbesc LLC
$6,544.00Published rateEastern Pennsylvania Endoscopy Center, LLC
Eastern Pennsylvania Endoscopy Center LLC
$4,100.00Published rateAthens Orthopedic Clinic Ambulatory Surgery Center-Loganville, LLC
$2,999.00Published rateDoctors Gi Partnership Ltd, Hf Surgery Center At Babcock
Doctors Gi Partnership Ltd
$1,830.00Published rateSpencer Greenwood
Deaconess Hospital Inc
$800.71Published rate
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See a sample payer proposalCPT 54324 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54324 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 54324 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 |
|---|---|---|
| 54322-CPT | Moderate | One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Simple Meatal Advancement (Eg Magpi V-Flap) |
| 54324-CPT | High | One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Urethroplasty By Local Skin Flaps (Eg Flip-Flap Prepucial Flap) |
| 54326-CPT | High | One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra |
| 54328-CPT | High | 1-Stage Distal Hypospadias Rep, 1-Stage Distal Hypospadias Repair (With Or Withoutchordee Or Circumcision) With Extensive Dissecti On To Correct Chordee And Urethroplasty With Localskin Flaps Skin Graft Patch Andor Island Flap |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54324. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54324 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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