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See a sample rate comparisonCPT 54336 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 Perineal Hypospadias, One Stage Perineal Hypospadias Repair Requiring Extensivedissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube Andor Island 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 22 - Increased Procedural Services 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54336 |
| Medicaid Fee Schedule | View Medicaid rates for 54336 |
National average reimbursement for CPT 54336 by major payers:
$1,430.67
$1,601.59
$1,654.44
$1,952.12
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CPT 54336
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Beltway Surgery Center Springmill
$6,285.00Published rateOutpatient Surgical Center Of Arizona, LLC
Outpatient Surgical Center Of Arizona LLC
$2,150.00Published rateFirst Street Surgery Center Inc.
First Street Surgery Center Inc
$1,650.00Published rateSan Antonio Surgery Center, The Center For Special Surgery @ Tca
$1,320.00Published ratePhysicians Surgery Center LLC
$965.00Published rate
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See a sample payer proposalCPT 54336 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54336 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 54336 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 |
|---|---|---|
| 54332-CPT | High | One Stage Proximal Penile Or P, One Stage Proximal Penile Or Penoscrotal Hypospadias Repair Requiring Extensive Dissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube Andor Island Flap |
| 54336-CPT | High | One Stage Perineal Hypospadias, One Stage Perineal Hypospadias Repair Requiring Extensivedissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube Andor Island Flap |
| 54340-CPT | Moderate | Repair Urinary Complication, Surgery To Repair A Complication Of Hypospadias A Condition Present Since Birth Where The Urine Exits The Underside Of The Penis. The Repair May Involve A Skin Graft And Removal Of Scar Tissue Or Connective Tissue. |
| 54344-CPT | High | Repair Urinary Complication, Surgery To Repair A Complication Of Hypospadias A Condition Present Since Birth Where The Urine Exits The Underside Of The Penis. The Repair May Involve A Skin Graft And Removal Of Scar Tissue Or Connective Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54336. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54336 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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