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See a sample rate comparisonCPT 54344 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.
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.
| 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 AS - PA/NP/CNS assistant at surgery AG - Primary physician UB 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54344 |
| Medicaid Fee Schedule | View Medicaid rates for 54344 |
National average reimbursement for CPT 54344 by major payers:
$1,179.57
$1,285.07
$1,390.26
$1,559.42
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CPT 54344
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Southwest Fort Worth
$9,098.00Published rateCovenant High Plains Surgery Center, LLC, Covenant High Plains Surgery Center - 22nd Street
Covenant High Plains Surgery Center LLC
$2,169.00Published rateVictoria Ambulatory Surgery Center, Lp, The Surgery Center
Victoria Ambulatory Surgery Center Lp
$1,320.00Published rateWest Des Moines Ambulatory Surgical Center LLC, Westown Ambulatory Center
West Des Moines Ambulatory Surgical Center LLC
$897.00Published rateHowerton Surgical Center, LLC
Howerton Surgical Center LLC
$480.00Published rate
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See a sample payer proposalCPT 54344 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54344 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 54344 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 |
|---|---|---|
| 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. |
| 54348-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. |
| 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54344. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54344 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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