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See a sample rate comparisonCPT 54348 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 22 - Increased Procedural Services 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54348 |
| Medicaid Fee Schedule | View Medicaid rates for 54348 |
National average reimbursement for CPT 54348 by major payers:
$1,228.35
$1,362.73
$1,412.68
$1,658.65
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CPT 54348
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Texas International Endoscopy Center, LLC, Texas International Endoscopy Center
$7,838.00Published rateSun Surgery Center Huntington LLC
$2,500.00Published rateBellevue Plastic Surgery Center, Newvue Plastic Surgery PC
Newvue Plastic Surgery, PC
$1,750.00Published rateExecutive Endoscopy, Inc., Endoscopy Center Of San Jose
Executive Endoscopy Inc
$1,320.00Published rateArizona Surgical Arts, Inc.
Arizona Surgical Arts Inc
$626.00Published rate
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See a sample payer proposalCPT 54348 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54348 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 54348 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 |
|---|---|---|
| 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) |
| 54406-CPT | Moderate | Remove Muti Comp Penis Pros, Removal Of All Components Of A Multi Component Inflatable Penile Prosthesis Without Replacement Of Prosthesis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54348. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54348 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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