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CPT 54322: Hypospadias Repair with Meatal Advancement or V-Flap
CPT code 54322 covers a single-stage surgical repair of hypospadias using meatal advancement or a V-flap technique, typically applied to glanular hypospadias where the meatus is sufficiently mobile. This code matters nationally because hypospadias repair is a common pediatric urologic procedure with implications for surgical quality metrics, site-of-service decisions, and payer coverage policies. Understanding coding and clinical context supports appropriate billing and utilization oversight across healthcare settings.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical procedure and typical sites of service, plus what to expect in benchmarking and policy review sections: utilization benchmarks, reimbursement patterns across major payers, common clinical variations (including concurrent circumcision or chordee repair), and coding considerations tied to single-stage meatal advancement/V-flap techniques. The summary highlights national relevance for surgical scheduling, facility selection (hospital OR vs ambulatory surgical center), and alignment of clinical documentation with code descriptors.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and payer-specific rate tables is noted where applicable.
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Billing Code Overview
CPT code 54322 describes a single-stage surgical repair of hypospadias using meatal advancement or V-flap technique. The procedure is commonly used for glanular hypospadias when the urethral meatus is mobile and can be advanced to the tip of the glans. The operation may include circumcision and correction of penile curvature (chordee) when clinically indicated.
Service Type: Surgical repair of hypospadias (meatal advancement/V-flap)
Typical Site of Service: Hospital operating room or ambulatory surgical center