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CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

CPT code 54326 represents a single-stage surgical correction of hypospadias with urethral repair using local skin flaps and urethral mobilization, potentially including circumcision and chordee correction. This procedure is a cornerstone of pediatric and reconstructive urology, addressing congenital urethral malposition and functional/ cosmetic penile deformities. Nationally, accurate coding and documentation for this operation affect surgical care pathways, billing clarity, and reimbursement alignment for hospitals and ambulatory surgical centers.

Key payers referenced in the analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find concise guidance on the clinical scope of the code, typical sites of service, and the procedural elements covered by CPT code 54326. The publication also outlines common billing considerations, modifier usage patterns (listed separately), and how the procedure aligns with related surgical services.

The report is intended for billing professionals, surgical coders, and policy stakeholders seeking a clear national overview of this reconstructive urologic procedure, including benchmarks and billing context. Data not available in the input will be identified as missing where relevant.

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Billing Code Overview

CPT code 54326 describes a single-stage surgical repair of hypospadias with urethral reconstruction using local skin flaps and mobilization of the urethra. The procedure may include circumcision and correction of chordee (abnormal penile curvature) when performed as part of the same operative session.

Service type: Surgical — genitourinary reconstructive surgery

Typical site of service: Hospital operating room or ambulatory surgical center

Data not available in the input.

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CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

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Billing Code Overview

Service type: Surgical — genitourinary reconstructive surgery

Typical site of service: Hospital operating room or ambulatory surgical center

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 2-year-old male presents with distal hypospadias characterized by a ventrally displaced urethral meatus and mild chordee causing penile curvature. Prior topical preoperative assessment and counseling have been completed. The child is scheduled for a single-stage hypospadias repair under general anesthesia. The procedure includes urethral mobilization and reconstruction using local skin flaps, correction of the chordee when present, and an optional concurrent circumcision if preoperative consent is obtained. Preoperative workflow includes anesthesia evaluation, surgical consent (including discussion of possible need for staged repair if intraoperative findings require it), administration of prophylactic antibiotics per facility protocol, placement of a urinary stent/catheter for urethral support, operative repair with flap creation and urethroplasty, hemostasis, and postoperative monitoring in the recovery area with discharge instructions for wound care and catheter management. Typical follow-up includes early postoperative visit within 3–10 days and longer-term urology follow-up at 6–12 months to assess urinary stream and cosmetic outcome.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier used / default	Not typically appended; rarely used as an explicit modifier value in claims.
`11`	Service performed as requested	Use when the procedure is performed as planned without complications or deviations affecting billing.
`22`	Increased procedural services	Use if the repair requires substantially greater effort, time, or complexity than typical single-stage repair.
`23`	Unusual anesthesia	Use when general anesthesia is medically contraindicated and a qualified provider documents that anesthesia was unusually required for medical reasons.
`26`	Professional component	Use if billing facility technical component separately (rare for surgical procedures); typically not appended by the surgeon.
`50`	Bilateral procedure	Use only if hypospadias repair were performed on bilateral anatomic structures (not typically applicable).
`51`	Multiple procedures	Use when additional unrelated procedures are performed during the same operative session.
`52`	Reduced services	Use when the procedure is partially reduced or aborted but still performed in a limited manner.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances.
`54`	Surgical care only	Use when another provider (e.g., different facility) bills for pre/postoperative care separately.
`55`	Postoperative management only	Use when only postoperative management is billed by a provider other than the surgeon who performed the operation.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons performing distinct portions of the repair.
`63`	Procedure performed on infants less than 4 kg	Use when applicable to neonatal patients meeting weight criteria.
`78`	Return to OR for related procedure during postoperative period	Use when an unplanned return to the operating room for a complication related to the original repair occurs.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Note: `79` was not in the provided modifier list; therefore it is not included in this table.

Taxonomy Code	Specialty	Notes
`2080P0201X`	Pediatric Urologist	Pediatric urologists commonly perform hypospadias repair with expertise in urethroplasty and penile curvature correction.
`207LH0000X`	Pediatric Surgeon	Pediatric surgeons experienced in congenital genitourinary anomalies perform single-stage repairs in infants and young children.
`2080P0202X`	Urologist	General urologists with pediatric training may perform hypospadias repair in older children and adults.
`207R00000X`	General Surgeon	General surgeons with pediatric subspecialty experience may perform these procedures in some settings.
`363L00000X`	Plastic Surgeon	Reconstructive plastic surgeons may be involved for complex or secondary repairs involving local flap techniques.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Q54.0`	Hypospadias, coronal	Represents distal hypospadias commonly corrected with single-stage urethroplasty.
`Q54.1`	Hypospadias, penile shaft	Midshaft hypospadias corrected with mobilization and local skin flaps.
`Q54.2`	Hypospadias, penoscrotal	Proximal hypospadias often more complex; may still be approached with staged or single-stage techniques depending on severity.
`Q54.3`	Hypospadias, perineal	Severe proximal hypospadias that may require staged repair; included for clinical relevance.
`N48.6`	Chordee (curvature of penis)	Describes abnormal penile curvature often corrected concurrently during hypospadias repair.
`Z90.49`	Absence of other specified genital organ(s)	Included for completeness when concomitant genital anomalies are documented and managed.
`Z98.890`	History of other specified surgical procedures	Used in documentation when prior genital surgeries impact current operative planning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`54150`	Circumcision, device or other method; older child/adult	May be performed concurrently if circumcision is chosen during hypospadias repair.
`54300`	Repair of urethral fistula; simple	Used for secondary procedures addressing postoperative urethrocutaneous fistula, a known complication.
`54120`	Frenuloplasty; release of frenulum	Occasionally performed if frenular anomalies are present and addressed during the same operative session.
`52000`	Cystourethroscopy, flexible or rigid; diagnostic	May be performed preoperatively or intraoperatively to evaluate urethral anatomy in complex cases.
`58740`	Repair recurrent hypospadias; urethroplasty	Used for staged or secondary repairs when initial single-stage repair fails or is insufficient.

CPT 54300: Chordee Correction with Possible Urethral Mobilization

CPT-54304-CHORDEE-HYPOSPADIAS-REPAIR-STAGE-1

CPT 54304: Correction of Chordee or First-Stage Hypospadias Repair

CPT-54308-HYPOSPADIAS-SECOND-STAGE-REPAIR-DISTAL-URETHRA

CPT 54308: Second-Stage Hypospadias Repair, Distal Urethra <3 cm

CPT-54312-HYPOSPADIAS-SECOND-STAGE-URETHROPLASTY

CPT 54312: Second-Stage Hypospadias Repair with Distal Urethroplasty

CPT-54316-HYPOSPADIAS-SECOND-STAGE-REPAIR-SKIN-GRAFT

CPT 54316: Second-Stage Hypospadias Repair with Skin Graft

CPT-54318-HYPOSPADIAS-REPAIR-THIRD-STAGE-RELEASE

CPT 54318: Third-Stage Hypospadias Repair, Release of Sutures and Penile-Scrotal Release

CPT-54322-HYPOSPADIAS-MEATAL-ADVANCEMENT-V-FLAP-REPAIR

CPT 54322: Hypospadias Repair with Meatal Advancement or V-Flap

CPT-54324-HYPOSPADIAS-REPAIR-SINGLE-STAGE-URETHROPLASTY-LOCAL-FLAP

CPT 54324: Single-Stage Hypospadias Repair with Local Skin Flap

CPT-54328-SINGLE-STAGE-HYPOSPADIAS-REPAIR-CHORDEE-CORRECTION

CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

CPT-54332-HYPOSPADIAS-REPAIR-CHORDEE-CORRECTION-URETHRAL-RECONSTRUCTION

CPT 54332: Hypospadias Repair with Chordee Correction and Urethral Reconstruction

Showing 1–10 of 34

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier used / default	Not typically appended; rarely used as an explicit modifier value in claims.
`11`	Service performed as requested	Use when the procedure is performed as planned without complications or deviations affecting billing.
`22`	Increased procedural services	Use if the repair requires substantially greater effort, time, or complexity than typical single-stage repair.
`23`	Unusual anesthesia	Use when general anesthesia is medically contraindicated and a qualified provider documents that anesthesia was unusually required for medical reasons.
`26`	Professional component	Use if billing facility technical component separately (rare for surgical procedures); typically not appended by the surgeon.
`50`	Bilateral procedure	Use only if hypospadias repair were performed on bilateral anatomic structures (not typically applicable).
`51`	Multiple procedures	Use when additional unrelated procedures are performed during the same operative session.
`52`	Reduced services	Use when the procedure is partially reduced or aborted but still performed in a limited manner.
`53`	Discontinued procedure	Use when the procedure is started but terminated due to extenuating circumstances.
`54`	Surgical care only	Use when another provider (e.g., different facility) bills for pre/postoperative care separately.
`55`	Postoperative management only	Use when only postoperative management is billed by a provider other than the surgeon who performed the operation.
`62`	Two surgeons	Use when two surgeons work together as primary surgeons performing distinct portions of the repair.
`63`	Procedure performed on infants less than 4 kg	Use when applicable to neonatal patients meeting weight criteria.
`78`	Return to OR for related procedure during postoperative period	Use when an unplanned return to the operating room for a complication related to the original repair occurs.
`79`	Unrelated procedure or service by the same physician during the postoperative period	Note: `79` was not in the provided modifier list; therefore it is not included in this table.

Taxonomy Code	Specialty	Notes
`2080P0201X`	Pediatric Urologist	Pediatric urologists commonly perform hypospadias repair with expertise in urethroplasty and penile curvature correction.
`207LH0000X`	Pediatric Surgeon	Pediatric surgeons experienced in congenital genitourinary anomalies perform single-stage repairs in infants and young children.
`2080P0202X`	Urologist	General urologists with pediatric training may perform hypospadias repair in older children and adults.
`207R00000X`	General Surgeon	General surgeons with pediatric subspecialty experience may perform these procedures in some settings.
`363L00000X`	Plastic Surgeon	Reconstructive plastic surgeons may be involved for complex or secondary repairs involving local flap techniques.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Q54.0`	Hypospadias, coronal	Represents distal hypospadias commonly corrected with single-stage urethroplasty.
`Q54.1`	Hypospadias, penile shaft	Midshaft hypospadias corrected with mobilization and local skin flaps.
`Q54.2`	Hypospadias, penoscrotal	Proximal hypospadias often more complex; may still be approached with staged or single-stage techniques depending on severity.
`Q54.3`	Hypospadias, perineal	Severe proximal hypospadias that may require staged repair; included for clinical relevance.
`N48.6`	Chordee (curvature of penis)	Describes abnormal penile curvature often corrected concurrently during hypospadias repair.
`Z90.49`	Absence of other specified genital organ(s)	Included for completeness when concomitant genital anomalies are documented and managed.
`Z98.890`	History of other specified surgical procedures	Used in documentation when prior genital surgeries impact current operative planning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`54150`	Circumcision, device or other method; older child/adult	May be performed concurrently if circumcision is chosen during hypospadias repair.
`54300`	Repair of urethral fistula; simple	Used for secondary procedures addressing postoperative urethrocutaneous fistula, a known complication.
`54120`	Frenuloplasty; release of frenulum	Occasionally performed if frenular anomalies are present and addressed during the same operative session.
`52000`	Cystourethroscopy, flexible or rigid; diagnostic	May be performed preoperatively or intraoperatively to evaluate urethral anatomy in complex cases.
`58740`	Repair recurrent hypospadias; urethroplasty	Used for staged or secondary repairs when initial single-stage repair fails or is insufficient.

CPT 54300: Chordee Correction with Possible Urethral Mobilization

CPT-54304-CHORDEE-HYPOSPADIAS-REPAIR-STAGE-1

CPT 54304: Correction of Chordee or First-Stage Hypospadias Repair

CPT-54308-HYPOSPADIAS-SECOND-STAGE-REPAIR-DISTAL-URETHRA

CPT 54308: Second-Stage Hypospadias Repair, Distal Urethra <3 cm

CPT-54312-HYPOSPADIAS-SECOND-STAGE-URETHROPLASTY

CPT 54312: Second-Stage Hypospadias Repair with Distal Urethroplasty

CPT-54316-HYPOSPADIAS-SECOND-STAGE-REPAIR-SKIN-GRAFT

CPT 54316: Second-Stage Hypospadias Repair with Skin Graft

CPT-54318-HYPOSPADIAS-REPAIR-THIRD-STAGE-RELEASE

CPT 54318: Third-Stage Hypospadias Repair, Release of Sutures and Penile-Scrotal Release

CPT-54322-HYPOSPADIAS-MEATAL-ADVANCEMENT-V-FLAP-REPAIR

CPT 54322: Hypospadias Repair with Meatal Advancement or V-Flap

CPT-54324-HYPOSPADIAS-REPAIR-SINGLE-STAGE-URETHROPLASTY-LOCAL-FLAP

CPT 54324: Single-Stage Hypospadias Repair with Local Skin Flap

CPT-54328-SINGLE-STAGE-HYPOSPADIAS-REPAIR-CHORDEE-CORRECTION

CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

CPT-54332-HYPOSPADIAS-REPAIR-CHORDEE-CORRECTION-URETHRAL-RECONSTRUCTION

CPT 54332: Hypospadias Repair with Chordee Correction and Urethral Reconstruction

Showing 1–10 of 34

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

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Billing Code Overview

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

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Billing Code Overview

CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical procedure and elements does CPT 54326 cover?

Which billing modifiers are commonly applicable to CPT 54326 and when should they be considered?

Which specialties are typically associated with performing CPT 54326?

What related CPT codes might appear alongside CPT 54326 in a patient's operative course?

Which diagnosis codes and payers are referenced in association with CPT 54326?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What clinical procedure and elements does CPT 54326 cover?

Which billing modifiers are commonly applicable to CPT 54326 and when should they be considered?

Which specialties are typically associated with performing CPT 54326?

What related CPT codes might appear alongside CPT 54326 in a patient's operative course?

Which diagnosis codes and payers are referenced in association with CPT 54326?

References