Summary & Overview
CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction
Headline: CPT code 54328: Single‑stage surgical repair of hypospadias with chordee correction
Lead: CPT code 54328 captures a single‑stage reconstructive procedure performed to correct hypospadias and to extensively dissect and correct penile curvature (chordee), often including urethral repair with local flaps, grafts, or island flaps and optional circumcision. This surgical code is relevant to pediatric and adult urologic practice and to payers managing high‑complexity genital reconstructive procedures.
Why it matters: Hypospadias with chordee can require complex, resource‑intensive single‑stage surgery to restore function and anatomy. CPT code 54328 denotes a higher‑complexity reconstructive effort that has implications for procedure coding, hospital resource use, and payer coverage determinations across surgical and ambulatory settings.
Key payers covered: Analysis typically considers national payers including Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
What readers will learn: The publication outlines the clinical context for CPT code 54328, common sites of service, and the procedural elements that distinguish this single‑stage repair. It summarizes payer coverage relevance and benchmarking considerations for surgical resource utilization and coding accuracy. Where available, readers will find operational notes on typical settings and coding points relevant for claims preparation.
Note: Data not available in the input for associated taxonomies, specific ICD‑10 diagnoses, or detailed payer policy language.
Billing Code Overview
CPT code 54328 describes a single-stage surgical repair of hypospadias with extensive dissection to correct chordee, which may include circumcision. The procedure includes urethral reconstruction using local skin flaps, skin graft, and/or island flap.
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Service type: Surgical reconstruction of the urethra and penile curvature (single-stage hypospadias repair with chordee correction)
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Typical site of service: Hospital operating room or ambulatory surgery center, depending on patient needs and clinical setting.
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Clinical & Coding Specifications
Clinical Context
A typical patient is a male child or adolescent presenting with penile curvature and an abnormal urethral meatus located on the ventral shaft consistent with hypospadias. Clinical workflow begins with urology or pediatric urology evaluation, history and physical documenting meatal location (glanular, distal, midshaft, proximal), degree of chordee, prior surgeries, and urinary function. Preoperative counseling and informed consent address single-stage hypospadias repair with chordee correction, possible circumcision, tissue grafting or local flap urethroplasty, anesthesia assessment, and perioperative antibiotics. In the operating room under general anesthesia the surgeon performs extensive dissection to release chordee, constructs or repairs the urethra using local skin flaps, island flaps, or skin grafts, and may perform circumcision. Hemostasis and layered closure follow, with catheterization as indicated. Postoperative care includes pain control, catheter or stent management, wound care, activity restrictions, and outpatient follow-up to assess urinary stream, wound healing, and complications such as fistula or stricture. Typical site of service is an inpatient or outpatient hospital operating room or ambulatory surgical center. Service type is a single-stage reconstructive genitourinary surgical procedure (hypospadias repair with chordee correction and urethroplasty).
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | (Placeholder national use) | Use only if specifically required by payer for default/national reporting when no other modifier applies. |