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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.

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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.

Service type: Surgical reconstruction of the urethra and penile curvature (single-stage hypospadias repair with chordee correction)
Typical site of service: Hospital operating room or ambulatory surgery center, depending on patient needs and clinical setting.

Data not available in the input.

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CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

Headline: CPT code 54328: Single‑stage surgical repair of hypospadias with chordee correction

Key payers covered: Analysis typically considers national payers including Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Note: Data not available in the input for associated taxonomies, specific ICD‑10 diagnoses, or detailed payer policy language.

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Sign up for cpt 54328 policy alerts

Get alerted when payer policies referencing 54328 are released or updated.

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Billing Code Overview

Service type: Surgical reconstruction of the urethra and penile curvature (single-stage hypospadias repair with chordee correction)
Typical site of service: Hospital operating room or ambulatory surgery center, depending on patient needs and clinical setting.

Data not available in the input.

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.
`11`	(Placeholder national use)	Rarely used; follow payer-specific guidance for primary surgeon reporting if required.
`22`	Increased procedural services	When work, time, and intensity substantially exceed typical for `54328` due to extensive dissection or complexities.
`23`	Unusual anesthesia	When procedure is performed under general anesthesia but circumstances require significant additional anesthesia support beyond typical.
`26`	Professional component	When billing only the professional surgical component separate from facility technical component, per payer policy.
`50`	Bilateral procedure	If repair is performed on both anatomical sides when bilateral reporting is applicable (rare for this code).
`51`	Multiple procedures	When `54328` is billed with additional distinct procedures the modifier may indicate multiple procedure reductions per payer rules.
`52`	Reduced services	When the procedure is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	If procedure is aborted due to intraoperative circumstances prior to completion.
`54`	Surgical care only	When surgeon bills only for the intraoperative portion and other physicians bill pre/postoperative care.
`55`	Postoperative management only	When surgeon bills only for postoperative visits and not the operative service.
`62`	Two surgeons	When two surgeons of different specialties perform distinct portions of a complex repair and both require separate billing.
`63`	Procedure performed on infants less than 4 kg	Use where applicable per payer rules for neonatal patients under weight threshold.
`78`	Unplanned return to the OR	For related return to OR for a complication of the original `54328` during the global period.

Taxonomy Code	Specialty	Notes
2080S0001X	Pediatric Urology	Pediatric urologists commonly perform hypospadias repair and chordee correction.
2080P0206X	Urology	General urologists with reconstructive focus perform single-stage urethroplasty for hypospadias.
2080P0222X	Pediatric Surgery	Pediatric surgeons experienced in genital reconstruction may perform this procedure.
207RH0000X	Plastic and Reconstructive Surgery	Plastic surgeons with pediatric reconstructive expertise may assist with complex flap or graft reconstruction.
2084P0800X	Female Pelvic Medicine & Reconstructive Surgery	Occasionally engaged for complex genital reconstruction collaboration (less common).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Q54.0`	Hypospadias, glandular	Typical indication for hypospadias repair when the meatus is glandular.
`Q54.1`	Hypospadias, penile	Common indication for repair when the meatus is on the penile shaft.
`Q54.2`	Hypospadias, penoscrotal	More proximal hypospadias often requiring more extensive reconstruction and chordee correction.
`Q54.3`	Hypospadias, perineal	Proximal variant frequently associated with severe chordee and complex urethroplasty.
`N48.89`	Other specified disorders of penis	Used for associated penile abnormalities including chordee when a more specific code is not appropriate.
`R33.9`	Retention of urine, unspecified	May be present with obstructive urethral pathology prior to or after repair and relevant for pre/postoperative assessment.
`Q54.8`	Other hypospadias	For atypical presentations of hypospadias requiring individualized surgical planning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`54150`	Frenuloplasty; repair of frenulum of prepuce, when performed	May be performed concurrently for frenular issues or minor ventral tethering during hypospadias repair.
`54160`	Urethroplasty, repair of urethra, first stage or more extensive techniques (not specific to hypospadias)	Related reconstructive urethral techniques; sometimes used for staged repairs or complex urethral reconstruction when single-stage `54328` is not feasible.
`54162`	Urethroplasty with tissue transfer (e.g., buccal mucosa)	Used when grafting with buccal mucosa is performed in urethral reconstruction adjunctive to or instead of local skin grafts.
`54120`	Repair of urethrocutaneous fistula	Common postoperative procedure if fistula develops after hypospadias/urethroplasty.
`54340`	Repair, epispadias	Separate congenital penile reconstruction code for epispadias; relevant when documenting alternative congenital anomalies in differential or combined anomalies.
`51702`	Insertion of temporary urinary catheter, complex	May be performed intraoperatively or postoperatively for urinary drainage or stenting during healing after `54328`.

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-54326-HYPOSPADIAS-REPAIR-URETHROPLASTY-LOCAL-SKIN-FLAPS

CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

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

CPT 54332: Hypospadias Repair with Chordee Correction and Urethral Reconstruction

Showing 1–10 of 34

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`	(Placeholder national use)	Use only if specifically required by payer for default/national reporting when no other modifier applies.
`11`	(Placeholder national use)	Rarely used; follow payer-specific guidance for primary surgeon reporting if required.
`22`	Increased procedural services	When work, time, and intensity substantially exceed typical for `54328` due to extensive dissection or complexities.
`23`	Unusual anesthesia	When procedure is performed under general anesthesia but circumstances require significant additional anesthesia support beyond typical.
`26`	Professional component	When billing only the professional surgical component separate from facility technical component, per payer policy.
`50`	Bilateral procedure	If repair is performed on both anatomical sides when bilateral reporting is applicable (rare for this code).
`51`	Multiple procedures	When `54328` is billed with additional distinct procedures the modifier may indicate multiple procedure reductions per payer rules.
`52`	Reduced services	When the procedure is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	If procedure is aborted due to intraoperative circumstances prior to completion.
`54`	Surgical care only	When surgeon bills only for the intraoperative portion and other physicians bill pre/postoperative care.
`55`	Postoperative management only	When surgeon bills only for postoperative visits and not the operative service.
`62`	Two surgeons	When two surgeons of different specialties perform distinct portions of a complex repair and both require separate billing.
`63`	Procedure performed on infants less than 4 kg	Use where applicable per payer rules for neonatal patients under weight threshold.
`78`	Unplanned return to the OR	For related return to OR for a complication of the original `54328` during the global period.

Taxonomy Code	Specialty	Notes
2080S0001X	Pediatric Urology	Pediatric urologists commonly perform hypospadias repair and chordee correction.
2080P0206X	Urology	General urologists with reconstructive focus perform single-stage urethroplasty for hypospadias.
2080P0222X	Pediatric Surgery	Pediatric surgeons experienced in genital reconstruction may perform this procedure.
207RH0000X	Plastic and Reconstructive Surgery	Plastic surgeons with pediatric reconstructive expertise may assist with complex flap or graft reconstruction.
2084P0800X	Female Pelvic Medicine & Reconstructive Surgery	Occasionally engaged for complex genital reconstruction collaboration (less common).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Q54.0`	Hypospadias, glandular	Typical indication for hypospadias repair when the meatus is glandular.
`Q54.1`	Hypospadias, penile	Common indication for repair when the meatus is on the penile shaft.
`Q54.2`	Hypospadias, penoscrotal	More proximal hypospadias often requiring more extensive reconstruction and chordee correction.
`Q54.3`	Hypospadias, perineal	Proximal variant frequently associated with severe chordee and complex urethroplasty.
`N48.89`	Other specified disorders of penis	Used for associated penile abnormalities including chordee when a more specific code is not appropriate.
`R33.9`	Retention of urine, unspecified	May be present with obstructive urethral pathology prior to or after repair and relevant for pre/postoperative assessment.
`Q54.8`	Other hypospadias	For atypical presentations of hypospadias requiring individualized surgical planning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`54150`	Frenuloplasty; repair of frenulum of prepuce, when performed	May be performed concurrently for frenular issues or minor ventral tethering during hypospadias repair.
`54160`	Urethroplasty, repair of urethra, first stage or more extensive techniques (not specific to hypospadias)	Related reconstructive urethral techniques; sometimes used for staged repairs or complex urethral reconstruction when single-stage `54328` is not feasible.
`54162`	Urethroplasty with tissue transfer (e.g., buccal mucosa)	Used when grafting with buccal mucosa is performed in urethral reconstruction adjunctive to or instead of local skin grafts.
`54120`	Repair of urethrocutaneous fistula	Common postoperative procedure if fistula develops after hypospadias/urethroplasty.
`54340`	Repair, epispadias	Separate congenital penile reconstruction code for epispadias; relevant when documenting alternative congenital anomalies in differential or combined anomalies.
`51702`	Insertion of temporary urinary catheter, complex	May be performed intraoperatively or postoperatively for urinary drainage or stenting during healing after `54328`.

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-54326-HYPOSPADIAS-REPAIR-URETHROPLASTY-LOCAL-SKIN-FLAPS

CPT 54326: Single-Stage Hypospadias Repair with Urethral Reconstruction

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

CPT 54332: Hypospadias Repair with Chordee Correction and Urethral Reconstruction

Showing 1–10 of 34

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.

OpenPayer

CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

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Billing Code Overview

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CPT 54328: Single-Stage Hypospadias Repair with Chordee Correction

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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