Summary & Overview
CPT 54336: Perineal Hypospadias Repair with Chordee Correction
CPT code 54336 represents a complex single-stage surgical repair for perineal hypospadias with extensive chordee correction and urethral reconstruction using a skin graft tube or island flap. This reconstructive urology procedure addresses severe distal penile malformation and curvature in a single operative session and has implications for operative planning, payer coverage determinations, and resource utilization across surgical settings. Nationally, accurate coding of this procedure supports appropriate payment for technically demanding reconstructive work and informs quality and access considerations for pediatric and adult congenital urologic care. Key payers referenced in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and billing context for CPT code 54336, including typical service setting and clinical indications, plus what to expect in payer coverage patterns and benchmarking discussions. The publication summarizes procedural intent, common billing considerations, and how the code fits within reconstructive urology service lines. Data not available in the input for specific payer rates, associated taxonomies, and ICD-10 mappings is noted where applicable.
Billing Code Overview
CPT code 54336 describes a single-stage surgical repair of perineal hypospadias with extensive dissection to correct chordee (ventral curvature of the penis) and simultaneous reconstruction of the urethra using a skin graft tube or island flap. The procedure is a reconstructive urologic surgery addressing congenital malformation of the urethral meatus and associated penile curvature.
Service Type: Surgical repair / reconstructive urology
Typical Site of Service: Inpatient or outpatient surgical center depending on patient age, complexity, and perioperative needs.
Clinical & Coding Specifications
Clinical Context
A 6-year-old male presents for elective single-stage perineal hypospadias repair with correction of severe chordee. Preoperative assessment includes history of abnormal urethral meatus position on the perineum, penile curvature on erection, and possible urinary spraying. The surgical team includes a pediatric urologist and anesthesia; informed consent discusses graft harvest and potential staged repairs though this is planned as a single-stage repair. Intraoperative steps typically include induction of general anesthesia, penile degloving, extensive chordee release via dissection of fibrous tissue, creation of a urethral tube using a skin graft tube or island flap (such as a buccal or preputial flap depending on tissue availability), tubularization and anastomosis of the neourethra, and layered closure with catheter drainage. Typical postoperative workflow includes short inpatient observation or same-day discharge depending on institutional protocols, urethral catheter management for urinary drainage, pain control, wound care instructions, and scheduled follow-up visits for catheter removal and monitoring for complications such as fistula, stricture, or persistent curvature. Typical site of service is an operating room in an outpatient ambulatory surgery center or an inpatient hospital surgical suite. The service type is major reconstructive genitourinary surgery under general anesthesia for pediatrics or adult congenital cases where indicated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | (Reserved) |