Coding Ahead
CasePilot
Medical Coding Assistant
CaseConsultant
Instant Email Coding Consultant
Case2Code
Search and Code Lookup Tool
CareerCenter
Medical Coding Job Board
Log in Register free account
0 code page views remaining. Guest accounts are limited to 1 page view. Register free account to get 5 more views.
Log in Register free account

Official Description

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 54316 refers to a surgical intervention known as urethroplasty, specifically for the second stage of hypospadias repair. Hypospadias is a congenital condition where the urethral opening is not located at the tip of the penis, which can lead to various complications, including difficulties with urination and potential issues with sexual function. In this particular stage of the repair, the surgeon addresses the malpositioned urethra by relocating it to a more anatomically correct position, which is typically less than 3 centimeters from its original location. This procedure is particularly complex as it involves the use of a free skin graft, which is a piece of skin taken from a donor site that is not the genital area. The use of a skin graft is essential in this context to ensure adequate coverage and healing of the urethral reconstruction. The careful selection of the graft site is crucial for optimal outcomes, as it must provide sufficient tissue for the repair while minimizing complications at both the donor and recipient sites. This procedure is performed under general anesthesia and requires meticulous surgical technique to achieve the desired anatomical and functional results.

© Copyright 2026 Coding Ahead. All rights reserved.

CasePilot
Have a question about CPT® Code 54316?

Get instant expert-level answers from CasePilot, our coding assistant.

Register to view content

Create a free account to unlock this content

Register to view content

Create a free account to unlock this content

Register to view content

Create a free account to unlock this content

Register to view content

Create a free account to unlock this content

Register to view content

Create a free account to unlock this content

CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"