CPT® Code 54324

1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)

Hypospadias is a congenital condition characterized by the abnormal positioning of the urethral meatus, which is the opening through which urine exits the body. In males with hypospadias, this opening is located on the underside of the penis rather than at the tip, which is the normal anatomical position. The condition is classified into various types based on the location of the meatus, with distal hypospadias being the mildest form. In distal hypospadias, the meatal opening is situated near the glans or the tip of the penis, making it less severe compared to more proximal forms of hypospadias. The surgical procedure coded as CPT® 54324 involves a one-stage repair of distal hypospadias, which may include the presence of chordee (a curvature of the penis) or circumcision. This procedure is performed using local skin flaps for urethroplasty, which is the surgical reconstruction of the urethra. Techniques such as the Mathieu or tubularized incised plate (TIP) urethroplasty, commonly known as the Snodgrass procedure, are utilized to create a new urethra. The goal of this surgical intervention is to restore normal urinary function and improve the cosmetic appearance of the penis, thereby addressing both functional and aesthetic concerns associated with hypospadias.