CPT® Code 54352

Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts

The CPT® Code 54352 refers to a surgical procedure known as the revision of a prior hypospadias repair. This procedure is specifically indicated for cases where extensive dissection and excision of previously constructed anatomical structures are necessary. Hypospadias is a congenital condition characterized by the abnormal placement of the urethral opening, which can occur anywhere along the underside of the penis rather than at the tip. The revision surgery aims to correct the complications arising from earlier surgical interventions aimed at repairing this birth defect. During the procedure, the surgeon may need to reverse some of the repairs made in the initial surgery, which can involve re-releasing chordee—a condition where the penis is curved due to fibrous tissue. Additionally, the surgeon reconstructs the urethra and the penis using local skin as grafts, as well as employing island flaps and other skin patches or flaps to ensure proper anatomical function and appearance. This complex surgical intervention requires a high level of skill and precision to restore normal urinary function and penile structure.