CPT code 53400: Urethral repair, stage one2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $761.42 for 53400 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 53400 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 53400 covers

A urologist performs the initial operative portion of a staged urethral reconstruction or revision. The procedure addresses a urethral abnormality, such as a stricture, when the surgeon plans the repair in stages rather than completing it in one operation. It is generally performed in an operating room, with the operative report identifying the urethral site and describing the work completed during this stage.

Report 53400 when the documented service is the stage-one urethral repair, not the later stage. The operative report should support the staged plan and distinguish this work from a one-stage reconstruction or a different urethral revision. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 53400

Across 109 of 109 payment localities, the facility rate for 53400 runs from $665.61 in Arkansas to $939.64 in Alaska. Connecticut pays $761.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53400 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 53400 in every payment locality

How the 53400 rate is calculated

Each of 53400’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 53400

53400 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 53400

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 53400 has changed in Connecticut

Price 53400 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates