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CPT code 53440: Male sling, male stress incontinence2026 Medicare rate & RVUs

Places a support sling beneath the male urethra to treat stress urinary incontinence, commonly persistent leakage after prostate surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4K Medicare services in 2024

Medicare pays $681.38 for 53440 nationally in a facility.

Medicare rate · 53440

Male sling, male stress incontinence

Office or facility?

Work RVUs
13.03
Total RVUs
20.40
Global days
090

National rate · 2026

$681.38

Facility setting, before claim adjustments.

See every locality for 53440 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 53440 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 53440 covers

A urologist places a sling beneath the urethra to support it and improve control of stress-related urine leakage. The procedure is commonly considered for men with persistent incontinence after prostate surgery, including leakage with coughing, lifting, or activity. It is generally performed in an operating room, and the operative report identifies the sling material and placement technique.

Report this code for sling placement, not for later removal or revision of an existing sling. Document the incontinence being treated, relevant history and evaluation, and the procedure performed. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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.

Where 53440 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

53440 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$633.37
AlaskaUnavailable$886.32
ArizonaUnavailable$667.44
ArkansasUnavailable$627.48
Atlanta, GAUnavailable$696.94
Austin, TXUnavailable$686.93
Bakersfield, CAUnavailable$686.11
Baltimore area, MDUnavailable$715.46
Beaumont, TXUnavailable$660.28
Brazoria, TXUnavailable$670.88

53440 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
53440 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 53440 rate is calculated

Each of 53440’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.

How the rate is built · 53440

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.03

13.03 RVUs× 1.000 GPCI

Practice expense5.70

5.70 RVUs× 1.000 GPCI

Malpractice1.67

1.67 RVUs× 1.000 GPCI

Adjusted RVUs

20.4000

Conversion factor

$33.4009

Medicare rate

$681.38

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 53440

53440 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 53440

Male sling, male stress incontinence

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 53440

Male sling, male stress incontinence

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

53440 without 51 · national facility

$681.38

Male sling, male stress incontinence

53440-51 · Second procedure: 50%

$340.69

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

53440 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 53440

    Male sling, male stress incontinence13.03 wRVU

    Not priced

  • 53442

    Male sling surgery, existing male continence sling13.15 wRVU

    Not priced

  • 53445

    Artificial sphincter, initial inflatable device placement12.68 wRVU

    Not priced

  • 53451

    Balloon device placement, bilateral placement0 wRVU

    Not priced

  • 53452

    Continence balloon, unilateral insertion0 wRVU

    Not priced

How to choose

53442Male sling surgeryExisting male continence sling
Use 53440 for placing a male sling. Code 53442 describes removing or revising an existing male sling.
53445Artificial sphincterInitial inflatable device placement
Use 53440 for a urethral support sling; 53445 is for insertion of an artificial urinary sphincter.
53451Balloon device placementBilateral placement
Code 53451 describes bilateral transperineal balloon continence-device placement, not sling placement.
53452Continence balloonUnilateral insertion
Code 53452 describes unilateral transperineal balloon continence-device placement, not sling placement.

Codes related to 53440

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

Codes related to 53440
CodeHow it relatesNational office range
Used instead
53445Artificial sphincter, initial inflatable device placementArtificial urinary sphincter insertion is a different surgical option for male urinary incontinence.No office rate
53451Balloon device placement, bilateral placementBilateral transperineal continence-device placement is a different approach to male incontinence.No office rate
53452Continence balloon, unilateral insertionUnilateral transperineal continence-device placement is a different approach to male incontinence.No office rate

53440 billing questions

When is 53440 appropriate instead of 53445?

Use 53440 for placement of a male urethral support sling. Code 53445 describes insertion of an artificial urinary sphincter, a different continence procedure.

Does 53440 cover removal or revision of a prior sling?

No. Code 53442 describes removal or revision of a male sling; 53440 is for sling placement.

What documentation supports reporting 53440?

Document the male stress incontinence being treated, relevant clinical history and evaluation, and the sling placement performed, including the material and operative technique.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care during the 90-day period are included in the global package.

Can modifier 50 be used for 53440?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment needs supporting documentation.

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

Show the CMS file lines behind this rate
RVUs for 53440PPRRVU2026_Oct_nonQPP.csv, line 6,199 (RVU26D)

Open CMS sourceHow we calculate rates

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