CPT code 53442: Male sling surgery, existing male continence sling2026 Medicare rate & RVUs in Missouri
Reports operative removal or revision of an implanted male sling, commonly performed when it causes symptoms, complications, or inadequate control of stress incontinence.
CMS doesn’t publish an office rate for 53442 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 53442 covers
This service covers operative removal or revision of an implanted male sling used to support the urethra and manage stress urinary incontinence, often after prostate surgery. A urologist typically performs the work in an operating-room setting when the sling requires correction or removal because of inadequate continence, device-related symptoms, or a complication. It is distinct from placing a new sling and from surgery on an artificial urinary sphincter.
Report 53442 when the surgeon works on an existing male sling, and document the device, reason for intervention, and specific removal or revision performed. CMS assigns 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-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this service.
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 53442 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $701.68 |
| Metropolitan St. Louis, MO | Unavailable | $705.96 |
| Rest of Missouri | Unavailable | $684.51 |
How the 53442 rate is calculated
Each of 53442’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 · 53442
RVUs × geographic indexes × conversion factor
Work13.15
13.15 RVUs× 1.000 GPCI
Practice expense6.61
6.61 RVUs× 1.000 GPCI
Malpractice1.69
1.69 RVUs× 1.000 GPCI
Adjusted RVUs
21.4500
Conversion factor
$33.4009
Medicare rate
$716.45
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 53442
53442 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 53442
Male sling surgery, existing male continence sling
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 53442
Male sling surgery, existing male continence sling
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
53442 without 51 · national facility
$716.45
Male sling surgery, existing male continence sling
53442-51 · Second procedure: 50%
$358.23
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%).
53442 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 53440Male slingMale stress incontinence
- Use 53440 to place a male sling. Use 53442 when the surgeon removes or revises an existing male sling.
- 53446Sphincter removalComplete device removal
- 53446 concerns removal of an artificial urinary sphincter; 53442 concerns removal or revision of a male sling.
- 53447Sphincter replacementComplete device
- 53447 describes removing and replacing an artificial urinary sphincter. It is not the code for revision or removal of a male sling.
- 53450Urethral revision
- 53450 is for revision of the urethra itself. Use 53442 when the operative work targets an implanted male sling.
53442 billing questions
How does 53442 differ from 53440?
53442 is for operating on an existing male sling to remove or revise it. Use 53440 for insertion of a male sling.
Is 53442 used for an artificial urinary sphincter?
No. This code concerns a male sling. Use the device-specific code when the operation is on an artificial urinary sphincter.
What documentation supports reporting 53442?
Document the implanted sling, the clinical reason for intervention, and whether the surgeon removed or revised it. The operative note should describe the work performed.
Can an assistant at surgery be reported?
CMS indicates that assistant-at-surgery payment may be made. Co-surgeon and team-surgery billing are not permitted for this code.
What global period applies?
The code has a 90-day global period. The day-before preoperative visit and related postoperative care during the period are included.
How is 53442 paid with another procedure in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction.
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
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