CPT code 53445: Artificial sphincter, initial inflatable device placement2026 Medicare rate & RVUs in Idaho

In Idaho, Medicare pays $643.79 for 53445 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 53445 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 53445 covers

A urologist typically performs this operation in a hospital or ambulatory surgery setting for severe urinary incontinence caused by inadequate urethral sphincter closure. A common clinical situation is persistent stress incontinence after prostate surgery. The surgeon implants an inflatable system with a cuff around the urethra or bladder neck, a control pump, and a fluid reservoir; the patient operates the pump to allow urination.

Report this code for implantation of the sphincter system, not for later removal, replacement, repair, or adjustment. The operative report should identify the indication, device placement, and components implanted. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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.

How Idaho compares for 53445

Across 109 of 109 payment localities, the facility rate for 53445 runs from $633.18 in Arkansas to $890.45 in Alaska. Idaho pays $643.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53445 rates by state

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

See 53445 in every payment locality

How the 53445 rate is calculated

Each of 53445’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 53445

53445 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 53445

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

How 53445 has changed in Idaho

Price 53445 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Acequia
• Albion
• American Falls
• Ammon
• Arbon Valley
• Arco
• Arimo

Browse all communities in Idaho

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