CPT code 53447: Sphincter replacement, complete device2026 Medicare rate & RVUs

Medicare pays $730.81 for 53447 nationally in a facility.

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

What 53447 covers

A urologist removes an implanted artificial urinary sphincter and places a replacement system, including its principal device components. This operation may be performed when an existing system requires replacement, such as after device failure or another complication that makes continued use unsuitable. It is generally performed in an operating-room setting; the operative report should identify the existing device, the reason for replacement, and the components removed and implanted.

Report this code for complete device removal and replacement, not removal alone, insertion without removal, or replacement of an individual component. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is not appropriate for this single-device service. Assistant-at-surgery payment may be made; 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 53447 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

53447 rates by state

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

How the 53447 rate is calculated

Each of 53447’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 53447

53447 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

53447 compared with similar codes

How to choose

53445Artificial sphincterInitial inflatable device placement

Choose 53445 for sphincter insertion without removal of an existing device; 53447 includes both removal and replacement.

53446Sphincter removalComplete device removal

53446 covers removal alone. When a replacement system is also implanted during the service, consider 53447.

53448Sphincter replacementComponent removal and replacement

53448 is for removal and replacement of a component, while 53447 represents replacement of the complete urinary sphincter system.

53449Sphincter repairUrinary sphincter

53449 describes sphincter repair. Use 53447 when the service removes the existing system and replaces it rather than repairing it.

Codes related to 53447

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

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