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

In Virginia, Medicare pays $709.82 for 53447 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 53447 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 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.

How Virginia compares for 53447

Across 109 of 109 payment localities, the facility rate for 53447 runs from $672.87 in Arkansas to $950.00 in Alaska. Virginia pays $709.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53447 rates by state

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

See 53447 in every payment locality

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

Codes related to 53447

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

How 53447 has changed in Virginia

Price 53447 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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