CPT code 53448: Sphincter replacement, component removal and replacement2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,245.41 for 53448 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 53448 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 53448 covers

This operation involves removing and replacing urinary sphincter components, generally as revision of an implanted artificial urinary sphincter system. Urologists commonly perform it in a hospital or ambulatory surgery center for a patient whose implanted device requires operative replacement. The operative report should identify the components removed and implanted and describe the reason for the procedure, such as device malfunction or a change in the patient’s clinical condition.

Choose this code when the documented work matches its component removal-and-replacement service; distinguish it from removal alone, initial insertion, and repair without component replacement. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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-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 Washington, DC area compares for 53448

Across 109 of 109 payment localities, the facility rate for 53448 runs from $1,055.65 in Arkansas to $1,498.79 in Alaska. Washington, DC area pays $1,245.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53448 rates by state

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

See 53448 in every payment locality

How the 53448 rate is calculated

Each of 53448’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 53448

53448 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 53448

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

How 53448 has changed in Washington, DC area

Price 53448 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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