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CPT code 53450: Urethral revision2026 Medicare rate & RVUs

Reports operative revision of the urethra, such as surgery to correct a urethral narrowing or other anatomic problem.

CMS RVU26DEffective Oct 1, 2026109 payment localities341 Medicare services in 2024

Medicare pays $379.10 for 53450 nationally in a facility.

Medicare rate · 53450

Urethral revision

Office or facility?

Work RVUs
6.6
Total RVUs
11.35
Global days
090

National rate · 2026

$379.10

Facility setting, before claim adjustments.

See every locality for 53450 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 53450 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 53450 covers

A urologist reports this service for operative revision of urethral anatomy, including surgery directed at a urethral narrowing or other defect. The work is performed in an operative setting and may involve exposing and revising the affected urethral segment. The operative report should identify the problem, the site treated, and the repair or revision performed.

Select the code based on the procedure actually performed, distinguishing urethral revision from staged hypospadias work or a more extensive urethral reconstruction. This major surgery 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 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 inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are 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 53450 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

53450 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$350.39
AlaskaUnavailable$484.87
ArizonaUnavailable$370.94
ArkansasUnavailable$346.85
Atlanta, GAUnavailable$387.61
Austin, TXUnavailable$383.80
Bakersfield, CAUnavailable$384.53
Baltimore area, MDUnavailable$398.92
Beaumont, TXUnavailable$365.37
Brazoria, TXUnavailable$373.37

53450 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
53450 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 53450 rate is calculated

Each of 53450’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 · 53450

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.60

6.60 RVUs× 1.000 GPCI

Practice expense3.89

3.89 RVUs× 1.000 GPCI

Malpractice0.86

0.86 RVUs× 1.000 GPCI

Adjusted RVUs

11.3500

Conversion factor

$33.4009

Medicare rate

$379.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 53450

53450 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 53450

Urethral revision

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 53450

Urethral revision

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

53450 without 51 · national facility

$379.10

Urethral revision

53450-51 · Second procedure: 50%

$189.55

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%).

When to use modifier 51

53450 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 53450

    Urethral revision6.6 wRVU

    Not priced

  • 53400

    Urethral repair, stage one13.78 wRVU

    Not priced

  • 53410

    Urethral reconstruction, male anterior, one-stage17.24 wRVU

    Not priced

  • 53415

    Urethroplasty, one-stage, transpubic or perineal20.18 wRVU

    Not priced

  • 53460

    Urethroplasty, hypospadias with extensive dissection7.56 wRVU

    Not priced

How to choose

53400Urethral repairStage one
53400 identifies first-stage surgery for hypospadias correction. Choose 53450 when the documented service is urethral revision rather than that staged procedure.
53410Urethral reconstructionMale anterior, one-stage
53410 describes one-stage reconstruction of the male anterior urethra. Distinguish it from revision based on the operative service and documented reconstructive work.
53415UrethroplastyOne-stage, transpubic or perineal
53415 describes two-stage reconstruction of the male anterior urethra; it is not the general urethral revision code.
53460UrethroplastyHypospadias with extensive dissection
Both codes have a CMS short descriptor of urethral revision. Check the full current CPT descriptors and operative details to determine which code matches the procedure.

Codes related to 53450

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

Codes related to 53450
CodeHow it relatesNational office range
Used instead
53410Urethral reconstruction, male anterior, one-stageConsider when the documented service is a one-stage reconstruction of the male anterior urethra.No office rate
53415Urethroplasty, one-stage, transpubic or perinealConsider when the documented service is a two-stage reconstruction of the male anterior urethra.No office rate
53400Urethral repair, stage oneUsed for the first stage of urethral surgery for hypospadias correction.No office rate
53405Urethroplasty, second stage, male anteriorUsed for the second stage of urethral surgery for hypospadias correction.No office rate
Same family
53460Urethroplasty, hypospadias with extensive dissectionAnother urethral revision code; verify the specific procedure against its descriptor.No office rate

53450 billing questions

When should this code be chosen instead of a staged urethroplasty code?

Use this code when the operative service is urethral revision rather than a documented first or second stage of a staged repair. The operative report should support the specific procedure performed.

How does this differ from a urethral reconstruction code?

This code represents urethral revision. A reconstruction code is considered when the surgeon performs the distinct reconstructive service described by that code, rather than a revision.

Is modifier 50 appropriate for bilateral reporting?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, while other procedures in that session are subject to the standard multiple-procedure 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

Show the CMS file lines behind this rate
RVUs for 53450PPRRVU2026_Oct_nonQPP.csv, line 6,207 (RVU26D)

Open CMS sourceHow we calculate rates

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