CPT code 53450: Urethral revision2026 Medicare rate & RVUs in California
Reports operative revision of the urethra, such as surgery to correct a urethral narrowing or other anatomic problem.
CMS doesn’t publish an office rate for 53450 in California.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $384.53 |
| Chico, CA | Unavailable | $381.99 |
| El Centro, CA | Unavailable | $382.14 |
| Fresno, CA | Unavailable | $381.99 |
| Hanford, CA | Unavailable | $381.99 |
| Los Angeles, CA | Unavailable | $402.26 |
| Madera, CA | Unavailable | $381.99 |
| Marin County, CA | Unavailable | $437.77 |
| Merced, CA | Unavailable | $381.99 |
| Modesto, CA | Unavailable | $381.99 |
| Napa, CA | Unavailable | $420.17 |
| Oxnard, CA | Unavailable | $398.09 |
| Redding, CA | Unavailable | $381.99 |
| Rest of California | Unavailable | $381.99 |
| Riverside, CA | Unavailable | $391.32 |
| Sacramento, CA | Unavailable | $394.89 |
| Salinas, CA | Unavailable | $393.26 |
| San Benito County, CA | Unavailable | $447.45 |
| San Diego, CA | Unavailable | $398.02 |
| San Francisco, CA | Unavailable | $436.80 |
| San Luis Obispo, CA | Unavailable | $387.58 |
| Santa Clara County, CA | Unavailable | $443.46 |
| Santa Cruz, CA | Unavailable | $398.34 |
| Santa Maria, CA | Unavailable | $393.51 |
| Santa Rosa, CA | Unavailable | $402.01 |
| Stockton, CA | Unavailable | $381.99 |
| Vallejo, CA | Unavailable | $418.77 |
| Visalia, CA | Unavailable | $381.99 |
| Yuba City, CA | Unavailable | $381.99 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share 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.
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%).
53450 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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