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CPT code 53453: Balloon device removal, each balloon2026 Medicare rate & RVUs

Removal of one transperineal adjustable continence balloon for male urinary incontinence, reported by the urologist for each balloon removed.

CMS RVU26DEffective Oct 1, 2026109 payment localities33 Medicare services in 2024

Medicare rate · 53453

Balloon device removal, each balloon

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
000

National rate · 2026

—

Not priced in the facility setting.

See every locality for 53453 →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 53453 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 53453 covers

This service covers removing an adjustable continence balloon previously placed through the perineum to treat male urinary incontinence. A urologist reports it when removing one or more balloons; it is distinct from placing or adjusting the device.

Medicare assigns this CPT code status C, meaning there is no national physician fee schedule payment and the Medicare Administrative Contractor sets payment for each claim. Report one unit for each balloon removed. Count balloons, rather than encounters, when determining units. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; 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 53453 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

53453 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

53453 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

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
53453 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 53453 rate is calculated

Each of 53453’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 · 53453

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 53453

The CMS indicators that decide how 53453 is paid alongside other services.

CMS payment indicators · 53453

Balloon device removal, each balloon

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

53453 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 53453

    Balloon device removal, each balloon0 wRVU

    Not priced

  • 53451

    Balloon device placement, bilateral placement0 wRVU

    Not priced

  • 53452

    Continence balloon, unilateral insertion0 wRVU

    Not priced

  • 53454

    Balloon device adjustment, transperineal continence device0 wRVU

    Not priced

  • 53447

    Sphincter replacement, complete device13.92 wRVU

    Not priced

How to choose

53451Balloon device placementBilateral placement
53451 describes bilateral placement of the adjustable continence device; 53453 describes removal of each balloon.
53452Continence balloonUnilateral insertion
53452 describes unilateral placement. Use 53453 for removal, not for placing a balloon.
53454Balloon device adjustmentTransperineal continence device
53454 is for adjusting the device. Use 53453 when a balloon is removed.
53447Sphincter replacementComplete device
53447 concerns removal and replacement of a urinary sphincter, a different device from the transperineal adjustable continence balloons addressed by 53453.

Codes related to 53453

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

Codes related to 53453
CodeHow it relatesNational office range
Same family
53451Balloon device placement, bilateral placementBilateral placement of the transperineal adjustable continence device.No office rate
53452Continence balloon, unilateral insertionUnilateral placement of the transperineal adjustable continence device.No office rate
53454Balloon device adjustment, transperineal continence deviceAdjustment of the transperineal adjustable continence device.No office rate

53453 billing questions

How many units should be reported?

Report one unit for each adjustable continence balloon removed.

How does this differ from 53452?

53453 describes removal of a balloon. Code 53452 describes unilateral placement of the device.

Can modifier 50 be used when both balloons are removed?

No. Bilateral adjustment does not apply to 53453; report the units for the balloons removed.

How does Medicare price this service?

Status C means CMS publishes no national physician fee schedule payment. The Medicare Administrative Contractor sets payment for each claim.

Can an assistant-at-surgery be reported?

Assistant-at-surgery payment is permitted only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care.

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

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