CPT code 53453: Balloon device removal, each balloon2026 Medicare rate & RVUs in Missouri
Removal of one transperineal adjustable continence balloon for male urinary incontinence, reported by the urologist for each balloon removed.
CMS doesn’t publish an office rate for 53453 in Missouri.
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 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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
53453 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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.
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