CPT code 53454: Balloon device adjustment, transperineal continence device2026 Medicare rate & RVUs in Missouri
Reports adjustment of an implanted transperineal balloon continence device, typically to manage persistent urinary leakage in a patient with the device.
CMS doesn’t publish an office rate for 53454 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.
Your location
On this page 9 sections
What 53454 covers
A urologist adjusts the fluid volume in an implanted transperineal balloon continence device to change its support around the urethra and improve urinary control. The device is used for stress urinary incontinence, including in men with leakage after prostate treatment. Adjustment may take place in an office or facility setting; this service concerns an existing device, not its initial placement or removal.
Medicare assigns this CPT code physician fee schedule status C, or carrier priced: the Medicare Administrative Contractor sets payment for each claim rather than CMS publishing a national amount. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this adjustment. 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 53454 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 53454 rate is calculated
Each of 53454’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 · 53454
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 53454
The CMS indicators that decide how 53454 is paid alongside other services.
CMS payment indicators · 53454
Balloon device adjustment, transperineal continence device
| 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. |
53454 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 53451Balloon device placementBilateral placement
- 53451 describes bilateral device placement. This code describes adjustment of a device that is already implanted.
- 53452Continence balloonUnilateral insertion
- 53452 describes unilateral device placement. Use this code for subsequent adjustment, not initial placement.
- 53453Balloon device removalEach balloon
- 53453 is for device removal; this code is for adjustment without describing removal.
- 53445Artificial sphincterInitial inflatable device placement
- 53445 describes implantation of an artificial urinary sphincter, a different device. This code concerns adjustment of transperineal continence balloons.
53454 billing questions
When should I report this code instead of 53451 or 53452?
Report this code for adjustment of an already implanted transperineal balloon continence device. Codes 53451 and 53452 describe initial bilateral and unilateral placement, respectively.
How does this differ from 53453?
This code describes adjusting the implanted device. Code 53453 describes removal of a transperineal balloon continence device.
Should modifier 50 be appended for adjustment of both balloons?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What Medicare payment status applies?
The physician fee schedule status is C, or carrier priced. The Medicare Administrative Contractor sets payment for each claim.
Can an assistant-at-surgery or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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
Fee sheets · Coming soon
Put 53454 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist