CPT code 53454: Balloon device adjustment, transperineal continence device2026 Medicare rate & RVUs in South Dakota

CMS doesn’t publish a rate for 53454 in South Dakota.

Check a contract rate as a % of Medicare · 53454 nationwide

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

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.

How South Dakota compares for 53454

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53454 rates by state

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

See 53454 in every payment locality

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.

Payment rules and modifiers for 53454

The CMS indicators that decide how 53454 is paid alongside other services.

Codes related to 53454

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

How 53454 has changed in South Dakota

Price 53454 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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