CPT code 53460: Urethroplasty, hypospadias with extensive dissection2026 Medicare rate & RVUs

Medicare pays $421.52 for 53460 nationally in a facility.

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

What 53460 covers

A urologist performs this operation to correct hypospadias by reconstructing the urethra in one stage, with extensive dissection to address the urethral defect and chordee. The work may involve mobilizing urethral tissue and using local tissue to create or restore the urethral channel. It is typically performed in an operating room rather than an office setting.

Choose this code when the operative report supports a single-stage hypospadias repair requiring the extensive dissection described for this service; distinguish it from the less extensive single-stage repair and from staged reconstruction. Documentation should identify the hypospadias, the urethral work, and the dissection performed to correct chordee or the urethral defect. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented 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 53460 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

53460 rates by state

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

How the 53460 rate is calculated

Each of 53460’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 53460

53460 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

53460 compared with similar codes

How to choose

53450Urethral revision

Both describe single-stage hypospadias urethroplasty. Choose 53460 when the operative report supports extensive dissection to address chordee and the urethral defect.

53420Urethral reconstructionFirst stage

53420 is for the first stage of a staged urethral reconstruction; 53460 describes a single-stage hypospadias repair.

53425Urethral reconstructionSecond stage

53425 represents the second stage of a staged reconstruction, not a single-stage repair.

53410Urethral reconstructionMale anterior, one-stage

53410 describes single-stage reconstruction of the male anterior urethra; 53460 is specifically for extensive single-stage hypospadias correction.

Codes related to 53460

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

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