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Billing code 53080: Urinary leak drainageMedicare rate & RVUs

Reports operative drainage of urine that has escaped the urinary tract, such as extravasation associated with a urethral or bladder injury.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $389.45 for 53080 nationally in a facility.

Medicare rate · 53080

Urinary leak drainage

Swap in your local Medicare rate.

Work RVUs
6.75
Total RVUs
11.66
Global days
090

National rate · 2026

$389.45

Facility setting, before claim adjustments.

See every locality for 53080 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 53080 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 53080 covers

This operation drains urine that has collected outside the urinary tract after a leak or disruption. A urologist typically performs it in an operating room, often in the setting of urinary tract trauma or another condition causing urine to escape into surrounding tissue. The procedure addresses the extravasated urine; the clinical record should identify the leak and the collection being drained.

Report 53080 when the operative service is drainage of urinary extravasation; distinguish it from the more complex drainage represented by 53085. The operative report should support the leak, its location, the approach, and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; 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 53080 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

53080 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$359.98
Alaska*Unavailable$497.91
ArizonaUnavailable$381.09
ArkansasUnavailable$356.33
AtlantaUnavailable$398.13
AustinUnavailable$394.42
BakersfieldUnavailable$395.33
Baltimore/Surr. CntysUnavailable$409.80
BeaumontUnavailable$375.25
BrazoriaUnavailable$383.65

53080 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
53080 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 53080 rate is calculated

Each of 53080’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 · 53080

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.75Practice expense 4.04Malpractice 0.87

11.6600 adjusted RVUs×$33.4009 conversion factor=$389.45

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 53080

53080 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 53080

Urinary leak drainage

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 53080

Urinary leak drainage

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

53080 without 51 · national facility

$389.45

Urinary leak drainage

53080-51 · Second procedure: 50%

$194.73

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

53080 compared with similar codes

Compare codes

53080 vs 53085 vs 53040 vs 53060: national Medicare rates

Swap in your local Medicare rate.

  • 53080
    Urinary leak drainage · 6.75 wRVU
    —
  • 53085
    Urine leak drainage · 10.9 wRVU
    —
  • 53040
    Abscess drainage · 6.39 wRVU
    —
  • 53060
    Abscess drainage · 2.61 wRVU
    $190.72

How to choose

53085Urine leak drainage
Both address drainage of urinary extravasation. Choose 53085 when the operative service meets the more complex level; the operative report should substantiate that distinction.
53040Abscess drainage
53040 addresses drainage of a periurethral abscess. Use 53080 for escaped urine rather than an abscess.
53060Abscess drainage
53060 is for periurethral abscess drainage at its applicable level. It is not the leakage-drainage code for urinary extravasation.

Codes related to 53080

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

Codes related to 53080
CodeHow it relatesNational office range
Same family
53085Urine leak drainageRelated urinary-extravasation drainage code for the more complex service.No office rate
Used instead
53040Abscess drainageDrainage code to consider when the operative target is a periurethral abscess, not escaped urine.No office rate
53060Abscess drainagePeriurethral abscess drainage code for a different operative target than urinary extravasation.$170.95–$233.31

53080 billing questions

How do I choose 53080 rather than 53085?

Use 53080 for drainage of urinary extravasation when the documented service fits this level. Use 53085 when the operative documentation supports the more complex drainage service.

What documentation supports 53080?

Document the urinary leak or disruption, the location of the extravasated urine, and the operative drainage performed. The note should make clear that the target was escaped urine rather than a periurethral abscess.

Does modifier 50 apply if the leakage is bilateral?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.

How does the multiple-procedure rule affect 53080?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction.

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

Show the CMS file lines behind this rate
RVUs for 53080PPRRVU2026_Oct_nonQPP.csv, line 6,177 (RVU26D)

Open CMS sourceHow we calculate rates

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