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Billing code 53505: Urethral repairMedicare rate & RVUs

Repair of an injured female urethra, reported for operative reconstruction of urethral damage rather than repair of a urethral defect.

CMS RVU26DEffective Oct 1, 2026109 payment localities57 Medicare services in 2024

Medicare pays $446.57 for 53505 nationally in a facility.

Medicare rate · 53505

Urethral repair

Swap in your local Medicare rate.

Work RVUs
8.05
Total RVUs
13.37
Global days
090

National rate · 2026

$446.57

Facility setting, before claim adjustments.

See every locality for 53505 → · 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 53505 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 53505 covers

This code describes operative repair of an injured female urethra to restore its continuity. The service is typically performed by a urologist or gynecologic surgeon in a hospital or other surgical facility. The injury may be traumatic or occur during another clinical event; the operative work is directed at repairing the urethral injury itself, not simply examining the urethra.

Report the code when the operative record supports repair of a female urethral injury. Document the injury’s location and extent, the repair performed, and any associated procedures. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. 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 multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon and team-surgery payment are not permitted. Modifier 50 is not appropriate for this service.

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 53505 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

53505 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$413.52
Alaska*Unavailable$574.53
ArizonaUnavailable$437.10
ArkansasUnavailable$409.45
AtlantaUnavailable$456.71
AustinUnavailable$451.38
BakersfieldUnavailable$451.66
Baltimore/Surr. CntysUnavailable$469.60
BeaumontUnavailable$431.24
BrazoriaUnavailable$439.72

53505 rates by state

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

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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
53505 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 53505 rate is calculated

Each of 53505’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 · 53505

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 8.05Practice expense 4.27Malpractice 1.05

13.3700 adjusted RVUs×$33.4009 conversion factor=$446.57

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

Payment rules and modifiers for 53505

53505 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 53505

Urethral repair

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)2Paid.
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 · 53505

Urethral repair

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

53505 without 51 · national facility

$446.57

Urethral repair

53505-51 · Second procedure: 50%

$223.29

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

53505 compared with similar codes

Compare codes

53505 vs 53502 vs 53510 vs 53515 vs 53520: national Medicare rates

Swap in your local Medicare rate.

  • 53505
    Urethral repair · 8.05 wRVU
    —
  • 53502
    Urethral repair · 8.05 wRVU
    —
  • 53510
    Urethral injury repair · 10.69 wRVU
    —
  • 53515
    Urethral repair · 13.86 wRVU
    —
  • 53520
    Urethral repair · 9.24 wRVU
    —

How to choose

53502Urethral repair
Use 53505 for a female urethral injury. Code 53502 describes male injury repair without extensive mobilization.
53510Urethral injury repair
Code 53510 is for male urethral injury repair requiring extensive mobilization; 53505 is the female injury repair code.
53515Urethral repair
Code 53515 describes complicated male urethral injury repair. Select 53505 for repair of a female urethral injury.
53520Urethral repair
Code 53520 is for repair of a urethral defect. Code 53505 is for repair of a urethral injury.

Codes related to 53505

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

Codes related to 53505
CodeHow it relatesNational office range
Same family
53502Urethral repairMale urethral injury repair without extensive mobilization.No office rate
53510Urethral injury repairMale urethral injury repair with extensive mobilization.No office rate
53515Urethral repairMale urethral injury repair classified as complicated.No office rate
Used instead
53520Urethral repairFor repair of a urethral defect rather than a urethral injury.No office rate

53505 billing questions

How does 53505 differ from 53502?

53505 is for repair of a female urethral injury. Code 53502 describes a male urethral injury repair without extensive mobilization.

When would 53520 be considered instead?

53520 describes repair of a urethral defect, rather than repair of an injury. The operative documentation should support the condition actually treated.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon be paid for 53505?

CMS allows assistant-at-surgery payment for this code. Co-surgeon and team-surgery payment are not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 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 53505PPRRVU2026_Oct_nonQPP.csv, line 6,215 (RVU26D)

Open CMS sourceHow we calculate rates

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