No office rate
53215 describes total urethral removal in a male patient. This code is for the corresponding procedure in a female patient.
On this page
CMS RVU26D · Effective 2026-10-01
53210 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$701.19
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urologic surgery
About 53210: Total female urethral excision
Reports complete removal of the female urethra, including the associated cystostomy, for cases requiring excision beyond a biopsy or localized lesion procedure.
This service represents complete surgical removal of the female urethra, with cystostomy included in the procedure. It is generally performed by a urologist or other surgeon managing urethral disease in an operating room, such as for a malignancy requiring removal of the full urethra. It is more extensive than sampling tissue or removing a localized urethral lesion.
Select this code when the operative report supports total urethral removal in a female patient and the included cystostomy. The record should identify the extent of excision and the operative steps; a limited biopsy or lesion procedure does not support this service. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery billing is not allowed.
CMS billing rules for 53210
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.38 · 64%
- Practice expense (office) RVU5.73 · 28%
- Malpractice RVU1.72 · 8%
74
Medicare services in 2024 · #5112 by national volume
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.
53210 compared with similar codes
Office rates for Austin, from the same CMS release.
$168.72
53200 is for biopsy and tissue sampling. Report this code when the operation removes the entire female urethra, not just a diagnostic specimen.
No office rate
53220 addresses treatment of a urethral lesion. This code represents complete urethral removal, a substantially broader operation.
No office rate
53230 is for removal of a urethral lesion. Use this code when the documented procedure removes the entire urethra rather than a localized lesion.
The same code, a different location
How does Austin compare?
53210 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 53210
Office
Unavailable
Facility
$680.41
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 53210
Office
Unavailable
Facility
$729.78
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 53210
Office
Unavailable
Facility
$760.43
No comparable office rate is available.
Miami
Florida · 53210
Office
Unavailable
Facility
$791.43
No comparable office rate is available.
Chicago
Illinois · 53210
Office
Unavailable
Facility
$774.22
No comparable office rate is available.
Manhattan
New York · 53210
Office
Unavailable
Facility
$789.01
No comparable office rate is available.
Alaska*
Alaska · 53210
Office
Unavailable
Facility
$905.84
No comparable office rate is available.
Alabama
Alabama · 53210
Office
Unavailable
Facility
$646.88
No comparable office rate is available.
Arkansas
Arkansas · 53210
Office
Unavailable
Facility
$640.89
No comparable office rate is available.
Arizona
Arizona · 53210
Office
Unavailable
Facility
$681.54
No comparable office rate is available.
Bakersfield
California · 53210
Office
Unavailable
Facility
$700.14
No comparable office rate is available.
Chico
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
El Centro
California · 53210
Office
Unavailable
Facility
$695.34
No comparable office rate is available.
Fresno
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Hanford-Corcoran
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Madera
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Merced
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Modesto
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Napa
California · 53210
Office
Unavailable
Facility
$756.49
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 53210
Office
Unavailable
Facility
$721.43
No comparable office rate is available.
Redding
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Rest Of California
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 53210
Office
Unavailable
Facility
$713.71
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 53210
Office
Unavailable
Facility
$716.37
No comparable office rate is available.
Salinas
California · 53210
Office
Unavailable
Facility
$713.37
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 53210
Office
Unavailable
Facility
$720.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 53210
Office
Unavailable
Facility
$785.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 53210
Office
Unavailable
Facility
$783.63
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 53210
Office
Unavailable
Facility
$802.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 53210
Office
Unavailable
Facility
$794.85
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 53210
Office
Unavailable
Facility
$703.28
No comparable office rate is available.
Santa Cruz-Watsonville
California · 53210
Office
Unavailable
Facility
$719.62
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 53210
Office
Unavailable
Facility
$713.37
No comparable office rate is available.
Santa Rosa-Petaluma
California · 53210
Office
Unavailable
Facility
$726.13
No comparable office rate is available.
Stockton
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Vallejo
California · 53210
Office
Unavailable
Facility
$753.68
No comparable office rate is available.
Visalia
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Yuba City
California · 53210
Office
Unavailable
Facility
$695.05
No comparable office rate is available.
Colorado
Colorado · 53210
Office
Unavailable
Facility
$700.77
No comparable office rate is available.
Connecticut
Connecticut · 53210
Office
Unavailable
Facility
$731.48
No comparable office rate is available.
Delaware
Delaware · 53210
Office
Unavailable
Facility
$689.88
No comparable office rate is available.
Fort Lauderdale
Florida · 53210
Office
Unavailable
Facility
$744.65
No comparable office rate is available.
Rest Of Florida
Florida · 53210
Office
Unavailable
Facility
$716.22
No comparable office rate is available.
Atlanta
Georgia · 53210
Office
Unavailable
Facility
$711.69
No comparable office rate is available.
Rest Of Georgia
Georgia · 53210
Office
Unavailable
Facility
$686.10
No comparable office rate is available.
Hawaii, Guam
Hawaii · 53210
Office
Unavailable
Facility
$697.77
No comparable office rate is available.
Iowa
Iowa · 53210
Office
Unavailable
Facility
$644.83
No comparable office rate is available.
Idaho
Idaho · 53210
Office
Unavailable
Facility
$650.15
No comparable office rate is available.
East St. Louis
Illinois · 53210
Office
Unavailable
Facility
$738.68
No comparable office rate is available.
Rest Of Illinois
Illinois · 53210
Office
Unavailable
Facility
$711.43
No comparable office rate is available.
Suburban Chicago
Illinois · 53210
Office
Unavailable
Facility
$748.39
No comparable office rate is available.
Indiana
Indiana · 53210
Office
Unavailable
Facility
$652.24
No comparable office rate is available.
Kansas
Kansas · 53210
Office
Unavailable
Facility
$648.87
No comparable office rate is available.
Kentucky
Kentucky · 53210
Office
Unavailable
Facility
$669.61
No comparable office rate is available.
New Orleans
Louisiana · 53210
Office
Unavailable
Facility
$692.26
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 53210
Office
Unavailable
Facility
$671.32
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 53210
Office
Unavailable
Facility
$744.87
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 53210
Office
Unavailable
Facility
$701.37
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 53210
Office
Unavailable
Facility
$730.48
No comparable office rate is available.
Rest Of Maryland
Maryland · 53210
Office
Unavailable
Facility
$697.80
No comparable office rate is available.
Rest Of Maine
Maine · 53210
Office
Unavailable
Facility
$658.71
No comparable office rate is available.
Southern Maine
Maine · 53210
Office
Unavailable
Facility
$672.82
No comparable office rate is available.
Detroit
Michigan · 53210
Office
Unavailable
Facility
$728.45
No comparable office rate is available.
Rest Of Michigan
Michigan · 53210
Office
Unavailable
Facility
$686.50
No comparable office rate is available.
Minnesota
Minnesota · 53210
Office
Unavailable
Facility
$660.85
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 53210
Office
Unavailable
Facility
$682.74
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 53210
Office
Unavailable
Facility
$686.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 53210
Office
Unavailable
Facility
$667.84
No comparable office rate is available.
Mississippi
Mississippi · 53210
Office
Unavailable
Facility
$654.14
No comparable office rate is available.
Montana**
Montana · 53210
Office
Unavailable
Facility
$695.63
No comparable office rate is available.
North Carolina
North Carolina · 53210
Office
Unavailable
Facility
$662.18
No comparable office rate is available.
North Dakota**
North Dakota · 53210
Office
Unavailable
Facility
$661.62
No comparable office rate is available.
Nebraska
Nebraska · 53210
Office
Unavailable
Facility
$645.27
No comparable office rate is available.
New Hampshire
New Hampshire · 53210
Office
Unavailable
Facility
$696.41
No comparable office rate is available.
Northern Nj
New Jersey · 53210
Office
Unavailable
Facility
$758.42
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 53210
Office
Unavailable
Facility
$736.80
No comparable office rate is available.
New Mexico
New Mexico · 53210
Office
Unavailable
Facility
$691.40
No comparable office rate is available.
Nevada**
Nevada · 53210
Office
Unavailable
Facility
$686.34
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 53210
Office
Unavailable
Facility
$809.75
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 53210
Office
Unavailable
Facility
$746.10
No comparable office rate is available.
Queens
New York · 53210
Office
Unavailable
Facility
$784.57
No comparable office rate is available.
Rest Of New York
New York · 53210
Office
Unavailable
Facility
$669.11
No comparable office rate is available.
Ohio
Ohio · 53210
Office
Unavailable
Facility
$679.55
No comparable office rate is available.
Oklahoma
Oklahoma · 53210
Office
Unavailable
Facility
$662.45
No comparable office rate is available.
Portland
Oregon · 53210
Office
Unavailable
Facility
$709.43
No comparable office rate is available.
Rest Of Oregon
Oregon · 53210
Office
Unavailable
Facility
$677.91
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 53210
Office
Unavailable
Facility
$722.72
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 53210
Office
Unavailable
Facility
$676.89
No comparable office rate is available.
Puerto Rico
Puerto Rico · 53210
Office
Unavailable
Facility
$696.98
No comparable office rate is available.
Rhode Island
Rhode Island · 53210
Office
Unavailable
Facility
$704.34
No comparable office rate is available.
South Carolina
South Carolina · 53210
Office
Unavailable
Facility
$672.58
No comparable office rate is available.
South Dakota**
South Dakota · 53210
Office
Unavailable
Facility
$657.59
No comparable office rate is available.
Tennessee
Tennessee · 53210
Office
Unavailable
Facility
$651.73
No comparable office rate is available.
Utah
Utah · 53210
Office
Unavailable
Facility
$678.40
No comparable office rate is available.
Virginia
Virginia · 53210
Office
Unavailable
Facility
$675.60
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 53210
Office
Unavailable
Facility
$696.98
No comparable office rate is available.
Vermont
Vermont · 53210
Office
Unavailable
Facility
$665.45
No comparable office rate is available.
Rest Of Washington
Washington · 53210
Office
Unavailable
Facility
$697.96
No comparable office rate is available.
Seattle (King Cnty)
Washington · 53210
Office
Unavailable
Facility
$751.02
No comparable office rate is available.
Wisconsin
Wisconsin · 53210
Office
Unavailable
Facility
$647.95
No comparable office rate is available.
West Virginia
West Virginia · 53210
Office
Unavailable
Facility
$695.43
No comparable office rate is available.
Wyoming**
Wyoming · 53210
Office
Unavailable
Facility
$680.80
No comparable office rate is available.
See how rates vary across the country
53210 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 53210 in Austin
Multiple payment areas
- 53210 in Barton Creek
- 53210 in Bee Cave
- 53210 in Briarcliff
- 53210 in Cedar Park
Multiple payment areas
- 53210 in Creedmoor
Multiple payment areas
- 53210 in Elgin
Multiple payment areas
- 53210 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 53210 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$771.31
$701.19 × 110% = $771.31
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 53210 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,180
- Code
- 53210
- Physician work
- 13.38
- Practice expense
- 5.73
- Malpractice
- 1.72
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.38 | × 1.002 | 13.4068 |
| Practice expense | 5.73 | × 1.058 | 6.0623 |
| Malpractice | 1.72 | × 0.886 | 1.5239 |
| Total RVUs | 20.9930 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$701.19
Open 53210 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.38 | 1.002 |
| Practice expense | 5.73 | 1.058 |
| Malpractice | 1.72 | 0.886 |
(13.38 × 1.002 + 5.73 × 1.058 + 1.72 × 0.886) × $33.4009 = $701.19
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
53210 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $701.19 | RVU26D |
| 2026-07-01 | Not available in this setting | $701.19 | RVU26C |
| 2026-04-01 | Not available in this setting | $701.19 | RVU26B |
| 2026-01-01 | Not available in this setting | $701.19 | RVU26A |
| 2025-10-01 | Not available in this setting | $768.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $768.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $768.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $768.02 | RVU25A |
53210 billing questions
How is this code distinguished from 53215?
53210 is for total urethral removal in a female patient; 53215 is the corresponding code for a male patient. Use the code matching the documented patient anatomy and procedure.
Can a urethral biopsy be reported instead?
Use 53200 when the service is a biopsy rather than complete removal. A biopsy does not support reporting total urethrectomy.
Does this code include the cystostomy?
Yes. The procedure includes the cystostomy, so do not separately report that component as though it were an independent service.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this anatomical service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When may an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery billing is not allowed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,17753080,,Drainage of urinary leakage,A,,6.75,4.04,NA,4.04,,0.87,11.66,11.66,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17853085,,Drainage of urinary leakage,A,,10.90,5.39,NA,5.39,,1.40,17.69,17.69,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17953200,,Biopsy of urethra,A,,2.53,2.06,,0.92,,0.38,4.97,3.83,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,18053210,,Removal of urethra,A,,13.38,5.73,NA,5.73,,1.72,20.83,20.83,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,18153215,,Removal of urethra,A,,16.43,6.37,NA,6.37,,2.13,24.93,24.93,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,18253220,,Treatment of urethra lesion,A,,7.44,4.05,NA,4.05,,0.96,12.45,12.45,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,18353230,,Removal of urethra lesion,A,,10.18,4.94,NA,4.94,,1.47,16.59,16.59,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858