53450
No office rateUrethral revision
Both describe single-stage hypospadias urethroplasty. Choose 53460 when the operative report supports extensive dissection to address chordee and the urethral defect.
On this page
CMS RVU26D · Effective 2026-10-01
53460 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$426.14
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 53460: Single-stage hypospadias urethroplasty with extensive dissection
Reports single-stage urethral reconstruction for hypospadias when extensive dissection addresses the urethral defect and associated chordee.
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.
CMS billing rules for 53460
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.56 · 60%
- Practice expense (office) RVU4.07 · 32%
- Malpractice RVU0.99 · 8%
29
Medicare services in 2024 · #5692 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.
53460 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
53420 is for the first stage of a staged urethral reconstruction; 53460 describes a single-stage hypospadias repair.
No office rate
53425 represents the second stage of a staged reconstruction, not a single-stage repair.
No office rate
53410 describes single-stage reconstruction of the male anterior urethra; 53460 is specifically for extensive single-stage hypospadias correction.
The same code, a different location
How does Austin compare?
53460 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 · 53460
Office
Unavailable
Facility
$411.38
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 53460
Office
Unavailable
Facility
$445.64
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 53460
Office
Unavailable
Facility
$463.09
No comparable office rate is available.
Miami
Florida · 53460
Office
Unavailable
Facility
$477.65
No comparable office rate is available.
Chicago
Illinois · 53460
Office
Unavailable
Facility
$466.79
No comparable office rate is available.
Manhattan
New York · 53460
Office
Unavailable
Facility
$479.08
No comparable office rate is available.
Alaska*
Alaska · 53460
Office
Unavailable
Facility
$541.76
No comparable office rate is available.
Alabama
Alabama · 53460
Office
Unavailable
Facility
$390.18
No comparable office rate is available.
Arkansas
Arkansas · 53460
Office
Unavailable
Facility
$386.31
No comparable office rate is available.
Arizona
Arizona · 53460
Office
Unavailable
Facility
$412.54
No comparable office rate is available.
Bakersfield
California · 53460
Office
Unavailable
Facility
$426.44
No comparable office rate is available.
Chico
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
El Centro
California · 53460
Office
Unavailable
Facility
$423.68
No comparable office rate is available.
Fresno
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Hanford-Corcoran
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Madera
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Merced
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Modesto
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Napa
California · 53460
Office
Unavailable
Facility
$464.39
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 53460
Office
Unavailable
Facility
$440.86
No comparable office rate is available.
Redding
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Rest Of California
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 53460
Office
Unavailable
Facility
$434.25
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 53460
Office
Unavailable
Facility
$437.43
No comparable office rate is available.
Salinas
California · 53460
Office
Unavailable
Facility
$435.62
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 53460
Office
Unavailable
Facility
$440.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 53460
Office
Unavailable
Facility
$483.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 53460
Office
Unavailable
Facility
$482.23
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 53460
Office
Unavailable
Facility
$494.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 53460
Office
Unavailable
Facility
$489.44
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 53460
Office
Unavailable
Facility
$429.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 53460
Office
Unavailable
Facility
$440.71
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 53460
Office
Unavailable
Facility
$435.81
No comparable office rate is available.
Santa Rosa-Petaluma
California · 53460
Office
Unavailable
Facility
$444.75
No comparable office rate is available.
Stockton
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Vallejo
California · 53460
Office
Unavailable
Facility
$462.77
No comparable office rate is available.
Visalia
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Yuba City
California · 53460
Office
Unavailable
Facility
$423.52
No comparable office rate is available.
Colorado
Colorado · 53460
Office
Unavailable
Facility
$426.01
No comparable office rate is available.
Connecticut
Connecticut · 53460
Office
Unavailable
Facility
$443.98
No comparable office rate is available.
Delaware
Delaware · 53460
Office
Unavailable
Facility
$417.81
No comparable office rate is available.
Fort Lauderdale
Florida · 53460
Office
Unavailable
Facility
$450.00
No comparable office rate is available.
Rest Of Florida
Florida · 53460
Office
Unavailable
Facility
$432.17
No comparable office rate is available.
Atlanta
Georgia · 53460
Office
Unavailable
Facility
$431.10
No comparable office rate is available.
Rest Of Georgia
Georgia · 53460
Office
Unavailable
Facility
$413.19
No comparable office rate is available.
Hawaii, Guam
Hawaii · 53460
Office
Unavailable
Facility
$426.22
No comparable office rate is available.
Iowa
Iowa · 53460
Office
Unavailable
Facility
$390.02
No comparable office rate is available.
Idaho
Idaho · 53460
Office
Unavailable
Facility
$393.22
No comparable office rate is available.
East St. Louis
Illinois · 53460
Office
Unavailable
Facility
$444.17
No comparable office rate is available.
Rest Of Illinois
Illinois · 53460
Office
Unavailable
Facility
$428.31
No comparable office rate is available.
Suburban Chicago
Illinois · 53460
Office
Unavailable
Facility
$452.48
No comparable office rate is available.
Indiana
Indiana · 53460
Office
Unavailable
Facility
$394.60
No comparable office rate is available.
Kansas
Kansas · 53460
Office
Unavailable
Facility
$392.07
No comparable office rate is available.
Kentucky
Kentucky · 53460
Office
Unavailable
Facility
$403.62
No comparable office rate is available.
New Orleans
Louisiana · 53460
Office
Unavailable
Facility
$418.00
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 53460
Office
Unavailable
Facility
$404.50
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 53460
Office
Unavailable
Facility
$454.61
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 53460
Office
Unavailable
Facility
$426.05
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 53460
Office
Unavailable
Facility
$443.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 53460
Office
Unavailable
Facility
$422.96
No comparable office rate is available.
Rest Of Maine
Maine · 53460
Office
Unavailable
Facility
$398.14
No comparable office rate is available.
Southern Maine
Maine · 53460
Office
Unavailable
Facility
$408.09
No comparable office rate is available.
Detroit
Michigan · 53460
Office
Unavailable
Facility
$439.45
No comparable office rate is available.
Rest Of Michigan
Michigan · 53460
Office
Unavailable
Facility
$413.96
No comparable office rate is available.
Minnesota
Minnesota · 53460
Office
Unavailable
Facility
$402.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 53460
Office
Unavailable
Facility
$412.47
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 53460
Office
Unavailable
Facility
$415.06
No comparable office rate is available.
Rest Of Missouri
Missouri · 53460
Office
Unavailable
Facility
$401.90
No comparable office rate is available.
Mississippi
Mississippi · 53460
Office
Unavailable
Facility
$393.99
No comparable office rate is available.
Montana**
Montana · 53460
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
North Carolina
North Carolina · 53460
Office
Unavailable
Facility
$400.47
No comparable office rate is available.
North Dakota**
North Dakota · 53460
Office
Unavailable
Facility
$401.88
No comparable office rate is available.
Nebraska
Nebraska · 53460
Office
Unavailable
Facility
$390.48
No comparable office rate is available.
New Hampshire
New Hampshire · 53460
Office
Unavailable
Facility
$422.96
No comparable office rate is available.
Northern Nj
New Jersey · 53460
Office
Unavailable
Facility
$461.43
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 53460
Office
Unavailable
Facility
$447.33
No comparable office rate is available.
New Mexico
New Mexico · 53460
Office
Unavailable
Facility
$416.88
No comparable office rate is available.
Nevada**
Nevada · 53460
Office
Unavailable
Facility
$416.13
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 53460
Office
Unavailable
Facility
$491.71
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 53460
Office
Unavailable
Facility
$452.74
No comparable office rate is available.
Queens
New York · 53460
Office
Unavailable
Facility
$477.04
No comparable office rate is available.
Rest Of New York
New York · 53460
Office
Unavailable
Facility
$404.90
No comparable office rate is available.
Ohio
Ohio · 53460
Office
Unavailable
Facility
$409.96
No comparable office rate is available.
Oklahoma
Oklahoma · 53460
Office
Unavailable
Facility
$399.60
No comparable office rate is available.
Portland
Oregon · 53460
Office
Unavailable
Facility
$432.18
No comparable office rate is available.
Rest Of Oregon
Oregon · 53460
Office
Unavailable
Facility
$411.15
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 53460
Office
Unavailable
Facility
$438.02
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 53460
Office
Unavailable
Facility
$408.55
No comparable office rate is available.
Puerto Rico
Puerto Rico · 53460
Office
Unavailable
Facility
$422.52
No comparable office rate is available.
Rhode Island
Rhode Island · 53460
Office
Unavailable
Facility
$427.23
No comparable office rate is available.
South Carolina
South Carolina · 53460
Office
Unavailable
Facility
$406.23
No comparable office rate is available.
South Dakota**
South Dakota · 53460
Office
Unavailable
Facility
$399.56
No comparable office rate is available.
Tennessee
Tennessee · 53460
Office
Unavailable
Facility
$393.84
No comparable office rate is available.
Utah
Utah · 53460
Office
Unavailable
Facility
$409.99
No comparable office rate is available.
Virginia
Virginia · 53460
Office
Unavailable
Facility
$409.49
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 53460
Office
Unavailable
Facility
$422.52
No comparable office rate is available.
Vermont
Vermont · 53460
Office
Unavailable
Facility
$403.82
No comparable office rate is available.
Rest Of Washington
Washington · 53460
Office
Unavailable
Facility
$424.10
No comparable office rate is available.
Seattle (King Cnty)
Washington · 53460
Office
Unavailable
Facility
$458.95
No comparable office rate is available.
Wisconsin
Wisconsin · 53460
Office
Unavailable
Facility
$392.93
No comparable office rate is available.
West Virginia
West Virginia · 53460
Office
Unavailable
Facility
$417.96
No comparable office rate is available.
Wyoming**
Wyoming · 53460
Office
Unavailable
Facility
$412.92
No comparable office rate is available.
See how rates vary across the country
53460 · 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.
- 53460 in Austin
Multiple payment areas
- 53460 in Barton Creek
- 53460 in Bee Cave
- 53460 in Briarcliff
- 53460 in Cedar Park
Multiple payment areas
- 53460 in Creedmoor
Multiple payment areas
- 53460 in Elgin
Multiple payment areas
- 53460 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 53460 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$468.75
$426.14 × 110% = $468.75
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 53460 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,212
- Code
- 53460
- Physician work
- 7.56
- Practice expense
- 4.07
- Malpractice
- 0.99
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.56 | × 1.002 | 7.5751 |
| Practice expense | 4.07 | × 1.058 | 4.3061 |
| Malpractice | 0.99 | × 0.886 | 0.8771 |
| Total RVUs | 12.7583 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$426.14
Open 53460 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.56 | 1.002 |
| Practice expense | 4.07 | 1.058 |
| Malpractice | 0.99 | 0.886 |
(7.56 × 1.002 + 4.07 × 1.058 + 0.99 × 0.886) × $33.4009 = $426.14
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
53460 · 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 | $426.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $426.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $426.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $426.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $452.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $452.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $452.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $452.47 | RVU25A |
53460 billing questions
How does this differ from 53450?
Both concern single-stage hypospadias urethroplasty. Use 53460 when the operative documentation supports extensive dissection to correct chordee and the urethral defect; 53450 describes the less extensive repair.
When is a staged urethroplasty code more appropriate?
Use a staged reconstruction code when the surgeon plans or performs the repair in separate stages. This code describes a single-stage hypospadias repair with extensive dissection.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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 or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
How does Medicare handle another procedure performed in the same session?
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 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.
6,20953452,,Tprnl balo cntnc dev uni,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,010,0.10,0.80,0.10,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21053453,,Tprnl balo cntnc dev rmvl ea,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21153454,,Tprnl balo cntnc dev adjmt,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21253460,,Revision of urethra,A,,7.56,4.07,NA,4.07,,0.99,12.62,12.62,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21353500,,Urethrlys transvag w/ scope,A,,12.68,5.53,NA,5.53,,1.93,20.14,20.14,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21453502,,Repair of urethra injury,A,,8.05,4.28,NA,4.28,,1.05,13.38,13.38,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21553505,,Repair of urethra injury,A,,8.05,4.27,NA,4.27,,1.05,13.37,13.37,0,090,0.08,0.83,0.09,2,0,2,0,0,9,,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