No office rate
Use 57287 for removal or revision of a sling when that is the operative treatment. Urethrolysis frees the urethra from scar or tethering; both may be needed in selected cases.
On this page
CMS RVU26D · Effective 2026-10-01
53500 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$676.91
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 53500: Transvaginal urethral scar release
Transvaginal urethrolysis frees the female urethra from scar tissue or tethering causing obstruction, often after prior anti-incontinence surgery.
A urologist or urogynecologist uses a vaginal approach to release scar tissue or adhesions restricting the female urethra. A typical situation is persistent difficulty emptying the bladder from urethral tethering after prior anti-incontinence surgery. Endoscopic control may be used during the operation, but the code describes the transvaginal release whether or not it is used. This is an operative service, generally performed in a surgical setting, rather than an office treatment for urinary symptoms.
Report the code when the operative work frees the urethra from obstructing periurethral scar or fixation; document the cause of obstruction, relevant prior surgery, operative findings, and the release performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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 for this anatomy. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 53500
- 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 RVU12.68 · 63%
- Practice expense (office) RVU5.53 · 27%
- Malpractice RVU1.93 · 10%
368
Medicare services in 2024 · #3802 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.
53500 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
This code describes one-stage reconstruction of the female urethra. Choose 53500 when the work is release of periurethral scar, not reconstruction of the urethral channel.
No office rate
This code is for urethral injury repair. Choose 53500 for transvaginal urethral release when the operative problem is scar-related restriction rather than an injury.
The same code, a different location
How does Austin compare?
53500 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 · 53500
Office
Unavailable
Facility
$657.02
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 53500
Office
Unavailable
Facility
$702.20
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 53500
Office
Unavailable
Facility
$735.73
No comparable office rate is available.
Miami
Florida · 53500
Office
Unavailable
Facility
$778.83
No comparable office rate is available.
Chicago
Illinois · 53500
Office
Unavailable
Facility
$760.06
No comparable office rate is available.
Manhattan
New York · 53500
Office
Unavailable
Facility
$767.50
No comparable office rate is available.
Alaska*
Alaska · 53500
Office
Unavailable
Facility
$867.52
No comparable office rate is available.
Alabama
Alabama · 53500
Office
Unavailable
Facility
$621.63
No comparable office rate is available.
Arkansas
Arkansas · 53500
Office
Unavailable
Facility
$615.39
No comparable office rate is available.
Arizona
Arizona · 53500
Office
Unavailable
Facility
$657.69
No comparable office rate is available.
Bakersfield
California · 53500
Office
Unavailable
Facility
$673.27
No comparable office rate is available.
Chico
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
El Centro
California · 53500
Office
Unavailable
Facility
$668.04
No comparable office rate is available.
Fresno
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Hanford-Corcoran
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Madera
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Merced
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Modesto
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Napa
California · 53500
Office
Unavailable
Facility
$726.40
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 53500
Office
Unavailable
Facility
$693.87
No comparable office rate is available.
Redding
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Rest Of California
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 53500
Office
Unavailable
Facility
$688.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 53500
Office
Unavailable
Facility
$688.14
No comparable office rate is available.
Salinas
California · 53500
Office
Unavailable
Facility
$685.28
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 53500
Office
Unavailable
Facility
$692.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 53500
Office
Unavailable
Facility
$753.78
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 53500
Office
Unavailable
Facility
$751.59
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 53500
Office
Unavailable
Facility
$771.01
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 53500
Office
Unavailable
Facility
$762.05
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 53500
Office
Unavailable
Facility
$675.66
No comparable office rate is available.
Santa Cruz-Watsonville
California · 53500
Office
Unavailable
Facility
$691.39
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 53500
Office
Unavailable
Facility
$685.30
No comparable office rate is available.
Santa Rosa-Petaluma
California · 53500
Office
Unavailable
Facility
$697.60
No comparable office rate is available.
Stockton
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Vallejo
California · 53500
Office
Unavailable
Facility
$723.24
No comparable office rate is available.
Visalia
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Yuba City
California · 53500
Office
Unavailable
Facility
$667.71
No comparable office rate is available.
Colorado
Colorado · 53500
Office
Unavailable
Facility
$675.48
No comparable office rate is available.
Connecticut
Connecticut · 53500
Office
Unavailable
Facility
$708.92
No comparable office rate is available.
Delaware
Delaware · 53500
Office
Unavailable
Facility
$666.08
No comparable office rate is available.
Fort Lauderdale
Florida · 53500
Office
Unavailable
Facility
$727.18
No comparable office rate is available.
Rest Of Florida
Florida · 53500
Office
Unavailable
Facility
$696.99
No comparable office rate is available.
Atlanta
Georgia · 53500
Office
Unavailable
Facility
$689.88
No comparable office rate is available.
Rest Of Georgia
Georgia · 53500
Office
Unavailable
Facility
$665.12
No comparable office rate is available.
Hawaii, Guam
Hawaii · 53500
Office
Unavailable
Facility
$670.86
No comparable office rate is available.
Iowa
Iowa · 53500
Office
Unavailable
Facility
$618.12
No comparable office rate is available.
Idaho
Idaho · 53500
Office
Unavailable
Facility
$623.95
No comparable office rate is available.
East St. Louis
Illinois · 53500
Office
Unavailable
Facility
$723.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 53500
Office
Unavailable
Facility
$692.92
No comparable office rate is available.
Suburban Chicago
Illinois · 53500
Office
Unavailable
Facility
$730.41
No comparable office rate is available.
Indiana
Indiana · 53500
Office
Unavailable
Facility
$626.08
No comparable office rate is available.
Kansas
Kansas · 53500
Office
Unavailable
Facility
$622.99
No comparable office rate is available.
Kentucky
Kentucky · 53500
Office
Unavailable
Facility
$646.71
No comparable office rate is available.
New Orleans
Louisiana · 53500
Office
Unavailable
Facility
$670.56
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 53500
Office
Unavailable
Facility
$648.75
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 53500
Office
Unavailable
Facility
$718.80
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 53500
Office
Unavailable
Facility
$676.17
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 53500
Office
Unavailable
Facility
$708.23
No comparable office rate is available.
Rest Of Maryland
Maryland · 53500
Office
Unavailable
Facility
$673.86
No comparable office rate is available.
Rest Of Maine
Maine · 53500
Office
Unavailable
Facility
$633.55
No comparable office rate is available.
Southern Maine
Maine · 53500
Office
Unavailable
Facility
$647.24
No comparable office rate is available.
Detroit
Michigan · 53500
Office
Unavailable
Facility
$710.45
No comparable office rate is available.
Rest Of Michigan
Michigan · 53500
Office
Unavailable
Facility
$664.94
No comparable office rate is available.
Minnesota
Minnesota · 53500
Office
Unavailable
Facility
$632.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 53500
Office
Unavailable
Facility
$659.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 53500
Office
Unavailable
Facility
$663.96
No comparable office rate is available.
Rest Of Missouri
Missouri · 53500
Office
Unavailable
Facility
$645.53
No comparable office rate is available.
Mississippi
Mississippi · 53500
Office
Unavailable
Facility
$630.19
No comparable office rate is available.
Montana**
Montana · 53500
Office
Unavailable
Facility
$672.57
No comparable office rate is available.
North Carolina
North Carolina · 53500
Office
Unavailable
Facility
$637.05
No comparable office rate is available.
North Dakota**
North Dakota · 53500
Office
Unavailable
Facility
$634.40
No comparable office rate is available.
Nebraska
Nebraska · 53500
Office
Unavailable
Facility
$618.38
No comparable office rate is available.
New Hampshire
New Hampshire · 53500
Office
Unavailable
Facility
$672.21
No comparable office rate is available.
Northern Nj
New Jersey · 53500
Office
Unavailable
Facility
$733.31
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 53500
Office
Unavailable
Facility
$712.88
No comparable office rate is available.
New Mexico
New Mexico · 53500
Office
Unavailable
Facility
$670.32
No comparable office rate is available.
Nevada**
Nevada · 53500
Office
Unavailable
Facility
$662.11
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 53500
Office
Unavailable
Facility
$789.95
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 53500
Office
Unavailable
Facility
$722.84
No comparable office rate is available.
Queens
New York · 53500
Office
Unavailable
Facility
$761.91
No comparable office rate is available.
Rest Of New York
New York · 53500
Office
Unavailable
Facility
$644.31
No comparable office rate is available.
Ohio
Ohio · 53500
Office
Unavailable
Facility
$657.14
No comparable office rate is available.
Oklahoma
Oklahoma · 53500
Office
Unavailable
Facility
$638.56
No comparable office rate is available.
Portland
Oregon · 53500
Office
Unavailable
Facility
$683.47
No comparable office rate is available.
Rest Of Oregon
Oregon · 53500
Office
Unavailable
Facility
$652.81
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 53500
Office
Unavailable
Facility
$700.33
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 53500
Office
Unavailable
Facility
$654.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 53500
Office
Unavailable
Facility
$673.76
No comparable office rate is available.
Rhode Island
Rhode Island · 53500
Office
Unavailable
Facility
$679.87
No comparable office rate is available.
South Carolina
South Carolina · 53500
Office
Unavailable
Facility
$648.99
No comparable office rate is available.
South Dakota**
South Dakota · 53500
Office
Unavailable
Facility
$629.89
No comparable office rate is available.
Tennessee
Tennessee · 53500
Office
Unavailable
Facility
$626.04
No comparable office rate is available.
Utah
Utah · 53500
Office
Unavailable
Facility
$655.04
No comparable office rate is available.
Virginia
Virginia · 53500
Office
Unavailable
Facility
$650.60
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 53500
Office
Unavailable
Facility
$673.76
No comparable office rate is available.
Vermont
Vermont · 53500
Office
Unavailable
Facility
$639.00
No comparable office rate is available.
Rest Of Washington
Washington · 53500
Office
Unavailable
Facility
$672.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 53500
Office
Unavailable
Facility
$724.00
No comparable office rate is available.
Wisconsin
Wisconsin · 53500
Office
Unavailable
Facility
$620.33
No comparable office rate is available.
West Virginia
West Virginia · 53500
Office
Unavailable
Facility
$676.28
No comparable office rate is available.
Wyoming**
Wyoming · 53500
Office
Unavailable
Facility
$655.93
No comparable office rate is available.
See how rates vary across the country
53500 · 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.
- 53500 in Austin
Multiple payment areas
- 53500 in Barton Creek
- 53500 in Bee Cave
- 53500 in Briarcliff
- 53500 in Cedar Park
Multiple payment areas
- 53500 in Creedmoor
Multiple payment areas
- 53500 in Elgin
Multiple payment areas
- 53500 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 53500 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$744.60
$676.91 × 110% = $744.60
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 53500 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,213
- Code
- 53500
- Physician work
- 12.68
- Practice expense
- 5.53
- Malpractice
- 1.93
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.68 | × 1.002 | 12.7054 |
| Practice expense | 5.53 | × 1.058 | 5.8507 |
| Malpractice | 1.93 | × 0.886 | 1.7100 |
| Total RVUs | 20.2661 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$676.91
Open 53500 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.68 | 1.002 |
| Practice expense | 5.53 | 1.058 |
| Malpractice | 1.93 | 0.886 |
(12.68 × 1.002 + 5.53 × 1.058 + 1.93 × 0.886) × $33.4009 = $676.91
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
53500 · 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 | $676.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $676.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $676.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $676.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $733.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $733.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $733.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $733.86 | RVU25A |
53500 billing questions
When should 53500 be chosen instead of a urethral repair code?
Use 53500 for transvaginal release of scar or tethering that restricts the urethra. A urethral repair code describes repair of an injury or defect, not release of external fixation.
Can 53500 be reported when endoscopic control is used?
Yes. Endoscopic control may be used as part of the transvaginal urethrolysis; its use does not change the selection of 53500.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
What supports reporting 53500?
Document the urethral obstruction or tethering, the relevant scar or prior operative history, and the transvaginal release performed. The note should make clear that the work freed the urethra rather than repaired a urethral injury.
How does the 90-day global affect postoperative visits?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgical service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
6,21053453,,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
6,21653510,,Repair of urethra injury,A,,10.69,5.20,NA,5.20,,1.36,17.25,17.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,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