No office rate
Use 53446 when the urinary sphincter is removed without replacement. Use 53448 when the documented service includes component replacement.
On this page
CMS RVU26D · Effective 2026-10-01
53448 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1137.42
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.
Urology surgery
About 53448: Urinary sphincter component removal and replacement
Reports removal and replacement of urinary sphincter components, typically during operative management of a malfunctioning or otherwise unsuitable artificial urinary sphincter.
This operation involves removing and replacing urinary sphincter components, generally as revision of an implanted artificial urinary sphincter system. Urologists commonly perform it in a hospital or ambulatory surgery center for a patient whose implanted device requires operative replacement. The operative report should identify the components removed and implanted and describe the reason for the procedure, such as device malfunction or a change in the patient’s clinical condition.
Choose this code when the documented work matches its component removal-and-replacement service; distinguish it from removal alone, initial insertion, and repair without component replacement. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of 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 50% reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 53448
- 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 RVU22.85 · 67%
- Practice expense (office) RVU8.43 · 25%
- Malpractice RVU2.94 · 9%
55
Medicare services in 2024 · #5305 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.
53448 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
Code 53445 is for initial insertion of an inflatable urinary sphincter system; 53448 concerns removal and replacement of components in an existing system.
No office rate
Both codes address urinary sphincter removal and replacement. Determine the appropriate code from the exact component work and procedure documented.
No office rate
Code 53449 describes sphincter repair. It is not the component replacement service reported with 53448.
The same code, a different location
How does Chico compare?
53448 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Modesto
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Napa
California · 53448
Office
Unavailable
Facility
$1232.29
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 53448
Office
Unavailable
Facility
$1178.57
No comparable office rate is available.
Redding
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Rest Of California
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 53448
Office
Unavailable
Facility
$1169.31
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 53448
Office
Unavailable
Facility
$1170.79
No comparable office rate is available.
Salinas
California · 53448
Office
Unavailable
Facility
$1165.84
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 53448
Office
Unavailable
Facility
$1176.09
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 53448
Office
Unavailable
Facility
$1277.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 53448
Office
Unavailable
Facility
$1274.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 53448
Office
Unavailable
Facility
$1305.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 53448
Office
Unavailable
Facility
$1292.17
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 53448
Office
Unavailable
Facility
$1149.53
No comparable office rate is available.
Santa Cruz-Watsonville
California · 53448
Office
Unavailable
Facility
$1173.98
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 53448
Office
Unavailable
Facility
$1165.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 53448
Office
Unavailable
Facility
$1184.51
No comparable office rate is available.
Stockton
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Vallejo
California · 53448
Office
Unavailable
Facility
$1227.47
No comparable office rate is available.
Visalia
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Yuba City
California · 53448
Office
Unavailable
Facility
$1137.42
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 53448
Office
Unavailable
Facility
$1245.41
No comparable office rate is available.
Miami
Florida · 53448
Office
Unavailable
Facility
$1304.67
No comparable office rate is available.
Chicago
Illinois · 53448
Office
Unavailable
Facility
$1276.90
No comparable office rate is available.
Manhattan
New York · 53448
Office
Unavailable
Facility
$1294.98
No comparable office rate is available.
Alaska*
Alaska · 53448
Office
Unavailable
Facility
$1498.79
No comparable office rate is available.
Alabama
Alabama · 53448
Office
Unavailable
Facility
$1065.16
No comparable office rate is available.
Arkansas
Arkansas · 53448
Office
Unavailable
Facility
$1055.65
No comparable office rate is available.
Arizona
Arizona · 53448
Office
Unavailable
Facility
$1120.11
No comparable office rate is available.
Colorado
Colorado · 53448
Office
Unavailable
Facility
$1148.65
No comparable office rate is available.
Connecticut
Connecticut · 53448
Office
Unavailable
Facility
$1200.55
No comparable office rate is available.
Delaware
Delaware · 53448
Office
Unavailable
Facility
$1133.50
No comparable office rate is available.
Fort Lauderdale
Florida · 53448
Office
Unavailable
Facility
$1225.98
No comparable office rate is available.
Rest Of Florida
Florida · 53448
Office
Unavailable
Facility
$1179.98
No comparable office rate is available.
Atlanta
Georgia · 53448
Office
Unavailable
Facility
$1169.51
No comparable office rate is available.
Rest Of Georgia
Georgia · 53448
Office
Unavailable
Facility
$1131.42
No comparable office rate is available.
Hawaii, Guam
Hawaii · 53448
Office
Unavailable
Facility
$1140.21
No comparable office rate is available.
Iowa
Iowa · 53448
Office
Unavailable
Facility
$1059.83
No comparable office rate is available.
Idaho
Idaho · 53448
Office
Unavailable
Facility
$1068.70
No comparable office rate is available.
East St. Louis
Illinois · 53448
Office
Unavailable
Facility
$1220.03
No comparable office rate is available.
Rest Of Illinois
Illinois · 53448
Office
Unavailable
Facility
$1173.77
No comparable office rate is available.
Suburban Chicago
Illinois · 53448
Office
Unavailable
Facility
$1231.73
No comparable office rate is available.
Indiana
Indiana · 53448
Office
Unavailable
Facility
$1071.95
No comparable office rate is available.
Kansas
Kansas · 53448
Office
Unavailable
Facility
$1067.24
No comparable office rate is available.
Kentucky
Kentucky · 53448
Office
Unavailable
Facility
$1103.38
No comparable office rate is available.
New Orleans
Louisiana · 53448
Office
Unavailable
Facility
$1139.72
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 53448
Office
Unavailable
Facility
$1106.47
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 53448
Office
Unavailable
Facility
$1218.09
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 53448
Office
Unavailable
Facility
$1150.18
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 53448
Office
Unavailable
Facility
$1199.02
No comparable office rate is available.
Rest Of Maryland
Maryland · 53448
Office
Unavailable
Facility
$1145.94
No comparable office rate is available.
Rest Of Maine
Maine · 53448
Office
Unavailable
Facility
$1083.33
No comparable office rate is available.
Southern Maine
Maine · 53448
Office
Unavailable
Facility
$1104.21
No comparable office rate is available.
Detroit
Michigan · 53448
Office
Unavailable
Facility
$1200.49
No comparable office rate is available.
Rest Of Michigan
Michigan · 53448
Office
Unavailable
Facility
$1131.15
No comparable office rate is available.
Minnesota
Minnesota · 53448
Office
Unavailable
Facility
$1082.01
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 53448
Office
Unavailable
Facility
$1123.54
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 53448
Office
Unavailable
Facility
$1129.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 53448
Office
Unavailable
Facility
$1101.57
No comparable office rate is available.
Mississippi
Mississippi · 53448
Office
Unavailable
Facility
$1078.21
No comparable office rate is available.
Montana**
Montana · 53448
Office
Unavailable
Facility
$1142.78
No comparable office rate is available.
North Carolina
North Carolina · 53448
Office
Unavailable
Facility
$1088.66
No comparable office rate is available.
North Dakota**
North Dakota · 53448
Office
Unavailable
Facility
$1084.65
No comparable office rate is available.
Nebraska
Nebraska · 53448
Office
Unavailable
Facility
$1060.22
No comparable office rate is available.
New Hampshire
New Hampshire · 53448
Office
Unavailable
Facility
$1142.25
No comparable office rate is available.
Northern Nj
New Jersey · 53448
Office
Unavailable
Facility
$1242.79
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 53448
Office
Unavailable
Facility
$1208.94
No comparable office rate is available.
New Mexico
New Mexico · 53448
Office
Unavailable
Facility
$1139.35
No comparable office rate is available.
Nevada**
Nevada · 53448
Office
Unavailable
Facility
$1126.86
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 53448
Office
Unavailable
Facility
$1329.20
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 53448
Office
Unavailable
Facility
$1224.69
No comparable office rate is available.
Queens
New York · 53448
Office
Unavailable
Facility
$1286.47
No comparable office rate is available.
Rest Of New York
New York · 53448
Office
Unavailable
Facility
$1099.74
No comparable office rate is available.
Ohio
Ohio · 53448
Office
Unavailable
Facility
$1119.27
No comparable office rate is available.
Oklahoma
Oklahoma · 53448
Office
Unavailable
Facility
$1090.95
No comparable office rate is available.
Portland
Oregon · 53448
Office
Unavailable
Facility
$1161.31
No comparable office rate is available.
Rest Of Oregon
Oregon · 53448
Office
Unavailable
Facility
$1112.69
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 53448
Office
Unavailable
Facility
$1187.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 53448
Office
Unavailable
Facility
$1114.49
No comparable office rate is available.
Puerto Rico
Puerto Rico · 53448
Office
Unavailable
Facility
$1144.60
No comparable office rate is available.
Rhode Island
Rhode Island · 53448
Office
Unavailable
Facility
$1156.17
No comparable office rate is available.
South Carolina
South Carolina · 53448
Office
Unavailable
Facility
$1106.85
No comparable office rate is available.
South Dakota**
South Dakota · 53448
Office
Unavailable
Facility
$1077.77
No comparable office rate is available.
Tennessee
Tennessee · 53448
Office
Unavailable
Facility
$1071.89
No comparable office rate is available.
Austin
Texas · 53448
Office
Unavailable
Facility
$1149.64
No comparable office rate is available.
Beaumont
Texas · 53448
Office
Unavailable
Facility
$1110.67
No comparable office rate is available.
Brazoria
Texas · 53448
Office
Unavailable
Facility
$1124.95
No comparable office rate is available.
Dallas
Texas · 53448
Office
Unavailable
Facility
$1134.78
No comparable office rate is available.
Fort Worth
Texas · 53448
Office
Unavailable
Facility
$1133.24
No comparable office rate is available.
Galveston
Texas · 53448
Office
Unavailable
Facility
$1130.22
No comparable office rate is available.
Houston
Texas · 53448
Office
Unavailable
Facility
$1184.04
No comparable office rate is available.
Rest Of Texas
Texas · 53448
Office
Unavailable
Facility
$1119.09
No comparable office rate is available.
Utah
Utah · 53448
Office
Unavailable
Facility
$1116.07
No comparable office rate is available.
Virginia
Virginia · 53448
Office
Unavailable
Facility
$1109.32
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 53448
Office
Unavailable
Facility
$1144.60
No comparable office rate is available.
Vermont
Vermont · 53448
Office
Unavailable
Facility
$1091.65
No comparable office rate is available.
Rest Of Washington
Washington · 53448
Office
Unavailable
Facility
$1144.35
No comparable office rate is available.
Seattle (King Cnty)
Washington · 53448
Office
Unavailable
Facility
$1227.09
No comparable office rate is available.
Wisconsin
Wisconsin · 53448
Office
Unavailable
Facility
$1063.20
No comparable office rate is available.
West Virginia
West Virginia · 53448
Office
Unavailable
Facility
$1148.42
No comparable office rate is available.
Wyoming**
Wyoming · 53448
Office
Unavailable
Facility
$1117.45
No comparable office rate is available.
See how rates vary across the country
53448 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 53448 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1251.16
$1137.42 × 110% = $1251.16
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 53448 in Chico.
PPRRVU2026_Oct_nonQPP.csv
6,205
- Code
- 53448
- Physician work
- 22.85
- Practice expense
- 8.43
- Malpractice
- 2.94
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.85 | × 1.017 | 23.2385 |
| Practice expense | 8.43 | × 1.096 | 9.2393 |
| Malpractice | 2.94 | × 0.536 | 1.5758 |
| Total RVUs | 34.0536 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1137.42
Open 53448 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.85 | 1.017 |
| Practice expense | 8.43 | 1.096 |
| Malpractice | 2.94 | 0.536 |
(22.85 × 1.017 + 8.43 × 1.096 + 2.94 × 0.536) × $33.4009 = $1137.42
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
53448 · 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 | $1137.42 | RVU26D |
| 2026-07-01 | Not available in this setting | $1137.42 | RVU26C |
| 2026-04-01 | Not available in this setting | $1137.42 | RVU26B |
| 2026-01-01 | Not available in this setting | $1137.42 | RVU26A |
| 2025-10-01 | Not available in this setting | $1240.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $1240.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $1240.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $1240.97 | RVU25A |
53448 billing questions
How does this differ from 53446?
Code 53446 is for removal of the urinary sphincter without replacement. Use 53448 when the operative report supports removal and replacement of the components described by this service.
How does this differ from 53445?
Code 53445 describes initial insertion of an inflatable urinary sphincter system. This code describes removal and replacement of components of an existing system.
How should this be distinguished from 53447?
Both codes concern urinary sphincter removal and replacement. Select based on the exact service and component work documented in the operative report, rather than treating the codes as interchangeable.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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 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.
6,20253445,,Insert uro/ves nck sphincter,A,,12.68,6.33,NA,6.33,,1.63,20.64,20.64,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20353446,,Remove uro sphincter,A,,10.74,5.47,NA,5.47,,1.37,17.58,17.58,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20453447,,Remove/replace ur sphincter,A,,13.92,6.18,NA,6.18,,1.78,21.88,21.88,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20553448,,Remov/replc ur sphinctr comp,A,,22.85,8.43,NA,8.43,,2.94,34.22,34.22,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20653449,,Repair uro sphincter,A,,10.30,5.12,NA,5.12,,1.33,16.75,16.75,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20753450,,Revision of urethra,A,,6.60,3.89,NA,3.89,,0.86,11.35,11.35,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20853451,,Tprnl balo cntnc dev bi,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
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536