No office rate
Use 53440 for placing a male sling. Code 53442 describes removing or revising an existing male sling.
On this page
CMS RVU26D · Effective 2026-10-01
53440 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$681.17
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 53440: Male urethral sling placement
Places a support sling beneath the male urethra to treat stress urinary incontinence, commonly persistent leakage after prostate surgery.
A urologist places a sling beneath the urethra to support it and improve control of stress-related urine leakage. The procedure is commonly considered for men with persistent incontinence after prostate surgery, including leakage with coughing, lifting, or activity. It is generally performed in an operating room, and the operative report identifies the sling material and placement technique.
Report this code for sling placement, not for later removal or revision of an existing sling. Document the incontinence being treated, relevant history and evaluation, and the procedure performed. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 53440
- 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 RVU13.03 · 64%
- Practice expense (office) RVU5.70 · 28%
- Malpractice RVU1.67 · 8%
1.4K
Medicare services in 2024 · #2736 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.
53440 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
Use 53440 for a urethral support sling; 53445 is for insertion of an artificial urinary sphincter.
53451
No office rateTprnl balo cntnc dev bi
Code 53451 describes bilateral transperineal balloon continence-device placement, not sling placement.
53452
No office rateTprnl balo cntnc dev uni
Code 53452 describes unilateral transperineal balloon continence-device placement, not sling placement.
The same code, a different location
How does Modesto compare?
53440 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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.
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
Madera
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Merced
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Napa
California · 53440
Office
Unavailable
Facility
$741.90
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 53440
Office
Unavailable
Facility
$707.19
No comparable office rate is available.
Redding
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Rest Of California
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 53440
Office
Unavailable
Facility
$699.29
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 53440
Office
Unavailable
Facility
$702.20
No comparable office rate is available.
Salinas
California · 53440
Office
Unavailable
Facility
$699.26
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 53440
Office
Unavailable
Facility
$706.20
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 53440
Office
Unavailable
Facility
$770.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 53440
Office
Unavailable
Facility
$768.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 53440
Office
Unavailable
Facility
$787.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 53440
Office
Unavailable
Facility
$779.77
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 53440
Office
Unavailable
Facility
$689.36
No comparable office rate is available.
Santa Cruz-Watsonville
California · 53440
Office
Unavailable
Facility
$705.57
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 53440
Office
Unavailable
Facility
$699.29
No comparable office rate is available.
Santa Rosa-Petaluma
California · 53440
Office
Unavailable
Facility
$711.96
No comparable office rate is available.
Stockton
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Vallejo
California · 53440
Office
Unavailable
Facility
$739.16
No comparable office rate is available.
Visalia
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Yuba City
California · 53440
Office
Unavailable
Facility
$681.17
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 53440
Office
Unavailable
Facility
$745.07
No comparable office rate is available.
Miami
Florida · 53440
Office
Unavailable
Facility
$774.47
No comparable office rate is available.
Chicago
Illinois · 53440
Office
Unavailable
Facility
$757.61
No comparable office rate is available.
Manhattan
New York · 53440
Office
Unavailable
Facility
$772.76
No comparable office rate is available.
Alaska*
Alaska · 53440
Office
Unavailable
Facility
$886.32
No comparable office rate is available.
Alabama
Alabama · 53440
Office
Unavailable
Facility
$633.37
No comparable office rate is available.
Arkansas
Arkansas · 53440
Office
Unavailable
Facility
$627.48
No comparable office rate is available.
Arizona
Arizona · 53440
Office
Unavailable
Facility
$667.44
No comparable office rate is available.
Colorado
Colorado · 53440
Office
Unavailable
Facility
$686.57
No comparable office rate is available.
Connecticut
Connecticut · 53440
Office
Unavailable
Facility
$716.46
No comparable office rate is available.
Delaware
Delaware · 53440
Office
Unavailable
Facility
$675.64
No comparable office rate is available.
Fort Lauderdale
Florida · 53440
Office
Unavailable
Facility
$728.92
No comparable office rate is available.
Rest Of Florida
Florida · 53440
Office
Unavailable
Facility
$701.06
No comparable office rate is available.
Atlanta
Georgia · 53440
Office
Unavailable
Facility
$696.94
No comparable office rate is available.
Rest Of Georgia
Georgia · 53440
Office
Unavailable
Facility
$671.53
No comparable office rate is available.
Hawaii, Guam
Hawaii · 53440
Office
Unavailable
Facility
$683.98
No comparable office rate is available.
Iowa
Iowa · 53440
Office
Unavailable
Facility
$631.56
No comparable office rate is available.
Idaho
Idaho · 53440
Office
Unavailable
Facility
$636.75
No comparable office rate is available.
East St. Louis
Illinois · 53440
Office
Unavailable
Facility
$722.71
No comparable office rate is available.
Rest Of Illinois
Illinois · 53440
Office
Unavailable
Facility
$696.22
No comparable office rate is available.
Suburban Chicago
Illinois · 53440
Office
Unavailable
Facility
$732.63
No comparable office rate is available.
Indiana
Indiana · 53440
Office
Unavailable
Facility
$638.81
No comparable office rate is available.
Kansas
Kansas · 53440
Office
Unavailable
Facility
$635.43
No comparable office rate is available.
Kentucky
Kentucky · 53440
Office
Unavailable
Facility
$655.50
No comparable office rate is available.
New Orleans
Louisiana · 53440
Office
Unavailable
Facility
$677.73
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 53440
Office
Unavailable
Facility
$657.14
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 53440
Office
Unavailable
Facility
$730.02
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 53440
Office
Unavailable
Facility
$687.11
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 53440
Office
Unavailable
Facility
$715.46
No comparable office rate is available.
Rest Of Maryland
Maryland · 53440
Office
Unavailable
Facility
$683.44
No comparable office rate is available.
Rest Of Maine
Maine · 53440
Office
Unavailable
Facility
$645.06
No comparable office rate is available.
Southern Maine
Maine · 53440
Office
Unavailable
Facility
$659.08
No comparable office rate is available.
Detroit
Michigan · 53440
Office
Unavailable
Facility
$712.98
No comparable office rate is available.
Rest Of Michigan
Michigan · 53440
Office
Unavailable
Facility
$672.01
No comparable office rate is available.
Minnesota
Minnesota · 53440
Office
Unavailable
Facility
$647.63
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 53440
Office
Unavailable
Facility
$668.48
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 53440
Office
Unavailable
Facility
$672.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 53440
Office
Unavailable
Facility
$653.65
No comparable office rate is available.
Mississippi
Mississippi · 53440
Office
Unavailable
Facility
$640.36
No comparable office rate is available.
Montana**
Montana · 53440
Office
Unavailable
Facility
$681.27
No comparable office rate is available.
North Carolina
North Carolina · 53440
Office
Unavailable
Facility
$648.49
No comparable office rate is available.
North Dakota**
North Dakota · 53440
Office
Unavailable
Facility
$648.25
No comparable office rate is available.
Nebraska
Nebraska · 53440
Office
Unavailable
Facility
$632.02
No comparable office rate is available.
New Hampshire
New Hampshire · 53440
Office
Unavailable
Facility
$682.21
No comparable office rate is available.
Northern Nj
New Jersey · 53440
Office
Unavailable
Facility
$743.05
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 53440
Office
Unavailable
Facility
$721.71
No comparable office rate is available.
New Mexico
New Mexico · 53440
Office
Unavailable
Facility
$676.79
No comparable office rate is available.
Nevada**
Nevada · 53440
Office
Unavailable
Facility
$672.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 53440
Office
Unavailable
Facility
$793.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 53440
Office
Unavailable
Facility
$730.76
No comparable office rate is available.
Queens
New York · 53440
Office
Unavailable
Facility
$768.54
No comparable office rate is available.
Rest Of New York
New York · 53440
Office
Unavailable
Facility
$655.29
No comparable office rate is available.
Ohio
Ohio · 53440
Office
Unavailable
Facility
$665.26
No comparable office rate is available.
Oklahoma
Oklahoma · 53440
Office
Unavailable
Facility
$648.57
No comparable office rate is available.
Portland
Oregon · 53440
Office
Unavailable
Facility
$695.19
No comparable office rate is available.
Rest Of Oregon
Oregon · 53440
Office
Unavailable
Facility
$664.05
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 53440
Office
Unavailable
Facility
$707.78
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 53440
Office
Unavailable
Facility
$662.70
No comparable office rate is available.
Puerto Rico
Puerto Rico · 53440
Office
Unavailable
Facility
$682.64
No comparable office rate is available.
Rhode Island
Rhode Island · 53440
Office
Unavailable
Facility
$689.91
No comparable office rate is available.
South Carolina
South Carolina · 53440
Office
Unavailable
Facility
$658.54
No comparable office rate is available.
South Dakota**
South Dakota · 53440
Office
Unavailable
Facility
$644.34
No comparable office rate is available.
Tennessee
Tennessee · 53440
Office
Unavailable
Facility
$638.23
No comparable office rate is available.
Austin
Texas · 53440
Office
Unavailable
Facility
$686.93
No comparable office rate is available.
Beaumont
Texas · 53440
Office
Unavailable
Facility
$660.28
No comparable office rate is available.
Brazoria
Texas · 53440
Office
Unavailable
Facility
$670.88
No comparable office rate is available.
Dallas
Texas · 53440
Office
Unavailable
Facility
$676.61
No comparable office rate is available.
Fort Worth
Texas · 53440
Office
Unavailable
Facility
$675.43
No comparable office rate is available.
Galveston
Texas · 53440
Office
Unavailable
Facility
$673.93
No comparable office rate is available.
Houston
Texas · 53440
Office
Unavailable
Facility
$704.50
No comparable office rate is available.
Rest Of Texas
Texas · 53440
Office
Unavailable
Facility
$666.26
No comparable office rate is available.
Utah
Utah · 53440
Office
Unavailable
Facility
$664.27
No comparable office rate is available.
Virginia
Virginia · 53440
Office
Unavailable
Facility
$661.74
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 53440
Office
Unavailable
Facility
$682.64
No comparable office rate is available.
Vermont
Vermont · 53440
Office
Unavailable
Facility
$651.92
No comparable office rate is available.
Rest Of Washington
Washington · 53440
Office
Unavailable
Facility
$683.80
No comparable office rate is available.
Seattle (King Cnty)
Washington · 53440
Office
Unavailable
Facility
$736.15
No comparable office rate is available.
Wisconsin
Wisconsin · 53440
Office
Unavailable
Facility
$634.78
No comparable office rate is available.
West Virginia
West Virginia · 53440
Office
Unavailable
Facility
$680.48
No comparable office rate is available.
Wyoming**
Wyoming · 53440
Office
Unavailable
Facility
$666.88
No comparable office rate is available.
See how rates vary across the country
53440 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 53440 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$749.29
$681.17 × 110% = $749.29
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 53440 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,199
- Code
- 53440
- Physician work
- 13.03
- Practice expense
- 5.70
- Malpractice
- 1.67
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.03 | × 1.017 | 13.2515 |
| Practice expense | 5.70 | × 1.096 | 6.2472 |
| Malpractice | 1.67 | × 0.536 | 0.8951 |
| Total RVUs | 20.3938 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$681.17
Open 53440 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.03 | 1.017 |
| Practice expense | 5.7 | 1.096 |
| Malpractice | 1.67 | 0.536 |
(13.03 × 1.017 + 5.7 × 1.096 + 1.67 × 0.536) × $33.4009 = $681.17
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
53440 · 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 | $681.17 | RVU26D |
| 2026-07-01 | Not available in this setting | $681.17 | RVU26C |
| 2026-04-01 | Not available in this setting | $681.17 | RVU26B |
| 2026-01-01 | Not available in this setting | $681.17 | RVU26A |
| 2025-10-01 | Not available in this setting | $738.53 | RVU25D |
| 2025-07-01 | Not available in this setting | $738.53 | RVU25C |
| 2025-04-01 | Not available in this setting | $738.53 | RVU25B |
| 2025-01-01 | Not available in this setting | $738.53 | RVU25A |
53440 billing questions
When is 53440 appropriate instead of 53445?
Use 53440 for placement of a male urethral support sling. Code 53445 describes insertion of an artificial urinary sphincter, a different continence procedure.
Does 53440 cover removal or revision of a prior sling?
No. Code 53442 describes removal or revision of a male sling; 53440 is for sling placement.
What documentation supports reporting 53440?
Document the male stress incontinence being treated, relevant clinical history and evaluation, and the sling placement performed, including the material and operative technique.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global package.
Can modifier 50 be used for 53440?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
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. Assistant-at-surgery payment may be available; co-surgeon payment needs supporting documentation.
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.
6,19653425,,Reconstruct urethra stage 2,A,,16.64,6.36,NA,6.36,,2.14,25.14,25.14,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,19753430,,Reconstruction of urethra,A,,16.99,6.71,NA,6.71,,2.44,26.14,26.14,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,19853431,,Reconstruct urethra/bladder,A,,20.65,7.55,NA,7.55,,2.65,30.85,30.85,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,19953440,,Male sling procedure,A,,13.03,5.70,NA,5.70,,1.67,20.40,20.40,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20053442,,Remove/revise male sling,A,,13.15,6.61,NA,6.61,,1.69,21.45,21.45,0,090,0.08,0.83,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20153444,,Insert tandem cuff,A,,13.84,5.85,NA,5.85,,1.77,21.46,21.46,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20253445,,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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536