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CMS RVU26D · Effective 2026-10-01

53270 in Redding

Office / nonfacility

$224.59

Base rate per service

Facility setting

$170.04

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 53270: Excision of Skene glands

Excision of Skene glands removes periurethral glands, typically for symptomatic gland disease when definitive surgical removal is performed.

This procedure removes Skene glands, which lie beside the female urethral opening. It is generally performed by a urologist or urogynecologist for symptomatic gland disease, such as an enlarged or cystic gland, when excision is selected rather than diagnostic sampling or treatment of a different urethral lesion. The operative report should identify the gland tissue removed and its relationship to the urethra.

Report the excision when the documented service is removal of Skene gland tissue, not simply a urethral biopsy or treatment of another urethral lesion. The record should support the indication, operative extent, and structures addressed. CMS assigns a 10-day global period, including related postoperative visits 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

CMS billing rules for 53270

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.06 · 47%
  • Practice expense (office) RVU3.10 · 47%
  • Malpractice RVU0.40 · 6%

11

Medicare services in 2024 · #6167 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.

53270 compared with similar codes

Office rates for Redding, from the same CMS release.

53200

Urethral biopsy

Diagnostic tissue sampling

$168.16

53200 represents biopsy of the urethra for diagnostic sampling. Use this code when Skene gland tissue is excised rather than sampled.

53220

Urethral lesion treatment

Caruncle

No office rate

53220 concerns treatment of a urethral lesion. This code is for excision of Skene gland tissue, so the operative target distinguishes them.

53240

Urethral surgery

Female diverticulum excision

No office rate

53240 addresses surgery for a urethral diverticulum. This code concerns Skene gland excision, not diverticulum surgery.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 53270 is $225.77—$1.18 higher than the $224.59 rate in Redding. Both use the same code, release and participation basis.

53270 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $224.59

  2. Bakersfield

    $225.77

    $1.18 higher than Redding

  3. Chico

    $224.59

    The same base rate than Redding

  4. El Centro

    $224.66

    $0.07 higher than Redding

  5. Fresno

    $224.59

    The same base rate than Redding

  6. Hanford-Corcoran

    $224.59

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $237.76

    $13.17 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 53270 ranges from $198.03 in Arkansas to $270.94 in Alaska*. This is a geographic range, not an average.

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 · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Merced

    California · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Modesto

    California · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Napa

    California · 53270

    Office

    $251.90

    Facility

    $186.31

    $27.31 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 53270

    Office

    $235.78

    Facility

    $176.95

    $11.19 higher than Redding for the office setting.

  • Rest Of California

    California · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 53270

    Office

    $228.93

    Facility

    $174.38

    $4.34 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 53270

    Office

    $233.47

    Facility

    $175.59

    $8.88 higher than Redding for the office setting.

  • Salinas

    California · 53270

    Office

    $232.54

    Facility

    $174.86

    $7.95 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 53270

    Office

    $236.35

    Facility

    $176.83

    $11.76 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 53270

    Office

    $264.04

    Facility

    $193.87

    $39.45 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 53270

    Office

    $263.59

    Facility

    $193.42

    $39.00 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 53270

    Office

    $269.92

    Facility

    $198.15

    $45.33 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 53270

    Office

    $268.06

    Facility

    $196.30

    $43.47 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 53270

    Office

    $229.04

    Facility

    $172.36

    $4.45 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 53270

    Office

    $237.32

    Facility

    $176.85

    $12.73 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 53270

    Office

    $232.96

    Facility

    $174.93

    $8.37 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 53270

    Office

    $239.58

    Facility

    $178.47

    $14.99 higher than Redding for the office setting.

  • Stockton

    California · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 53270

    Office

    $251.25

    Facility

    $185.65

    $26.66 higher than Redding for the office setting.

  • Visalia

    California · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 53270

    Office

    $224.59

    Facility

    $170.04

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 53270

    Office

    $244.57

    Facility

    $185.94

    $19.98 higher than Redding for the office setting.

  • Miami

    Florida · 53270

    Office

    $243.78

    Facility

    $191.98

    $19.19 higher than Redding for the office setting.

  • Chicago

    Illinois · 53270

    Office

    $237.64

    Facility

    $187.63

    $13.05 higher than Redding for the office setting.

  • Manhattan

    New York · 53270

    Office

    $250.25

    Facility

    $192.42

    $25.66 higher than Redding for the office setting.

  • Alaska*

    Alaska · 53270

    Office

    $270.94

    Facility

    $217.94

    $46.35 higher than Redding for the office setting.

  • Alabama

    Alabama · 53270

    Office

    $200.37

    Facility

    $156.82

    $24.22 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 53270

    Office

    $198.03

    Facility

    $155.28

    $26.56 lower than Redding for the office setting.

  • Arizona

    Arizona · 53270

    Office

    $213.98

    Facility

    $165.75

    $10.61 lower than Redding for the office setting.

  • Colorado

    Colorado · 53270

    Office

    $224.04

    Facility

    $171.08

    $0.55 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 53270

    Office

    $231.93

    Facility

    $178.33

    $7.34 higher than Redding for the office setting.

  • Delaware

    Delaware · 53270

    Office

    $217.03

    Facility

    $167.86

    $7.56 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 53270

    Office

    $231.25

    Facility

    $180.84

    $6.66 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 53270

    Office

    $221.27

    Facility

    $173.70

    $3.32 lower than Redding for the office setting.

  • Atlanta

    Georgia · 53270

    Office

    $223.76

    Facility

    $173.20

    $0.83 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 53270

    Office

    $210.49

    Facility

    $166.10

    $14.10 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 53270

    Office

    $227.67

    Facility

    $171.09

    $3.08 higher than Redding for the office setting.

  • Iowa

    Iowa · 53270

    Office

    $202.25

    Facility

    $156.72

    $22.34 lower than Redding for the office setting.

  • Idaho

    Idaho · 53270

    Office

    $203.79

    Facility

    $158.00

    $20.80 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 53270

    Office

    $224.37

    Facility

    $178.59

    $0.22 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 53270

    Office

    $217.62

    Facility

    $172.19

    $6.97 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 53270

    Office

    $232.94

    Facility

    $181.82

    $8.35 higher than Redding for the office setting.

  • Indiana

    Indiana · 53270

    Office

    $204.68

    Facility

    $158.55

    $19.91 lower than Redding for the office setting.

  • Kansas

    Kansas · 53270

    Office

    $202.54

    Facility

    $157.55

    $22.05 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 53270

    Office

    $206.48

    Facility

    $162.24

    $18.11 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 53270

    Office

    $214.82

    Facility

    $167.99

    $9.77 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 53270

    Office

    $206.64

    Facility

    $162.60

    $17.95 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 53270

    Office

    $241.92

    Facility

    $182.50

    $17.33 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 53270

    Office

    $223.52

    Facility

    $171.12

    $1.07 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 53270

    Office

    $231.47

    Facility

    $178.07

    $6.88 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 53270

    Office

    $220.28

    Facility

    $169.91

    $4.31 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 53270

    Office

    $205.78

    Facility

    $159.99

    $18.81 lower than Redding for the office setting.

  • Southern Maine

    Maine · 53270

    Office

    $213.25

    Facility

    $163.93

    $11.34 lower than Redding for the office setting.

  • Detroit

    Michigan · 53270

    Office

    $224.65

    Facility

    $176.63

    $0.06 higher than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 53270

    Office

    $211.83

    Facility

    $166.39

    $12.76 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 53270

    Office

    $212.71

    Facility

    $161.50

    $11.88 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 53270

    Office

    $212.49

    Facility

    $165.75

    $12.10 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 53270

    Office

    $214.17

    Facility

    $166.79

    $10.42 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 53270

    Office

    $204.47

    Facility

    $161.57

    $20.12 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 53270

    Office

    $201.23

    Facility

    $158.38

    $23.36 lower than Redding for the office setting.

  • Montana**

    Montana · 53270

    Office

    $219.08

    Facility

    $169.32

    $5.51 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 53270

    Office

    $207.35

    Facility

    $160.92

    $17.24 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 53270

    Office

    $211.17

    Facility

    $161.41

    $13.42 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 53270

    Office

    $202.83

    Facility

    $156.89

    $21.76 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 53270

    Office

    $221.69

    Facility

    $169.88

    $2.90 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 53270

    Office

    $243.02

    Facility

    $185.29

    $18.43 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 53270

    Office

    $234.02

    Facility

    $179.67

    $9.43 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 53270

    Office

    $213.20

    Facility

    $167.56

    $11.39 lower than Redding for the office setting.

  • Nevada**

    Nevada · 53270

    Office

    $216.98

    Facility

    $167.17

    $7.61 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 53270

    Office

    $256.67

    Facility

    $197.50

    $32.08 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 53270

    Office

    $236.35

    Facility

    $181.86

    $11.76 higher than Redding for the office setting.

  • Queens

    New York · 53270

    Office

    $250.40

    Facility

    $191.58

    $25.81 higher than Redding for the office setting.

  • Rest Of New York

    New York · 53270

    Office

    $209.96

    Facility

    $162.69

    $14.63 lower than Redding for the office setting.

  • Ohio

    Ohio · 53270

    Office

    $210.21

    Facility

    $164.77

    $14.38 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 53270

    Office

    $205.05

    Facility

    $160.61

    $19.54 lower than Redding for the office setting.

  • Portland

    Oregon · 53270

    Office

    $228.82

    Facility

    $173.53

    $4.23 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 53270

    Office

    $214.73

    Facility

    $165.16

    $9.86 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 53270

    Office

    $227.77

    Facility

    $175.97

    $3.18 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 53270

    Office

    $209.88

    Facility

    $164.20

    $14.71 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 53270

    Office

    $220.05

    Facility

    $169.73

    $4.54 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 53270

    Office

    $223.03

    Facility

    $171.62

    $1.56 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 53270

    Office

    $209.24

    Facility

    $163.25

    $15.35 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 53270

    Office

    $210.24

    Facility

    $160.47

    $14.35 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 53270

    Office

    $203.50

    Facility

    $158.26

    $21.09 lower than Redding for the office setting.

  • Austin

    Texas · 53270

    Office

    $223.80

    Facility

    $171.14

    $0.79 lower than Redding for the office setting.

  • Beaumont

    Texas · 53270

    Office

    $208.84

    Facility

    $163.55

    $15.75 lower than Redding for the office setting.

  • Brazoria

    Texas · 53270

    Office

    $216.06

    Facility

    $166.74

    $8.53 lower than Redding for the office setting.

  • Dallas

    Texas · 53270

    Office

    $217.72

    Facility

    $168.15

    $6.87 lower than Redding for the office setting.

  • Fort Worth

    Texas · 53270

    Office

    $216.86

    Facility

    $167.79

    $7.73 lower than Redding for the office setting.

  • Galveston

    Texas · 53270

    Office

    $216.90

    Facility

    $167.49

    $7.69 lower than Redding for the office setting.

  • Houston

    Texas · 53270

    Office

    $224.23

    Facility

    $174.81

    $0.36 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 53270

    Office

    $212.53

    Facility

    $165.30

    $12.06 lower than Redding for the office setting.

  • Utah

    Utah · 53270

    Office

    $211.53

    Facility

    $164.75

    $13.06 lower than Redding for the office setting.

  • Virginia

    Virginia · 53270

    Office

    $213.42

    Facility

    $164.50

    $11.17 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 53270

    Office

    $220.05

    Facility

    $169.73

    $4.54 lower than Redding for the office setting.

  • Vermont

    Vermont · 53270

    Office

    $211.47

    Facility

    $162.20

    $13.12 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 53270

    Office

    $222.73

    Facility

    $170.33

    $1.86 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 53270

    Office

    $245.28

    Facility

    $184.21

    $20.69 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 53270

    Office

    $205.52

    Facility

    $157.84

    $19.07 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 53270

    Office

    $211.30

    Facility

    $168.06

    $13.29 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 53270

    Office

    $215.64

    Facility

    $165.87

    $8.95 lower than Redding for the office setting.

See how rates vary across the country

53270 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$198.03

$270.94

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$270.941
AL$200.371
AR$198.031
AZ$213.981
CA$224.59–$269.9229
CO$224.041
CT$231.931
DC$244.571
DE$217.031
FL$221.27–$243.783
GA$210.49–$223.762
GU$227.671
HI$227.671
IA$202.251
ID$203.791
IL$217.62–$237.644
IN$204.681
KS$202.541
KY$206.481
LA$206.64–$214.822
MA$223.52–$241.922
MD$220.28–$244.573
ME$205.78–$213.252
MI$211.83–$224.652
MN$212.711
MO$204.47–$214.173
MS$201.231
MT$219.081
NC$207.351
ND$211.171
NE$202.831
NH$221.691
NJ$234.02–$243.022
NM$213.201
NV$216.981
NY$209.96–$256.675
OH$210.211
OK$205.051
OR$214.73–$228.822
PA$209.88–$227.772
PR$220.051
RI$223.031
SC$209.241
SD$210.241
TN$203.501
TX$208.84–$224.238
UT$211.531
VA$213.42–$244.572
VI$220.051
VT$211.471
WA$222.73–$245.282
WI$205.521
WV$211.301
WY$215.641

Explore 53270 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 53270 in Redding, the physician’s office rate is $224.59 and the facility-setting rate is $170.04: a difference of $54.55.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 53270 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$247.05

$224.59 × 110% = $247.05

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.

Compare your contract offer →

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 53270 in Redding.

PPRRVU2026_Oct_nonQPP.csv

6,189

Code
53270
Physician work
3.06
Practice expense
3.10
Malpractice
0.40

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 53270 in Redding
ComponentRVULocality factorAdjusted
Physician work3.06× 1.0173.1120
Practice expense3.10× 1.0963.3976
Malpractice0.40× 0.5360.2144
Total RVUs6.7240
Conversion factor× 33.4009

Office / nonfacility rate, Redding$224.59

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 53270 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.061.017
Practice expense3.11.096
Malpractice0.40.536

(3.06 × 1.017 + 3.1 × 1.096 + 0.4 × 0.536) × $33.4009 = $224.59

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.061.017
Practice expense1.611.096
Malpractice0.40.536

(3.06 × 1.017 + 1.61 × 1.096 + 0.4 × 0.536) × $33.4009 = $170.04

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

53270 · Office / nonfacility

$224.59

Effective 2026-10-01

The base rate is $11.65 higher than on 2025-10-01, moving from $212.94 to $224.59 (5.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $212.94changed to$224.59

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.14 changed to 3.06
    • Practice expense RVU 2.91 changed to 3.10
    • Malpractice RVU 0.39 changed to 0.40
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $212.94

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$224.59$170.04RVU26D
2026-07-01$224.59$170.04RVU26C
2026-04-01$224.59$170.04RVU26B
2026-01-01$224.59$170.04RVU26A
2025-10-01$212.94$183.59RVU25D
2025-07-01$212.94$183.59RVU25C
2025-04-01$212.94$183.59RVU25B
2025-01-01$212.94$183.59RVU25A

53270 billing questions

How is this different from a urethral biopsy?

Use 53200 when tissue is sampled for diagnosis. This code describes excision of Skene gland tissue, not sampling alone.

When would a urethral lesion code be more appropriate?

A urethral lesion code is used when the target is a lesion of the urethra rather than Skene gland tissue. The operative note should identify the structure treated.

Can modifier 50 be used for bilateral gland excision?

No. Modifier 50 is inappropriate for this code based on its descriptor and anatomy.

Are postoperative visits separately reported during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are 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.

RVUs for 53270PPRRVU2026_Oct_nonQPP.csv, line 6,189 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet