No office rate
53445 reports implantation of the sphincter system; 53444 reports an additional tandem cuff and is used as an add-on when that cuff is placed.
On this page
CMS RVU26D · Effective 2026-10-01
53445 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$691.63
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 53445: Inflatable urinary sphincter implantation
Reports surgical implantation of an inflatable urinary sphincter, including its cuff, pump, and reservoir, for selected patients with severe urinary incontinence.
A urologist typically performs this operation in a hospital or ambulatory surgery setting for severe urinary incontinence caused by inadequate urethral sphincter closure. A common clinical situation is persistent stress incontinence after prostate surgery. The surgeon implants an inflatable system with a cuff around the urethra or bladder neck, a control pump, and a fluid reservoir; the patient operates the pump to allow urination.
Report this code for implantation of the sphincter system, not for later removal, replacement, repair, or adjustment. The operative report should identify the indication, device placement, and components implanted. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in one 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. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 53445
- 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 · 61%
- Practice expense (office) RVU6.33 · 31%
- Malpractice RVU1.63 · 8%
2.7K
Medicare services in 2024 · #2248 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.
53445 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
53440 is for a male sling procedure. Choose 53445 when the surgeon implants an inflatable cuff, pump, and reservoir system.
No office rate
53447 applies when an existing urinary sphincter is removed and replaced. Use 53445 for implantation rather than removal and replacement of a prior device.
The same code, a different location
How does Redding compare?
53445 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Merced
California · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Modesto
California · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Napa
California · 53445
Office
Unavailable
Facility
$756.52
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 53445
Office
Unavailable
Facility
$719.21
No comparable office rate is available.
Rest Of California
California · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 53445
Office
Unavailable
Facility
$709.31
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 53445
Office
Unavailable
Facility
$713.84
No comparable office rate is available.
Salinas
California · 53445
Office
Unavailable
Facility
$710.88
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 53445
Office
Unavailable
Facility
$718.60
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 53445
Office
Unavailable
Facility
$786.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 53445
Office
Unavailable
Facility
$785.01
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 53445
Office
Unavailable
Facility
$804.17
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 53445
Office
Unavailable
Facility
$796.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 53445
Office
Unavailable
Facility
$700.72
No comparable office rate is available.
Santa Cruz-Watsonville
California · 53445
Office
Unavailable
Facility
$718.48
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 53445
Office
Unavailable
Facility
$711.09
No comparable office rate is available.
Santa Rosa-Petaluma
California · 53445
Office
Unavailable
Facility
$725.04
No comparable office rate is available.
Stockton
California · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Vallejo
California · 53445
Office
Unavailable
Facility
$753.86
No comparable office rate is available.
Visalia
California · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Yuba City
California · 53445
Office
Unavailable
Facility
$691.63
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 53445
Office
Unavailable
Facility
$756.05
No comparable office rate is available.
Miami
Florida · 53445
Office
Unavailable
Facility
$781.31
No comparable office rate is available.
Chicago
Illinois · 53445
Office
Unavailable
Facility
$763.92
No comparable office rate is available.
Manhattan
New York · 53445
Office
Unavailable
Facility
$782.66
No comparable office rate is available.
Alaska*
Alaska · 53445
Office
Unavailable
Facility
$890.45
No comparable office rate is available.
Alabama
Alabama · 53445
Office
Unavailable
Facility
$639.34
No comparable office rate is available.
Arkansas
Arkansas · 53445
Office
Unavailable
Facility
$633.18
No comparable office rate is available.
Arizona
Arizona · 53445
Office
Unavailable
Facility
$675.00
No comparable office rate is available.
Colorado
Colorado · 53445
Office
Unavailable
Facility
$696.09
No comparable office rate is available.
Connecticut
Connecticut · 53445
Office
Unavailable
Facility
$725.58
No comparable office rate is available.
Delaware
Delaware · 53445
Office
Unavailable
Facility
$683.48
No comparable office rate is available.
Fort Lauderdale
Florida · 53445
Office
Unavailable
Facility
$736.13
No comparable office rate is available.
Rest Of Florida
Florida · 53445
Office
Unavailable
Facility
$707.48
No comparable office rate is available.
Atlanta
Georgia · 53445
Office
Unavailable
Facility
$704.99
No comparable office rate is available.
Rest Of Georgia
Georgia · 53445
Office
Unavailable
Facility
$677.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 53445
Office
Unavailable
Facility
$695.44
No comparable office rate is available.
Iowa
Iowa · 53445
Office
Unavailable
Facility
$638.59
No comparable office rate is available.
Idaho
Idaho · 53445
Office
Unavailable
Facility
$643.79
No comparable office rate is available.
East St. Louis
Illinois · 53445
Office
Unavailable
Facility
$727.69
No comparable office rate is available.
Rest Of Illinois
Illinois · 53445
Office
Unavailable
Facility
$701.65
No comparable office rate is available.
Suburban Chicago
Illinois · 53445
Office
Unavailable
Facility
$740.10
No comparable office rate is available.
Indiana
Indiana · 53445
Office
Unavailable
Facility
$645.98
No comparable office rate is available.
Kansas
Kansas · 53445
Office
Unavailable
Facility
$642.09
No comparable office rate is available.
Kentucky
Kentucky · 53445
Office
Unavailable
Facility
$661.30
No comparable office rate is available.
New Orleans
Louisiana · 53445
Office
Unavailable
Facility
$684.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 53445
Office
Unavailable
Facility
$662.79
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 53445
Office
Unavailable
Facility
$741.79
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 53445
Office
Unavailable
Facility
$696.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 53445
Office
Unavailable
Facility
$724.51
No comparable office rate is available.
Rest Of Maryland
Maryland · 53445
Office
Unavailable
Facility
$691.70
No comparable office rate is available.
Rest Of Maine
Maine · 53445
Office
Unavailable
Facility
$651.90
No comparable office rate is available.
Southern Maine
Maine · 53445
Office
Unavailable
Facility
$667.40
No comparable office rate is available.
Detroit
Michigan · 53445
Office
Unavailable
Facility
$719.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 53445
Office
Unavailable
Facility
$678.02
No comparable office rate is available.
Minnesota
Minnesota · 53445
Office
Unavailable
Facility
$657.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 53445
Office
Unavailable
Facility
$675.25
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 53445
Office
Unavailable
Facility
$679.35
No comparable office rate is available.
Rest Of Missouri
Missouri · 53445
Office
Unavailable
Facility
$658.80
No comparable office rate is available.
Mississippi
Mississippi · 53445
Office
Unavailable
Facility
$645.80
No comparable office rate is available.
Montana**
Montana · 53445
Office
Unavailable
Facility
$689.29
No comparable office rate is available.
North Carolina
North Carolina · 53445
Office
Unavailable
Facility
$655.57
No comparable office rate is available.
North Dakota**
North Dakota · 53445
Office
Unavailable
Facility
$657.06
No comparable office rate is available.
Nebraska
Nebraska · 53445
Office
Unavailable
Facility
$639.25
No comparable office rate is available.
New Hampshire
New Hampshire · 53445
Office
Unavailable
Facility
$691.26
No comparable office rate is available.
Northern Nj
New Jersey · 53445
Office
Unavailable
Facility
$753.61
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 53445
Office
Unavailable
Facility
$731.07
No comparable office rate is available.
New Mexico
New Mexico · 53445
Office
Unavailable
Facility
$682.79
No comparable office rate is available.
Nevada**
Nevada · 53445
Office
Unavailable
Facility
$680.51
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 53445
Office
Unavailable
Facility
$803.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 53445
Office
Unavailable
Facility
$739.97
No comparable office rate is available.
Queens
New York · 53445
Office
Unavailable
Facility
$779.04
No comparable office rate is available.
Rest Of New York
New York · 53445
Office
Unavailable
Facility
$662.65
No comparable office rate is available.
Ohio
Ohio · 53445
Office
Unavailable
Facility
$671.44
No comparable office rate is available.
Oklahoma
Oklahoma · 53445
Office
Unavailable
Facility
$654.63
No comparable office rate is available.
Portland
Oregon · 53445
Office
Unavailable
Facility
$705.70
No comparable office rate is available.
Rest Of Oregon
Oregon · 53445
Office
Unavailable
Facility
$672.38
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 53445
Office
Unavailable
Facility
$716.19
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 53445
Office
Unavailable
Facility
$669.06
No comparable office rate is available.
Puerto Rico
Puerto Rico · 53445
Office
Unavailable
Facility
$690.90
No comparable office rate is available.
Rhode Island
Rhode Island · 53445
Office
Unavailable
Facility
$698.54
No comparable office rate is available.
South Carolina
South Carolina · 53445
Office
Unavailable
Facility
$665.16
No comparable office rate is available.
South Dakota**
South Dakota · 53445
Office
Unavailable
Facility
$653.24
No comparable office rate is available.
Tennessee
Tennessee · 53445
Office
Unavailable
Facility
$644.95
No comparable office rate is available.
Austin
Texas · 53445
Office
Unavailable
Facility
$696.30
No comparable office rate is available.
Beaumont
Texas · 53445
Office
Unavailable
Facility
$666.50
No comparable office rate is available.
Brazoria
Texas · 53445
Office
Unavailable
Facility
$678.90
No comparable office rate is available.
Dallas
Texas · 53445
Office
Unavailable
Facility
$684.63
No comparable office rate is available.
Fort Worth
Texas · 53445
Office
Unavailable
Facility
$683.22
No comparable office rate is available.
Galveston
Texas · 53445
Office
Unavailable
Facility
$681.94
No comparable office rate is available.
Houston
Texas · 53445
Office
Unavailable
Facility
$711.77
No comparable office rate is available.
Rest Of Texas
Texas · 53445
Office
Unavailable
Facility
$673.33
No comparable office rate is available.
Utah
Utah · 53445
Office
Unavailable
Facility
$671.16
No comparable office rate is available.
Virginia
Virginia · 53445
Office
Unavailable
Facility
$669.79
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 53445
Office
Unavailable
Facility
$690.90
No comparable office rate is available.
Vermont
Vermont · 53445
Office
Unavailable
Facility
$660.39
No comparable office rate is available.
Rest Of Washington
Washington · 53445
Office
Unavailable
Facility
$693.09
No comparable office rate is available.
Seattle (King Cnty)
Washington · 53445
Office
Unavailable
Facility
$748.60
No comparable office rate is available.
Wisconsin
Wisconsin · 53445
Office
Unavailable
Facility
$642.84
No comparable office rate is available.
West Virginia
West Virginia · 53445
Office
Unavailable
Facility
$685.16
No comparable office rate is available.
Wyoming**
Wyoming · 53445
Office
Unavailable
Facility
$675.24
No comparable office rate is available.
See how rates vary across the country
53445 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 53445 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$760.79
$691.63 × 110% = $760.79
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 53445 in Redding.
PPRRVU2026_Oct_nonQPP.csv
6,202
- Code
- 53445
- Physician work
- 12.68
- Practice expense
- 6.33
- Malpractice
- 1.63
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.68 | × 1.017 | 12.8956 |
| Practice expense | 6.33 | × 1.096 | 6.9377 |
| Malpractice | 1.63 | × 0.536 | 0.8737 |
| Total RVUs | 20.7069 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$691.63
Open 53445 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.68 | 1.017 |
| Practice expense | 6.33 | 1.096 |
| Malpractice | 1.63 | 0.536 |
(12.68 × 1.017 + 6.33 × 1.096 + 1.63 × 0.536) × $33.4009 = $691.63
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
53445 · 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 | $691.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $691.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $691.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $691.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $746.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $746.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $746.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $746.15 | RVU25A |
53445 billing questions
How is this different from the male sling code?
Report 53445 for implantation of an inflatable cuff-and-pump sphincter system. The male sling code 53440 describes a sling procedure, a different surgical approach to male stress incontinence.
Can a tandem cuff be reported with this implantation?
Code 53444 describes insertion of a tandem cuff and is an add-on to the sphincter implantation when that additional cuff is placed. The operative documentation should support the additional cuff.
Does this code include removal or replacement of an existing device?
No. Use the applicable removal, replacement, or component-replacement code when that is the service performed; 53445 describes implantation of the sphincter system.
Should modifier 50 be appended for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires 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.
6,19953440,,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
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
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536