No office rate
Choose 53502 for an uncomplicated injury repair in a female patient; 53505 identifies the corresponding male-patient service.
On this page
CMS RVU26D · Effective 2026-10-01
53502 Urethral repair Medicare reimbursement rates in Delaware
Reports operative repair of an uncomplicated urethral injury in a female patient, rather than reconstruction of a urethral defect. Compare 53502 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 53502 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$442.99
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology surgery
About 53502: Uncomplicated female urethral injury repair
Reports operative repair of an uncomplicated urethral injury in a female patient, rather than reconstruction of a urethral defect.
This service covers surgical repair of an uncomplicated urethral injury in a female patient. A urologist or another surgeon with appropriate expertise may perform it in a hospital or other surgical facility. Examples include an injury identified during pelvic surgery or a traumatic injury that requires operative repair. The code is distinct from procedures that release urethral scarring or repair a urethral defect such as a fistula.
Select this code when the operative record supports a female patient and an uncomplicated injury repair; use the complicated-injury code when the documented repair meets that description. Documentation should identify the injury, its location and extent, the repair performed, and the basis for classifying it as uncomplicated. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 53502
- 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
- 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 RVU8.05 · 60%
- Practice expense (office) RVU4.28 · 32%
- Malpractice RVU1.05 · 8%
14
Medicare services in 2024 · #6111 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.
53502 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Both concern urethral injury repair in a female patient. The distinction is whether the repair is documented as uncomplicated or complicated.
No office rate
53502 addresses an injury; 53520 is used for repair of a urethral defect, such as a fistula.
No office rate
53500 releases urethral tethering through a transvaginal approach; 53502 repairs an injured urethra.
Compare 53502 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
Unavailable
Facility
$442.99
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 53502 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,214
- Code
- 53502
- Physician work
- 8.05
- Practice expense
- 4.28
- Malpractice
- 1.05
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.05 | × 1.005 | 8.0902 |
| Practice expense | 4.28 | × 0.988 | 4.2286 |
| Malpractice | 1.05 | × 0.899 | 0.9440 |
| Total RVUs | 13.2628 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$442.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.05 | 1.005 |
| Practice expense | 4.28 | 0.988 |
| Malpractice | 1.05 | 0.899 |
(8.05 × 1.005 + 4.28 × 0.988 + 1.05 × 0.899) × $33.4009 = $442.99
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.
53502 billing questions
How does 53502 differ from 53505?
53502 is for repair of an uncomplicated urethral injury in a female patient; 53505 is the corresponding code for a male patient.
When should the complicated-injury code be considered?
Use the complicated repair code when the operative documentation supports a complicated urethral injury repair. The record should explain the injury and the nature of the repair.
Does the 90-day global period include postoperative care?
Yes. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period.
Can modifier 50 be appended for a bilateral repair?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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.
Can an assistant or co-surgeon be reported?
CMS restricts assistant-at-surgery payment for this code and does not permit co-surgeon or team-surgery billing.
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.
6,21153454,,Tprnl balo cntnc dev adjmt,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21253460,,Revision of urethra,A,,7.56,4.07,NA,4.07,,0.99,12.62,12.62,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21353500,,Urethrlys transvag w/ scope,A,,12.68,5.53,NA,5.53,,1.93,20.14,20.14,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21453502,,Repair of urethra injury,A,,8.05,4.28,NA,4.28,,1.05,13.38,13.38,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21553505,,Repair of urethra injury,A,,8.05,4.27,NA,4.27,,1.05,13.37,13.37,0,090,0.08,0.83,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21653510,,Repair of urethra injury,A,,10.69,5.20,NA,5.20,,1.36,17.25,17.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21753515,,Repair of urethra injury,A,,13.86,5.86,NA,5.86,,1.77,21.49,21.49,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503