Billing code 53085: Urine leak drainageMedicare rate & RVUs in Florida
Reports surgical drainage of a complicated urinary extravasation, when the operative circumstances support the complicated level rather than the simple drainage code.
CMS doesn’t publish an office rate for 53085 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 53085 covers
A urologist uses this service to drain urine that has escaped from the urinary tract into surrounding tissue or a space. It is a surgical service for a complicated extravasation, rather than drainage of a periurethral abscess. The operative report should make clear that urinary leakage was present and describe the drainage performed and the circumstances supporting the complicated level.
Select this code over 53080 when the case meets the complicated level; the record should support that distinction without relying on the diagnosis alone. Medicare assigns 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 multiple-procedure reduction. Modifier 50 is not appropriate for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 53085 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $630.99 |
| Miami | Unavailable | $669.74 |
| Rest Of Florida | Unavailable | $606.46 |
How the 53085 rate is calculated
Each of 53085’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 53085
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.90Practice expense 5.39Malpractice 1.40
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 53085
53085 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 53085
Urine leak drainage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 53085
Urine leak drainage
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
53085 without 51 · national facility
$590.86
Urine leak drainage
53085-51 · Second procedure: 50%
$295.43
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
53085 compared with similar codes
Compare codes
53085 vs 53080 vs 53040 vs 53060: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 53080Urinary leak drainage
- Both codes address urinary extravasation drainage. Choose 53085 for a complicated case and 53080 for the simple level, based on the documented procedure.
- 53040Abscess drainage
- 53040 describes drainage of a periurethral abscess. It is not the code for drainage of escaped urine.
- 53060Abscess drainage
- 53060 also concerns periurethral abscess drainage, rather than urinary extravasation; select according to the condition actually drained.
53085 billing questions
How is 53085 distinguished from 53080?
53085 is for complicated urinary extravasation drainage; 53080 represents the simple level. The operative documentation should support the level selected.
Is drainage of a periurethral abscess reported with 53085?
No. A periurethral abscess is a different condition; codes such as 53040 or 53060 describe abscess drainage, not urinary extravasation.
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.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
Can modifier 50 be used?
No. Modifier 50 is not appropriate for this drainage service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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