Billing code 53502: Urethral repairMedicare rate & RVUs in Guam
Reports operative repair of an uncomplicated urethral injury in a female patient, rather than reconstruction of a urethral defect.
CMS doesn’t publish an office rate for 53502 in Guam.
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 53502 covers
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.
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 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $451.72 |
How the 53502 rate is calculated
Each of 53502’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 · 53502
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.05Practice expense 4.28Malpractice 1.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 53502
53502 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 53502
Urethral repair
| 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| 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 · 53502
Urethral repair
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
53502 without 51 · national facility
$446.90
Urethral repair
53502-51 · Second procedure: 50%
$223.45
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%).
53502 compared with similar codes
Compare codes
53502 vs 53505 vs 53510 vs 53520 vs 53500: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 53505Urethral repair
- Choose 53502 for an uncomplicated injury repair in a female patient; 53505 identifies the corresponding male-patient service.
- 53510Urethral injury repair
- Both concern urethral injury repair in a female patient. The distinction is whether the repair is documented as uncomplicated or complicated.
- 53520Urethral repair
- 53502 addresses an injury; 53520 is used for repair of a urethral defect, such as a fistula.
- 53500Urethrolysis
- 53500 releases urethral tethering through a transvaginal approach; 53502 repairs an injured urethra.
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 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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