No office rate
Use 53502 for a less complex urethral injury repair in a female patient; use 53510 when the documented repair is complicated.
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CMS RVU26D · Effective 2026-10-01
53510 Urethral injury repair Medicare reimbursement rates in Pennsylvania
Used for operative repair of a complicated urethral injury in a female patient when the documented injury and repair warrant the complicated code. Compare 53510 office and facility rates across CMS payment localities in Pennsylvania.
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 53510 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$559.42–$598.48
2 of 2 localities have a supported rate.
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.
Urologic surgery
About 53510: Complicated female urethral injury repair
Used for operative repair of a complicated urethral injury in a female patient when the documented injury and repair warrant the complicated code.
A urologist or other surgeon uses this code for operative repair of a complicated urethral injury in a female patient. The injury may be traumatic or occur during another procedure; the repair is performed in an operating-room setting. The operative report should identify the patient’s anatomy, the urethral injury, and the work performed to repair it, including why the case is classified as complicated rather than a less complex injury repair.
Report this code instead of the less complex female injury-repair code when the documented service supports the complicated level. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Bilateral adjustment is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 53510
- 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 RVU10.69 · 62%
- Practice expense (office) RVU5.20 · 30%
- Malpractice RVU1.36 · 8%
60
Medicare services in 2024 · #5240 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.
53510 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
53505 is the less complex injury-repair code for a male patient. Code 53510 is for complicated repair in a female patient.
No office rate
Both codes describe complicated urethral injury repair, but 53515 is for a male patient and 53510 is for a female patient.
Compare 53510 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$598.48
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$559.42
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53510 billing questions
How does this differ from 53502?
Code 53510 is for complicated urethral injury repair in a female patient. Code 53502 is the less complex female injury-repair code.
Can modifier 50 be used for a bilateral repair?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are routine postoperative visits separately reported?
Related postoperative care during the 90-day global period is included, along with the day-before preoperative visit.
What documentation supports reporting 53510?
Document the female patient’s urethral injury, the repair performed, and the operative findings and circumstances supporting the complicated level.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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.
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
6,21853520,,Repair of urethra defect,A,,9.24,4.90,NA,4.90,,1.20,15.34,15.34,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21953600,,Dilate urethra stricture,A,,1.18,1.40,,0.35,,0.15,2.73,1.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00