No office rate
53400 identifies first-stage surgery for hypospadias correction. Choose 53450 when the documented service is urethral revision rather than that staged procedure.
On this page
CMS RVU26D · Effective 2026-10-01
53450 Urethral revision Medicare reimbursement rates in Texas
Reports operative revision of the urethra, such as surgery to correct a urethral narrowing or other anatomic problem. Compare 53450 office and facility rates across CMS payment localities in Texas.
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 53450 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 53450 pays more and less in Texas
Urologic surgery
About 53450: Urethral revision surgery
Reports operative revision of the urethra, such as surgery to correct a urethral narrowing or other anatomic problem.
A urologist reports this service for operative revision of urethral anatomy, including surgery directed at a urethral narrowing or other defect. The work is performed in an operative setting and may involve exposing and revising the affected urethral segment. The operative report should identify the problem, the site treated, and the repair or revision performed.
Select the code based on the procedure actually performed, distinguishing urethral revision from staged hypospadias work or a more extensive urethral reconstruction. This major surgery 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 the same 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. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 53450
- 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 RVU6.60 · 58%
- Practice expense (office) RVU3.89 · 34%
- Malpractice RVU0.86 · 8%
341
Medicare services in 2024 · #3881 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.
53450 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
53410 describes one-stage reconstruction of the male anterior urethra. Distinguish it from revision based on the operative service and documented reconstructive work.
No office rate
53415 describes two-stage reconstruction of the male anterior urethra; it is not the general urethral revision code.
No office rate
Both codes have a CMS short descriptor of urethral revision. Check the full current CPT descriptors and operative details to determine which code matches the procedure.
Compare 53450 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $383.80 |
| Beaumont | Office Unavailable | Facility $365.37 |
| Brazoria | Office Unavailable | Facility $373.37 |
| Dallas | Office Unavailable | Facility $376.49 |
| Fort Worth | Office Unavailable | Facility $375.56 |
| Galveston | Office Unavailable | Facility $375.01 |
| Houston | Office Unavailable | Facility $390.75 |
| Rest Of Texas | Office Unavailable | Facility $369.69 |
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.
53450 billing questions
When should this code be chosen instead of a staged urethroplasty code?
Use this code when the operative service is urethral revision rather than a documented first or second stage of a staged repair. The operative report should support the specific procedure performed.
How does this differ from a urethral reconstruction code?
This code represents urethral revision. A reconstruction code is considered when the surgeon performs the distinct reconstructive service described by that code, rather than a revision.
Is modifier 50 appropriate for bilateral reporting?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, while other procedures in that session are subject to the standard multiple-procedure reduction.
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.
6,20453447,,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
6,20653449,,Repair uro sphincter,A,,10.30,5.12,NA,5.12,,1.33,16.75,16.75,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20753450,,Revision of urethra,A,,6.60,3.89,NA,3.89,,0.86,11.35,11.35,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20853451,,Tprnl balo cntnc dev bi,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,010,0.10,0.80,0.10,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20953452,,Tprnl balo cntnc dev uni,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,010,0.10,0.80,0.10,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21053453,,Tprnl balo cntnc dev rmvl ea,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