No office rate
Use 53440 for placing a male sling. Code 53442 describes removing or revising an existing male sling.
On this page
CMS RVU26D · Effective 2026-10-01
53440 Male sling Medicare reimbursement rates in Vermont
Places a support sling beneath the male urethra to treat stress urinary incontinence, commonly persistent leakage after prostate surgery. Compare 53440 office and facility rates across CMS payment localities in Vermont.
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 53440 in Vermont?
Vermont 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
$651.92
1 of 1 localities have a supported rate.
Payment area: Vermont
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 53440: Male urethral sling placement
Places a support sling beneath the male urethra to treat stress urinary incontinence, commonly persistent leakage after prostate surgery.
A urologist places a sling beneath the urethra to support it and improve control of stress-related urine leakage. The procedure is commonly considered for men with persistent incontinence after prostate surgery, including leakage with coughing, lifting, or activity. It is generally performed in an operating room, and the operative report identifies the sling material and placement technique.
Report this code for sling placement, not for later removal or revision of an existing sling. Document the incontinence being treated, relevant history and evaluation, and the procedure performed. The 90-day global period includes the day-before preoperative visit and related postoperative care during that period. When other 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 inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 53440
- 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 RVU13.03 · 64%
- Practice expense (office) RVU5.70 · 28%
- Malpractice RVU1.67 · 8%
1.4K
Medicare services in 2024 · #2736 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.
53440 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Use 53440 for a urethral support sling; 53445 is for insertion of an artificial urinary sphincter.
53451
No office rateTprnl balo cntnc dev bi
Code 53451 describes bilateral transperineal balloon continence-device placement, not sling placement.
53452
No office rateTprnl balo cntnc dev uni
Code 53452 describes unilateral transperineal balloon continence-device placement, not sling placement.
Compare 53440 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
Vermont →
Office / nonfacility
Unavailable
Facility
$651.92
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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 53440 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,199
- Code
- 53440
- Physician work
- 13.03
- Practice expense
- 5.70
- Malpractice
- 1.67
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.03 | × 1.000 | 13.0300 |
| Practice expense | 5.70 | × 0.990 | 5.6430 |
| Malpractice | 1.67 | × 0.506 | 0.8450 |
| Total RVUs | 19.5180 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$651.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.03 | 1 |
| Practice expense | 5.7 | 0.99 |
| Malpractice | 1.67 | 0.506 |
(13.03 × 1 + 5.7 × 0.99 + 1.67 × 0.506) × $33.4009 = $651.92
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.
53440 billing questions
When is 53440 appropriate instead of 53445?
Use 53440 for placement of a male urethral support sling. Code 53445 describes insertion of an artificial urinary sphincter, a different continence procedure.
Does 53440 cover removal or revision of a prior sling?
No. Code 53442 describes removal or revision of a male sling; 53440 is for sling placement.
What documentation supports reporting 53440?
Document the male stress incontinence being treated, relevant clinical history and evaluation, and the sling placement performed, including the material and operative technique.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care during the 90-day period are included in the global package.
Can modifier 50 be used for 53440?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment needs supporting documentation.
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.
6,19653425,,Reconstruct urethra stage 2,A,,16.64,6.36,NA,6.36,,2.14,25.14,25.14,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,19753430,,Reconstruction of urethra,A,,16.99,6.71,NA,6.71,,2.44,26.14,26.14,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,19853431,,Reconstruct urethra/bladder,A,,20.65,7.55,NA,7.55,,2.65,30.85,30.85,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,19953440,,Male sling procedure,A,,13.03,5.70,NA,5.70,,1.67,20.40,20.40,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20053442,,Remove/revise male sling,A,,13.15,6.61,NA,6.61,,1.69,21.45,21.45,0,090,0.08,0.83,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20153444,,Insert tandem cuff,A,,13.84,5.85,NA,5.85,,1.77,21.46,21.46,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,20253445,,Insert uro/ves nck sphincter,A,,12.68,6.33,NA,6.33,,1.63,20.64,20.64,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817