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See a sample rate comparisonCPT 53060 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Drain Urine Tract Infection, Surgery To Drain An Abscess (Pocket Of Pus) In The Urinary Tract. The Abscess Is The Result Of An Infection Or Injury.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53060 |
| Medicaid Fee Schedule | View Medicaid rates for 53060 |
National average reimbursement for CPT 53060 by major payers:
$248.78
$250.63
$260.97
$275.74
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CPT 53060
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$6,245.00Published rateCoast Center For Orthopedic And Arthroscopic Surgery LLC, Sharp San Diego Surgery Center
Coast Center For Orthopedic And Arthroscopic Surgery, LLC
$3,335.00Published rateLone Tree Surgery Center, LLC
Lone Tree Surgery Center LLC
$1,459.00Published rateCapital Surgery Center LLC
$1,044.00Published ratePamela Binns-Turner
Deaconess Hospital Inc
$149.16Published rate
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See a sample payer proposalCPT 53060 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53060 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 53060 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 53020-CPT | Low | Meatotomy Ex Infant Office |
| 53025-CPT | Low | Meatotomy Infant |
| 53040-CPT | Moderate | Drain Urine Tract Infection, Surgery To Drain An Abscess (Pocket Of Pus) In The Urinary Tract. The Abscess Is The Result Of An Infection Or Injury. |
| 53060-CPT | Moderate | Drain Urine Tract Infection, Surgery To Drain An Abscess (Pocket Of Pus) In The Urinary Tract. The Abscess Is The Result Of An Infection Or Injury. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53060 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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