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See a sample rate comparisonCPT 53440 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Operation For Correction Of Ma, Operation For Correction Of Male Urinary Incontinence With Or Without Introduction Of Prosthesis Operation For Correction Of Male Urinary Incontinence With
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 53440 |
| Medicaid Fee Schedule | View Medicaid rates for 53440 |
National average reimbursement for CPT 53440 by major payers:
$1,003.45
$1,051.42
$1,118.40
$1,260.02
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CPT 53440
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$16,523.00Published rateTemecula Ca Endoscopy Asc Lp, Temecula Valley Endoscopy Center
Temecula Ca Endoscopy Asc Lp
$6,760.00Published rateMedical Center Endoscopy, LLC, Medical Center Endoscopy
Medical Center Endoscopy, LLP
$5,573.00Published rateHasbrouck Heights Surgery Center, LLC
Hasbrouck Heights Surgery Cent
$3,000.00Published rateLiberty Cataract Center LLC
$990.00Published rate
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See a sample payer proposalCPT 53440 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53440 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 53440 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 |
|---|---|---|
| 53440-CPT | High | Operation For Correction Of Ma, Operation For Correction Of Male Urinary Incontinence With Or Without Introduction Of Prosthesis Operation For Correction Of Male Urinary Incontinence With |
| 53442-CPT | High | Incontinence Surgery Revision, Surgery To Remove Or Revise A Sling That Was Inserted For Bladder Control. The Sling Material Supports The Urethra Muscles. |
| 53445-CPT | High | Operation For Correction Of Ur, Operation For Correction Of Urinary Incontinence Withplacement Of Inflatable Urethral Or Bladder Neck Sphincter Including Placement Of Pump Andor Reservoir |
| 53446-CPT | Moderate | Remval Of Inflate Urethral/Bladder Nck Sphincter Inclu Pump, Removal Of Inflatable Urethral/Bladder Neck Sphincter Including Pump |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53440 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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