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See a sample rate comparisonCPT 53444 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.
Insertion Of Tandem Cuff (Dual Cuff)
| 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 79 - Unrelated procedure - postop period 80 - Assistant surgeon 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 53444 |
| Medicaid Fee Schedule | View Medicaid rates for 53444 |
National average reimbursement for CPT 53444 by major payers:
$1,025.67
$1,067.80
$1,099.96
$1,294.78
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CPT 53444
5 of 25 sample ratesHigher to lower in this preview
Red Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
$11,558.00Published rateDelray Beach Asc, LLC, Delray Beach Surgery Center
$9,510.00Published rateBaptist Health Surgery Center, LLC, Baptist Health Surgery Center At Plantation
Baptist Health Surgery Center LLC
$7,368.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$4,153.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Tucson
Barnet Dulaney Perkins Eye Center PLLC
$1,100.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 53444 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53444 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 53444 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 |
|---|---|---|
| 53444-CPT | High | Insertion Of Tandem Cuff (Dual Cuff) |
| 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 |
| 53447-CPT | Moderate | Removal Repair Or Replacement, Removal Repair Or Replacement Of Inflatable Sphincterincluding Pump Andor Reservoir Andor Cuff Removal Repair Or Replacement Of Inflatable Sphincter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53444. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53444 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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