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See a sample rate comparisonCPT 53446 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.
Remval Of Inflate Urethral/Bladder Nck Sphincter Inclu Pump, Removal Of Inflatable Urethral/Bladder Neck Sphincter Including Pump
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53446 |
| Medicaid Fee Schedule | View Medicaid rates for 53446 |
National average reimbursement for CPT 53446 by major payers:
$765.88
$864.52
$917.02
$1,054.23
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CPT 53446
5 of 25 sample ratesHigher to lower in this preview
Summit Ambulatory Surgical Center LLC
$7,888.00Published rateMedstar Surgery Center At Brandywine, LLC
Medstar Surgery Center At Bran
$4,480.00Published rateNaeem M Akhtar, Madera Ambulatory Endoscopy Center
Naeem M. Akhtar, M.D.
$3,335.00Published rateMethodist Endoscopy Center LLC
Methodist Endoscopy Center, LLC
$2,377.00Published rateThe Eye Surgical Center Of Fort Wayne, LLC
The Eye Surgical Center Of Fort Wayne LLC
$747.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 53446 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53446 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 53446 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 |
|---|---|---|
| 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 |
| 53448-CPT | High | Remov Replc Ur Sphinctr Comp, Removal And Replacement Of Inflatable Urethral Bladder Neck Sphincter Including Pump Reservoir And Cuff Through An Infected Field At The Same Operative Session Including Irrigation And Debridement Of Infected Tissue |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53446 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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