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See a sample rate comparisonCPT 53447 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.
Removal Repair Or Replacement, Removal Repair Or Replacement Of Inflatable Sphincterincluding Pump Andor Reservoir Andor Cuff Removal Repair Or Replacement Of Inflatable Sphincter
| 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 GC - Service performed by resident under supervision AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53447 |
| Medicaid Fee Schedule | View Medicaid rates for 53447 |
National average reimbursement for CPT 53447 by major payers:
$998.20
$1,089.34
$1,160.06
$1,319.93
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CPT 53447
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Stephenville
$18,091.00Published ratePacific Gastroenterology Endoscopy Center
$8,617.00Published rateAffiliated Endoscopy Services Of Clifton LLC, Affiliated Endoscopy Services Of Clifton
Affiliated Endoscopy Services Of Clifton LLC
$6,479.00Published rateChesapeake Ambulatory Surgery Center
$3,047.00Published rateDigestive Health & Endoscopy Center LLC
$839.00Published rate
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See a sample payer proposalCPT 53447 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53447 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 53447 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 53447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53447 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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