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See a sample rate comparisonCPT 53448 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.
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
| 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 AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 53448 |
| Medicaid Fee Schedule | View Medicaid rates for 53448 |
National average reimbursement for CPT 53448 by major payers:
$1,644.59
$1,719.89
$1,766.07
$2,078.72
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CPT 53448
5 of 25 sample ratesHigher to lower in this preview
Ball Outpatient Surgery Center, LLC, Ball Outpatient Surgery Center
Ball Outpatient Surgery Center LLC
$2,716.00Published rateVillages Endoscopy Center LLC
$967.00Published rateMetropolitan Medical Partners LLC, Surgery Center Of Chevy Chase
Metropolitan Medical Partners Ll
$934.00Published rateDoctors Surgical Partnership LLC, Melbourne Same Day Surgery
Doctors Surgical Partnership LLC
$490.00Published rateLeo R. Mccafferty, M.D., Surgical Center
$200.00Published rate
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See a sample payer proposalCPT 53448 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53448 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 53448 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 53448. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53448 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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