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See a sample rate comparisonCPT 53450 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.
Repair Opening To Urine Tract, Surgery To Widen Or Reconstruct The Meatus (Opening To The Urinary Tract) To Enhance Urine Flow.
| 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 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53450 |
| Medicaid Fee Schedule | View Medicaid rates for 53450 |
National average reimbursement for CPT 53450 by major payers:
$515.05
$547.23
$605.46
$669.09
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CPT 53450
5 of 25 sample ratesHigher to lower in this preview
Clarksville Surgery Center LLC
$3,695.00Published rateSandy Springs Center For Urologic Surgery LLC
$2,267.00Published rateG A Endoscopy Center, LLC
G A Endoscopy Center LLC
$1,393.00Published rateJonesboro Ambulatory Surgery Center, LLC
Jonesboro Ambulatory Surgery Center LLC
$1,098.00Published rateLakeland Fl Endoscopy Asc LLC, Surgery Center Of Lakeland Hills Boulevard
Lakeland Fl Endoscopy Asc LLC
$641.00Published rate
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See a sample payer proposalCPT 53450 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53450 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 53450 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 |
|---|---|---|
| 53450-CPT | Moderate | Repair Opening To Urine Tract, Surgery To Widen Or Reconstruct The Meatus (Opening To The Urinary Tract) To Enhance Urine Flow. |
| 53451-CPT | High | Periurethral Tprnl Adjtbl Balo Cntnc Dev Bi Insj, Periurethral Transperineal Adjustable Balloon Continence Device; Bilateral Insertion Including Cystourethroscopy And Im |
| 53452-CPT | High | Periurethrl Tprnl Adjtbl Balo Cntnc Dev Uni Insj, Periurethral Transperineal Adjustable Balloon Continence Device; Unilateral Insertion Including Cystourethroscopy And I |
| 53460-CPT | Moderate | Urethromeatoplasty W/ Partial Xcision Of Distal Urethral Sgment, Urethromeatoplasty With Partial Excision Of Distal Urethral Segment ( |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53450 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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