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See a sample rate comparisonCPT 53453 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.
Remove Incontinence Device, Surgery To Remove An Implanted Device In The Tissue Surrounding The Urethra Used To Treat Urinary Incontinence.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 53453 |
| Medicaid Fee Schedule | View Medicaid rates for 53453 |
National average reimbursement for CPT 53453 by major payers:
$1,279.77
$857.47
$681.13
$1,102.12
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CPT 53453
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Dallas
$6,245.00Published rateTavares Surgery LLC
$2,388.00Published rateIrving Specialists Surgical Center LLC
$1,645.00Published rateIndependent Surgery Center LLC
$1,340.00Published rateLocust Grove Endo Center
$390.00Published rate
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See a sample payer proposalCPT 53453 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53453 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 53453 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 |
|---|---|---|
| 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 |
| 53453-CPT | High | Remove Incontinence Device, Surgery To Remove An Implanted Device In The Tissue Surrounding The Urethra Used To Treat Urinary Incontinence. |
| 53454-CPT | Low | Periurethral Tprnl Adjtbl Balo Cntnc Dev Adjmt, Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53453. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53453 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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