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See a sample rate comparisonCPT 53502 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.
Urethrorrhaphy Female
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 53502 |
| Medicaid Fee Schedule | View Medicaid rates for 53502 |
National average reimbursement for CPT 53502 by major payers:
$597.82
$653.61
$672.95
$797.41
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CPT 53502
5 of 25 sample ratesHigher to lower in this preview
Hss Asc Of Manhattan LLC, Hss Asc Of Manhattan
$6,848.00Published rateThe Vancouver Clinic Inc Ps, The Vancouver Clinic, Ambulatory Surgery Center
The Vancouver Clinic, Inc., Ps
$2,468.00Published rateHumble Vascular Surgical Center LLC
$1,645.00Published rateMountain Home Surgery Center, Inc.
$950.00Published rateGainesville Urology Asc LLC
$685.00Published rate
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See a sample payer proposalCPT 53502 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53502 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 53502 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 |
|---|---|---|
| 53502-CPT | Moderate | Urethrorrhaphy Female |
| 53505-CPT | Moderate | Urethrorr,Suture Ureth.Wound;Penile |
| 53510-CPT | Moderate | Urethrorrhaphy Perineal |
| 53515-CPT | High | Urethrorrhaphy Suture Of Urethral Wound/Njury; Prostatomembrano, Urethrorrhaphy Suture Of Urethral Wound Or Injury; Prostatomembranous |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53502 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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