53240 Surgery for urethra pouch
Also known as: urethral diverticulum excision
Surgical treatment of urethral diverticulum through excision, drainage, or marsupialization to manage infection or improve urethral function.
In Plain Language
removing urethral pouch
Clinical Context
More common in females. Treatment prevents recurrent infections and resolves dysuria or dribbling.
RVU Breakdown
| Work RVU | 6.90 |
| Total RVU | 6.90 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 6.90, this code ranks in the 45th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53240?
CPT 53240 (Surgery for urethra pouch) is a Surgery code. Surgical treatment of urethral diverticulum through excision, drainage, or marsupialization to manage infection or improve urethral function.
What is the wRVU value for CPT 53240?
The work RVU for CPT 53240 is 6.90. This code is primarily used by Urology. It has a 90-day global period.
When is CPT 53240 used?
More common in females. Treatment prevents recurrent infections and resolves dysuria or dribbling.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.