53431 Reconstruct urethra/bladder
Also known as: urethroplasty with bladder reconstruction, urethra-bladder repair
Surgical reconstruction of both the urethra and bladder in a single procedure to repair complex lower urinary tract defects.
In Plain Language
urethra and bladder repair; fixing both urethra and bladder
Clinical Context
Indicated for complex cases involving concurrent urethral and bladder dysfunction, such as severe traumatic injuries, failed prior repairs, or cloaca repairs.
RVU Breakdown
| Work RVU | 20.65 |
| Total RVU | 20.65 |
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 20.65, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53431?
CPT 53431 (Reconstruct urethra/bladder) is a Surgery code. Surgical reconstruction of both the urethra and bladder in a single procedure to repair complex lower urinary tract defects.
What is the wRVU value for CPT 53431?
The work RVU for CPT 53431 is 20.65. This code is primarily used by Urology, Reconstructive Surgery, Penile/Urethral Surgery. It has a 90-day global period.
When is CPT 53431 used?
Indicated for complex cases involving concurrent urethral and bladder dysfunction, such as severe traumatic injuries, failed prior repairs, or cloaca repairs.
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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.