53445 Insert uro/ves nck sphincter
Also known as: artificial urinary sphincter, AUS implant, sphincter implant
Surgical insertion of an artificial urinary sphincter or vesical neck sphincter to restore continence in males with intrinsic sphincter deficiency.
In Plain Language
implanted continence device; bladder control implant
Clinical Context
Indicated for intrinsic sphincter deficiency from trauma, radiation, prostatectomy, or neurogenic causes. Provides mechanical support for continence.
RVU Breakdown
| Work RVU | 12.68 |
| Total RVU | 12.68 |
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 12.68, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53445?
CPT 53445 (Insert uro/ves nck sphincter) is a Surgery code. Surgical insertion of an artificial urinary sphincter or vesical neck sphincter to restore continence in males with intrinsic sphincter deficiency.
What is the wRVU value for CPT 53445?
The work RVU for CPT 53445 is 12.68. This code is primarily used by Urology, Incontinence Surgery, Implant Surgery. It has a 90-day global period.
When is CPT 53445 used?
Indicated for intrinsic sphincter deficiency from trauma, radiation, prostatectomy, or neurogenic causes. Provides mechanical support for continence.
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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.