53446 Remove uro sphincter
Also known as: AUS removal, sphincter removal, artificial sphincter removal
Surgical removal of a previously implanted artificial urinary sphincter device.
In Plain Language
removing bladder control implant; sphincter device removal
Clinical Context
Performed when artificial urinary sphincter becomes infected, erodes, malfunctions, or no longer needed. Enables consideration of alternative continence therapies.
RVU Breakdown
| Work RVU | 10.74 |
| Total RVU | 10.74 |
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 10.74, this code ranks in the 61st percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53446?
CPT 53446 (Remove uro sphincter) is a Surgery code. Surgical removal of a previously implanted artificial urinary sphincter device.
What is the wRVU value for CPT 53446?
The work RVU for CPT 53446 is 10.74. This code is primarily used by Urology, Revision Surgery, Implant Management. It has a 90-day global period.
When is CPT 53446 used?
Performed when artificial urinary sphincter becomes infected, erodes, malfunctions, or no longer needed. Enables consideration of alternative continence therapies.
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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.