53447 Remove/replace ur sphincter
Also known as: AUS replacement, sphincter replacement, AUS revision
Surgical removal and replacement of a previously implanted artificial urinary sphincter with a new device.
In Plain Language
replacing bladder control implant; sphincter device replacement
Clinical Context
Performed for AUS malfunction, mechanical failure, or obsolescence. Allows transition to newer device technology or reimplantation at same location.
RVU Breakdown
| Work RVU | 13.92 |
| Total RVU | 13.92 |
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 13.92, this code ranks in the 70th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53447?
CPT 53447 (Remove/replace ur sphincter) is a Surgery code. Surgical removal and replacement of a previously implanted artificial urinary sphincter with a new device.
What is the wRVU value for CPT 53447?
The work RVU for CPT 53447 is 13.92. This code is primarily used by Urology, Revision Surgery, Implant Management. It has a 90-day global period.
When is CPT 53447 used?
Performed for AUS malfunction, mechanical failure, or obsolescence. Allows transition to newer device technology or reimplantation at same location.
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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.