53448 Remov/replc ur sphinctr complicated
Also known as: complicated AUS replacement, complex sphincter replacement
Surgical removal and replacement of a previously implanted artificial urinary sphincter complicated by tissue changes, erosion, or other complex pathology.
In Plain Language
replacing damaged bladder control device
Clinical Context
Indicated when removal and replacement requires extensive tissue dissection due to fibrosis, adhesions, erosion, or infection. Higher complexity than simple replacement.
RVU Breakdown
| Work RVU | 22.85 |
| Total RVU | 22.85 |
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 22.85, this code ranks in the 86th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53448?
CPT 53448 (Remov/replc ur sphinctr complicated) is a Surgery code. Surgical removal and replacement of a previously implanted artificial urinary sphincter complicated by tissue changes, erosion, or other complex pathology.
What is the wRVU value for CPT 53448?
The work RVU for CPT 53448 is 22.85. This code is primarily used by Urology, Revision Surgery, Complex Reconstructive Surgery. It has a 90-day global period.
When is CPT 53448 used?
Indicated when removal and replacement requires extensive tissue dissection due to fibrosis, adhesions, erosion, or infection. Higher complexity than simple replacement.
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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.