53865 Cysto insj device ischmc rmdlg
Also known as: ischemic remodeling device insertion, vascular insufficiency device
Cystoscopic insertion of a device for treatment of ischemic remodeling or vascular insufficiency affecting lower urinary tract function.
In Plain Language
implanting device to help bladder with poor blood flow
Clinical Context
Used for ischemic lower urinary tract dysfunction affecting continence or voiding. Device aims to improve vascular perfusion.
RVU Breakdown
| Work RVU | 3.02 |
| Total RVU | 3.02 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.02, this code ranks in the 21st percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53865?
CPT 53865 (Cysto insj device ischmc rmdlg) is a Surgery code. Cystoscopic insertion of a device for treatment of ischemic remodeling or vascular insufficiency affecting lower urinary tract function.
What is the wRVU value for CPT 53865?
The work RVU for CPT 53865 is 3.02. This code is primarily used by Urology, Minimally Invasive Surgery, Endoscopy.
When is CPT 53865 used?
Used for ischemic lower urinary tract dysfunction affecting continence or voiding. Device aims to improve vascular perfusion.
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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.