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2024 Fee Update: Incontinence Therapy for Men Post-Prostatectomy

Published 04/09/2024

Palmetto GBA has completed a fee review for CPT codes 53451, 53452, 53453 and 53454. The code and 2024 fees are listed below. 

53451 (Facility and Non-Facility)

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

53451

11202

SC

$675.21

01/01/24

53451

11302

VA

$678.17

01/01/24

53451

11502

NC

$641.07

01/01/24

53451

11402

WV

$790.21

01/01/24

53452 (Facility and Non-Facility)

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

53452

11202

SC

$506.55

01/01/24

53452

11302

VA

$508.78

01/01/24

53452

11502

NC

$480.95

01/01/24

53452

11402

WV

$592.83

01/01/24

53453 (Facility)

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

53453

11202

SC

$167.55

01/01/24

53453

11302

VA

$168.29

01/01/24

53453

11502

NC

$159.08

01/01/24

53453

11402

WV

$196.09

01/01/24

53453 (Non-Facility)

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

53453

11202

SC

$197.85

01/01/24

53453

11302

VA

$198.72

01/01/24

53453

11502

NC

$187.85

01/01/24

53453

11402

WV

$231.55

01/01/24

53454 (Facility)

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

53454

11202

SC

$31.29

01/01/24

53454

11302

VA

$31.42

01/01/24

53454

11502

NC

$29.71

01/01/24

53454

11402

WV

$36.62

01/01/24

53454 (Non-Facility)

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

53454

11202

SC

$50.66

01/01/24

53454

11302

VA

$50.88

01/01/24

53454

11502

NC

$48.09

01/01/24

53454

11402

WV

$59.28

01/01/24

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.
 


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