CPT code 53601: Urethral dilation, male, subsequent2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $84.50 for 53601 in the office and $44.50 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 53601 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 53601 covers

A urologist typically reports this service when dilating a male patient’s urethral stricture during a subsequent treatment session. The clinician passes sounds or urethral dilators through the urethra to widen a narrowed segment, often to address obstructive urinary symptoms related to scar tissue. The service may be performed in an office or facility setting.

Select this code for the subsequent service in the male stricture-dilation family, rather than the family’s initial-service code. Documentation should identify the stricture, the dilation performed, and why this is a subsequent service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Wisconsin compares for 53601

Across 109 of 109 payment localities, the office rate for 53601 runs from $80.04 in Arkansas to $114.80 in San Benito County, CA. Wisconsin pays $84.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53601 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 53601 in every payment locality

How the 53601 rate is calculated

Each of 53601’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 53601

The CMS indicators that decide how 53601 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 53601

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 53601 has changed in Wisconsin

Price 53601 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates