CPT code 53660: Urethral dilation, female, requiring physician skill2026 Medicare rate & RVUs
Reports physician-performed dilation of the female urethra when skilled treatment is needed to widen the urethral passage.
Medicare pays $78.83 for 53660 nationally in the office and $37.41 in a hospital or facility. Local office rates run $70.04–$103.59.
Medicare rate · 53660
Urethral dilation, female, requiring physician skill
- Work RVUs
- 0.69
- Total RVUs
- 2.36
- Global days
- 000
National rate · 2026
$78.83
Office setting, before claim adjustments.
See every locality for 53660 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 53660 covers
A urologist or other qualified physician uses an instrument to widen the female urethral passage when a clinical problem calls for skilled dilation. The service may be performed in an office or facility. It is distinct from routine catheter placement: the record should show why dilation was needed and the treatment performed, rather than only documenting passage of a catheter for drainage or specimen collection.
Select this code for the skilled female urethral dilation described by the service, not simply because a catheter was passed. When the documented condition is a urethral stricture, compare the stricture-specific codes, including the code family for female stricture dilation. This procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If other 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. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery 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.
Where 53660 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$70.04 to $103.59
109 of 109 payment localities
53660 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$70.04
$93.34
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $92.60 | 1 |
| AL | $71.03 | 1 |
| AR | $70.04 | 1 |
| AZ | $76.80 | 1 |
| CA | $83.08–$103.59 | 29 |
| CO | $81.92 | 1 |
| CT | $83.94 | 1 |
| DC | $89.83 | 1 |
| DE | $78.03 | 1 |
| FL | $77.83–$85.09 | 3 |
| GA | $73.60–$80.28 | 2 |
| GU | $84.98 | 1 |
| HI | $84.98 | 1 |
| IA | $72.70 | 1 |
| ID | $73.17 | 1 |
| IL | $75.71–$82.71 | 4 |
| IN | $73.58 | 1 |
| KS | $72.40 | 1 |
| KY | $72.70 | 1 |
| LA | $72.61–$76.06 | 2 |
| MA | $81.47–$89.78 | 2 |
| MD | $79.47–$89.83 | 3 |
| ME | $73.57–$77.36 | 2 |
| MI | $74.55–$78.80 | 2 |
| MN | $78.49 | 1 |
| MO | $71.43–$76.28 | 3 |
| MS | $70.75 | 1 |
| MT | $78.82 | 1 |
| NC | $74.30 | 1 |
| ND | $77.24 | 1 |
| NE | $73.07 | 1 |
| NH | $80.67 | 1 |
| NJ | $84.89–$88.96 | 2 |
| NM | $74.96 | 1 |
| NV | $78.43 | 1 |
| NY | $75.38–$92.63 | 5 |
| OH | $74.23 | 1 |
| OK | $72.55 | 1 |
| OR | $77.82–$84.41 | 2 |
| PA | $74.32–$81.93 | 2 |
| PR | $79.37 | 1 |
| RI | $80.73 | 1 |
| SC | $74.39 | 1 |
| SD | $77.05 | 1 |
| TN | $72.76 | 1 |
| TX | $73.86–$81.65 | 8 |
| UT | $75.37 | 1 |
| VA | $77.14–$89.83 | 2 |
| VI | $79.37 | 1 |
| VT | $76.98 | 1 |
| WA | $81.30–$91.54 | 2 |
| WI | $74.75 | 1 |
| WV | $73.02 | 1 |
| WY | $78.13 | 1 |
How the 53660 rate is calculated
Each of 53660’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.
How the rate is built · 53660
RVUs × geographic indexes × conversion factor
Work0.69
0.69 RVUs× 1.000 GPCI
Practice expense1.59
1.59 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
2.3600
Conversion factor
$33.4009
Medicare rate
$78.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 53660
The CMS indicators that decide how 53660 is paid alongside other services.
CMS payment indicators · 53660
Urethral dilation, female, requiring physician skill
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
53660 without 51 · national office
$78.83
Urethral dilation, female, requiring physician skill
53660-51 · Second procedure: 50%
$39.42
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
53660 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 53661Urethral dilationFemale, subsequent
- Both concern skilled female urethral dilation. Check the code definitions and documentation to distinguish the particular service represented by 53660 from its related code.
- 53665Urethral dilationFemale, complicated
- This is the related skilled urethral-dilation code for male anatomy; 53660 is for female anatomy.
- 53620Urethral dilationFemale, initial
- Choose the stricture-specific code when the record supports dilation of a female urethral stricture; 53660 describes skilled female urethral dilation outside that selection.
53660 billing questions
How does 53660 differ from female stricture-dilation codes?
Use the stricture-specific family when the record identifies and treats a urethral stricture. Code 53660 describes skilled dilation of the female urethra outside that stricture-specific selection.
Is routine catheterization reported as 53660?
No. The record must support skilled urethral dilation; passage of a catheter solely for drainage or specimen collection does not establish this service.
Should modifier 50 be appended for dilation of both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Is same-day care included in the payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
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
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