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CPT code 53660: Urethral dilation, female, requiring physician skill2026 Medicare rate & RVUs in Washington, DC area

Reports physician-performed dilation of the female urethra when skilled treatment is needed to widen the urethral passage.

CMS RVU26DEffective Oct 1, 2026One payment locality2.5K Medicare services in 2024

In Washington, DC area, Medicare pays $89.83 for 53660 in the office and $41.04 when it’s performed in a hospital or facility.

$89.83Office (non-facility)
$41.04Hospital or facility
+14.0%vs the national office rate ($78.83)

Check a contract rate as a % of Medicare · 53660 nationwide

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

We’ll open 53660 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 53660 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Washington, DC area compares for 53660

Across 109 of 109 payment localities, the office rate for 53660 runs from $70.04 in Arkansas to $103.59 in San Benito County, CA. Washington, DC area pays $89.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

53660 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$89.83
  2. Los Angeles, CA · California$88.59−$1.24
  3. Miami, FL · Florida$85.09−$4.74
  4. Chicago, IL · Illinois$82.71−$7.12
  5. Manhattan, NY · New York$90.47+$0.64
  6. Alaska · Alaska$92.60+$2.77
  7. Alabama · Alabama$71.03−$18.80

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

53660 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$70.04$34.46
ArizonaArizona$76.80$36.66
Bakersfield, CACalifornia$83.32$37.92
Chico, CACalifornia$83.08$37.68
El Centro, CACalifornia$83.09$37.70
Fresno, CACalifornia$83.08$37.68
Hanford, CACalifornia$83.08$37.68
Madera, CACalifornia$83.08$37.68

53660 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
53660 office rate range by state
State / territoryOffice rate rangeLocalities
AK$92.601
AL$71.031
AR$70.041
AZ$76.801
CA$83.08–$103.5929
CO$81.921
CT$83.941
DC$89.831
DE$78.031
FL$77.83–$85.093
GA$73.60–$80.282
GU$84.981
HI$84.981
IA$72.701
ID$73.171
IL$75.71–$82.714
IN$73.581
KS$72.401
KY$72.701
LA$72.61–$76.062
MA$81.47–$89.782
MD$79.47–$89.833
ME$73.57–$77.362
MI$74.55–$78.802
MN$78.491
MO$71.43–$76.283
MS$70.751
MT$78.821
NC$74.301
ND$77.241
NE$73.071
NH$80.671
NJ$84.89–$88.962
NM$74.961
NV$78.431
NY$75.38–$92.635
OH$74.231
OK$72.551
OR$77.82–$84.412
PA$74.32–$81.932
PR$79.371
RI$80.731
SC$74.391
SD$77.051
TN$72.761
TX$73.86–$81.658
UT$75.371
VA$77.14–$89.832
VI$79.371
VT$76.981
WA$81.30–$91.542
WI$74.751
WV$73.021
WY$78.131

See 53660 in every payment locality

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

Office or facility?

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,224

Code
53660
Physician work
0.69
Practice expense
1.59
Malpractice
0.08

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 53660 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0540.7273
Practice expense1.59× 1.1781.8730
Malpractice0.08× 1.1130.0890
Total RVUs2.6893
Conversion factor× 33.4009

Office rate, Washington, DC area$89.83

Office: (0.69 × 1.054 + 1.59 × 1.178 + 0.08 × 1.113) × $33.4009 = $89.83

Facility: (0.69 × 1.054 + 0.35 × 1.178 + 0.08 × 1.113) × $33.4009 = $41.04

Open 53660 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

Codes related to 53660

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

Codes related to 53660
CodeHow it relatesOffice range, Washington, DC area
Same family
53661Urethral dilation, female, subsequentRelated female urethral-dilation code; distinguish the service based on the documented encounter and code definition.$88.21
53665Urethral dilation, female, complicatedRelated skilled urethral-dilation code for male anatomy.No office rate
53621Urethral dilation, female, subsequent dilationRelated female stricture-dilation code in the 53620 family.$190.90
Used instead
53620Urethral dilation, female, initialFemale urethral stricture dilation code when the stricture-specific service is documented.$197.62

How 53660 has changed in Washington, DC area

53660 · Office / nonfacility

$89.83

Effective 2026-10-01

The base rate is $5.47 higher than on 2025-10-01, moving from $84.36 to $89.83 (6.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $84.36changed to$89.83

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense RVU 1.48 changed to 1.59
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $87.60changed to$84.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.49 changed to 1.48
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $86.17changed to$87.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $89.23changed to$86.17

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.45 changed to 1.49
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $91.09changed to$89.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.43 changed to 1.45
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $90.99changed to$91.09

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.41 changed to 1.43

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $84.79changed to$90.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.22 changed to 1.41
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $82.49changed to$84.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.20 changed to 1.22
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $84.13changed to$82.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.24 changed to 1.20

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $83.11changed to$84.13

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.22 changed to 1.24
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $82.59changed to$83.11

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.21 changed to 1.22
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $82.43changed to$82.59

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $82.02changed to$82.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $80.97changed to$82.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.19 changed to 1.21
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $80.61changed to$80.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.29 changed to 1.19
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $80.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$89.83$41.04RVU26D
2026-07-01$89.83$41.04RVU26C
2026-04-01$89.83$41.04RVU26B
2026-01-01$89.83$41.04RVU26A
2025-10-01$84.36$44.65RVU25D
2025-07-01$84.36$44.65RVU25C
2025-04-01$84.36$44.65RVU25B
2025-01-01$84.36$44.65RVU25A
2024-10-01$87.60$45.94RVU24D
2024-07-01$87.60$45.94RVU24C
2024-04-01$87.60$45.94RVU24B
2024-03-09$87.60$45.94RVU24AR
2024-01-01$86.17$45.19RVU24A
2023-10-01$89.23$46.86RVU23D
2023-07-01$89.23$46.86RVU23C
2023-04-01$89.23$46.86RVU23B
2023-01-01$89.23$46.86RVU23A
2022-10-01$91.09$47.46RVU22D
2022-07-01$91.09$47.46RVU22C
2022-04-01$91.09$47.46RVU22B
2022-01-01$91.09$47.46RVU22A
2021-10-01$90.99$47.86RVU21D
2021-07-01$90.99$47.86RVU21C
2021-04-01$90.99$47.86RVU21B
2021-01-01$90.99$47.86RVU21A
2020-10-01$84.79$48.65RVU20D
2020-07-01$84.79$48.65RVU20C
2020-04-01$84.79$48.65RVU20B
2020-01-01$84.79$48.65RVU20A
2019-10-01$82.49$48.18RVU19D
2019-07-01$82.49$48.18RVU19C
2019-04-01$82.49$48.18RVU19B
2019-01-01$82.49$48.18RVU19A
2018-10-01$84.13$48.56RVU18D
2018-07-01$84.13$48.56RVU18C
2018-04-01$84.13$48.56RVU18B
2018-01-01$84.13$48.56RVU18AR1
2017-10-01$83.11$48.52RVU17D
2017-07-01$83.11$48.52RVU17C
2017-04-01$83.11$48.52RVU17B
2017-01-01$83.11$48.52RVU17A
2016-10-01$82.59$48.07RVU16D
2016-07-01$82.59$48.07RVU16C
2016-04-01$82.59$48.07RVU16B
2016-01-01$82.59$48.07RVU16A
2015-10-01$82.43$47.79RVU15D
2015-07-01$82.43$47.79RVU15C
2015-04-01$82.02$47.55RVU15B
2015-01-01$82.02$47.55RVU15A
2014-10-01$80.97$46.95RVU14D
2014-07-01$80.97$46.95RVU14C
2014-04-01$80.97$46.95RVU14B
2014-01-01$80.97$46.95RVU14A
2013-10-01$80.61$45.56RVU13D
2013-07-01$80.61$45.56RVU13C
2013-04-01$80.61$45.56RVU13B
2013-01-01$80.61$45.56RVU13AR

Price 53660 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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

Show the CMS file lines behind this rate
RVUs for 53660PPRRVU2026_Oct_nonQPP.csv, line 6,224 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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