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CPT code 53661: Urethral dilation, female, subsequent2026 Medicare rate & RVUs in Los Angeles, CA

Reports a subsequent urethral dilation in a female patient when repeat dilation is performed to address urethral narrowing or related difficulty with passage.

CMS RVU26DEffective Oct 1, 2026One payment locality6.4K Medicare services in 2024

In Los Angeles, CA, Medicare pays $86.96 for 53661 in the office and $37.97 when it’s performed in a hospital or facility.

$86.96Office (non-facility)
$37.97Hospital or facility
+12.2%vs the national office rate ($77.49)

Check a contract rate as a % of Medicare · 53661 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 53661 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 53661 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 53661 covers

This service is a repeat dilation of the female urethra, generally performed by a urologist or other qualified clinician using a dilator to widen the urethral channel. It may be performed in an office or facility when a patient returns for further treatment after an earlier dilation. The service addresses the urethra itself; documentation should support the reason for repeat treatment and the procedure performed.

Select this code for a subsequent female urethral dilation, rather than the initial or complicated service. Record the indication, relevant findings, and that dilation was carried out. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one 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 for this service, 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 Los Angeles, CA compares for 53661

Across 109 of 109 payment localities, the office rate for 53661 runs from $68.94 in Arkansas to $101.56 in San Benito County, CA. Los Angeles, CA pays $86.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

53661 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$86.96
  2. Bakersfield, CA · California$81.83−$5.13
  3. Chico, CA · California$81.59−$5.37
  4. El Centro, CA · California$81.60−$5.36
  5. Fresno, CA · California$81.59−$5.37
  6. Hanford, CA · California$81.59−$5.37
  7. Madera, CA · California$81.59−$5.37

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

53661 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$81.59$36.19
Modesto, CACalifornia$81.59$36.19
Napa, CACalifornia$94.01$39.42
Oxnard, CACalifornia$86.50$37.54
Redding, CACalifornia$81.59$36.19
Rest of CaliforniaCalifornia$81.59$36.19
Riverside, CACalifornia$82.46$37.06
Sacramento, CACalifornia$85.48$37.31

53661 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.

$68.94

$91.58

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
53661 office rate range by state
State / territoryOffice rate rangeLocalities
AK$91.321
AL$69.901
AR$68.941
AZ$75.511
CA$81.59–$101.5629
CO$80.481
CT$82.481
DC$88.211
DE$76.721
FL$76.57–$83.683
GA$72.45–$78.922
GU$83.411
HI$83.411
IA$71.511
ID$71.971
IL$74.52–$81.374
IN$72.361
KS$71.231
KY$71.551
LA$71.46–$74.822
MA$80.05–$88.132
MD$78.12–$88.213
ME$72.37–$76.042
MI$73.36–$77.522
MN$77.101
MO$70.32–$75.033
MS$69.641
MT$77.481
NC$73.081
ND$75.901
NE$71.871
NH$79.271
NJ$83.42–$87.372
NM$73.761
NV$77.101
NY$74.12–$91.005
OH$73.041
OK$71.391
OR$76.49–$82.892
PA$73.13–$80.542
PR$78.021
RI$79.341
SC$73.181
SD$75.721
TN$71.571
TX$72.67–$80.228
UT$74.131
VA$75.83–$88.212
VI$78.021
VT$75.661
WA$79.88–$89.852
WI$73.481
WV$71.901
WY$76.801

See 53661 in every payment locality

How the 53661 rate is calculated

Each of 53661’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 · 53661

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.70

0.70 RVUs× 1.000 GPCI

Practice expense1.54

1.54 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

2.3200

Conversion factor

$33.4009

Medicare rate

$77.49

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,225

Code
53661
Physician work
0.70
Practice expense
1.54
Malpractice
0.08

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 53661 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.70× 1.0410.7287
Practice expense1.54× 1.1831.8218
Malpractice0.08× 0.6640.0531
Total RVUs2.6036
Conversion factor× 33.4009

Office rate, Los Angeles, CA$86.96

Office: (0.7 × 1.041 + 1.54 × 1.183 + 0.08 × 0.664) × $33.4009 = $86.96

Facility: (0.7 × 1.041 + 0.3 × 1.183 + 0.08 × 0.664) × $33.4009 = $37.97

Open 53661 in the RVU calculator

Payment rules and modifiers for 53661

The CMS indicators that decide how 53661 is paid alongside other services.

CMS payment indicators · 53661

Urethral dilation, female, subsequent

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

53661 without 51 · national office

$77.49

Urethral dilation, female, subsequent

53661-51 · Second procedure: 50%

$38.75

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 53661

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

Codes related to 53661
CodeHow it relatesOffice range, Los Angeles, CA
Same family
53660Urethral dilation, female, requiring physician skillInitial female urethral dilation in the same code family.$88.59
53665Urethral dilation, female, complicatedComplicated female urethral dilation in the same code family.No office rate
Used instead
53620Urethral dilation, female, initialFemale urethral-stricture dilation, initial service; distinguish by the documented code-family criteria.$194.51
53621Urethral dilation, female, subsequent dilationFemale urethral-stricture dilation, subsequent service; distinguish from this code by the documented service.$188.36
53600Urethral dilation, male, initialInitial urethral-stricture dilation for a male patient.$99.67
53601Urethral dilation, male, subsequentSubsequent urethral-stricture dilation for a male patient.$99.26

How 53661 has changed in Los Angeles, CA

53661 · Office / nonfacility

$86.96

Effective 2026-10-01

The base rate is $5.29 higher than on 2025-10-01, moving from $81.67 to $86.96 (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

    $81.67changed to$86.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.72 changed to 0.70
    • Practice expense RVU 1.44 changed to 1.54
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $84.27changed to$81.67

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $82.90changed to$84.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $84.17changed to$82.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.40 changed to 1.44
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $84.58changed to$84.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.38 changed to 1.40
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $84.88changed to$84.58

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.37 changed to 1.38

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $79.64changed to$84.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.18 changed to 1.37
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $78.35changed to$79.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.16 changed to 1.18
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $79.53changed to$78.35

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.19 changed to 1.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $78.86changed to$79.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.18 changed to 1.19
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $77.81changed to$78.86

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.16 changed to 1.18
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $77.77changed to$77.81

    • 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

    $77.38changed to$77.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $76.52changed to$77.38

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.15 changed to 1.16
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $75.59changed to$76.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.24 changed to 1.15
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$75.59

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$86.96$37.97RVU26D
2026-07-01$86.96$37.97RVU26C
2026-04-01$86.96$37.97RVU26B
2026-01-01$86.96$37.97RVU26A
2025-10-01$81.67$41.50RVU25D
2025-07-01$81.67$41.50RVU25C
2025-04-01$81.67$41.50RVU25B
2025-01-01$81.67$41.50RVU25A
2024-10-01$84.27$42.54RVU24D
2024-07-01$84.27$42.54RVU24C
2024-04-01$84.27$42.54RVU24B
2024-03-09$84.27$42.54RVU24AR
2024-01-01$82.90$41.85RVU24A
2023-10-01$84.17$43.21RVU23D
2023-07-01$84.17$43.21RVU23C
2023-04-01$84.17$43.21RVU23B
2023-01-01$84.17$43.21RVU23A
2022-10-01$84.58$43.11RVU22D
2022-07-01$84.58$43.11RVU22C
2022-04-01$84.58$43.11RVU22B
2022-01-01$84.58$43.11RVU22A
2021-10-01$84.88$43.47RVU21D
2021-07-01$84.88$43.47RVU21C
2021-04-01$84.88$43.47RVU21B
2021-01-01$84.88$43.47RVU21A
2020-10-01$79.64$44.84RVU20D
2020-07-01$79.64$44.84RVU20C
2020-04-01$79.64$44.84RVU20B
2020-01-01$79.64$44.84RVU20A
2019-10-01$78.35$44.84RVU19D
2019-07-01$78.35$44.84RVU19C
2019-04-01$78.35$44.84RVU19B
2019-01-01$78.35$44.84RVU19A
2018-10-01$79.53$45.21RVU18D
2018-07-01$79.53$45.21RVU18C
2018-04-01$79.53$45.21RVU18B
2018-01-01$79.53$45.21RVU18AR1
2017-10-01$78.86$44.88RVU17D
2017-07-01$78.86$44.88RVU17C
2017-04-01$78.86$44.88RVU17B
2017-01-01$78.86$44.88RVU17A
2016-10-01$77.81$44.56RVU16D
2016-07-01$77.81$44.56RVU16C
2016-04-01$77.81$44.56RVU16B
2016-01-01$77.81$44.56RVU16A
2015-10-01$77.77$44.39RVU15D
2015-07-01$77.77$44.39RVU15C
2015-04-01$77.38$44.17RVU15B
2015-01-01$77.38$44.17RVU15A
2014-10-01$76.52$43.75RVU14D
2014-07-01$76.52$43.75RVU14C
2014-04-01$76.52$43.75RVU14B
2014-01-01$76.52$43.75RVU14A
2013-10-01$75.59$41.83RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 53661 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

53661 billing questions

How does this differ from 53660?

53661 is for a subsequent female urethral dilation; 53660 is the initial service in that code family.

When would 53665 be considered instead?

Use 53665 when the service meets the code family’s criteria for a complicated female urethral dilation, rather than a subsequent routine dilation.

How is this distinguished from 53621?

53621 is in the female urethral-stricture dilation family. Choose between the codes based on the documented service and applicable code-family criteria, not simply because dilation is repeated.

Is same-day care included in the procedure payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

Can modifier 50 be reported?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.

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 53661PPRRVU2026_Oct_nonQPP.csv, line 6,225 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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