CPT code 53661: Urethral dilation, female, subsequent2026 Medicare rate & RVUs in Virginia
Reports a subsequent urethral dilation in a female patient when repeat dilation is performed to address urethral narrowing or related difficulty with passage.
In Virginia, Medicare pays $75.83 for 53661 in the office and $35.12 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $75.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$75.83
- Los Angeles, CA · California$86.96+$11.13
- Washington, DC area · District of Columbia$88.21+$12.38
- Miami, FL · Florida$83.68+$7.85
- Chicago, IL · Illinois$81.37+$5.54
- Manhattan, NY · New York$88.89+$13.06
- Alaska · Alaska$91.32+$15.49
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $69.90 | $33.66 |
| ArkansasArkansas | $68.94 | $33.36 |
| ArizonaArizona | $75.51 | $35.38 |
| Bakersfield, CACalifornia | $81.83 | $36.43 |
| Chico, CACalifornia | $81.59 | $36.19 |
| El Centro, CACalifornia | $81.60 | $36.21 |
| Fresno, CACalifornia | $81.59 | $36.19 |
| Hanford, CACalifornia | $81.59 | $36.19 |
| Madera, CACalifornia | $81.59 | $36.19 |
| 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 |
| Salinas, CACalifornia | $85.15 | $37.15 |
| San Diego, CACalifornia | $87.05 | $37.51 |
| Marin County, CACalifornia | $99.35 | $40.96 |
| San Francisco, CACalifornia | $99.26 | $40.87 |
| San Benito County, CACalifornia | $101.56 | $41.83 |
| Santa Clara County, CACalifornia | $101.19 | $41.46 |
| San Luis Obispo, CACalifornia | $83.80 | $36.62 |
| Santa Cruz, CACalifornia | $87.80 | $37.48 |
| Santa Maria, CACalifornia | $85.44 | $37.15 |
| Santa Rosa, CACalifornia | $88.68 | $37.82 |
| Stockton, CACalifornia | $81.59 | $36.19 |
| Vallejo, CACalifornia | $93.87 | $39.29 |
| Visalia, CACalifornia | $81.59 | $36.19 |
| Yuba City, CACalifornia | $81.59 | $36.19 |
| ColoradoColorado | $80.48 | $36.41 |
| ConnecticutConnecticut | $82.48 | $37.87 |
| DelawareDelaware | $76.72 | $35.80 |
| Fort Lauderdale, FLFlorida | $80.32 | $38.36 |
| Rest of FloridaFlorida | $76.57 | $36.98 |
| Atlanta, GAGeorgia | $78.92 | $36.84 |
| Rest of GeorgiaGeorgia | $72.45 | $35.50 |
| Hawaii, Guam, HIHawaii | $83.41 | $36.32 |
| IowaIowa | $71.51 | $33.61 |
| IdahoIdaho | $71.97 | $33.86 |
| East St. Louis, ILIllinois | $76.08 | $37.98 |
| Rest of IllinoisIllinois | $74.52 | $36.71 |
| Suburban Chicago, ILIllinois | $81.11 | $38.57 |
| IndianaIndiana | $72.36 | $33.97 |
| KansasKansas | $71.23 | $33.79 |
| KentuckyKentucky | $71.55 | $34.73 |
| New Orleans, LALouisiana | $74.82 | $35.85 |
| Rest of LouisianaLouisiana | $71.46 | $34.81 |
| Metropolitan Boston, MAMassachusetts | $88.13 | $38.68 |
| Rest of MassachusettsMassachusetts | $80.05 | $36.44 |
| Baltimore area, MDMaryland | $82.25 | $37.81 |
| Rest of MarylandMaryland | $78.12 | $36.21 |
| Rest of MaineMaine | $72.37 | $34.26 |
| Southern Maine, MEMaine | $76.04 | $35.00 |
| Detroit, MIMichigan | $77.52 | $37.56 |
| Rest of MichiganMichigan | $73.36 | $35.55 |
| MinnesotaMinnesota | $77.10 | $34.48 |
| Metropolitan Kansas City, MOMissouri | $74.29 | $35.40 |
| Metropolitan St. Louis, MOMissouri | $75.03 | $35.60 |
| Rest of MissouriMissouri | $70.32 | $34.62 |
| MississippiMississippi | $69.64 | $33.98 |
| MontanaMontana | $77.48 | $36.07 |
| North CarolinaNorth Carolina | $73.08 | $34.44 |
| North DakotaNorth Dakota | $75.90 | $34.49 |
| NebraskaNebraska | $71.87 | $33.64 |
| New HampshireNew Hampshire | $79.27 | $36.15 |
| Northern New JerseyNew Jersey | $87.37 | $39.33 |
| Rest of New JerseyNew Jersey | $83.42 | $38.19 |
| New MexicoNew Mexico | $73.76 | $35.78 |
| NevadaNevada | $77.10 | $35.64 |
| NYC suburbs and Long Island, NYNew York | $91.00 | $41.75 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $83.99 | $38.64 |
| Queens, NYNew York | $89.53 | $40.57 |
| Rest of New YorkNew York | $74.12 | $34.78 |
| OhioOhio | $73.04 | $35.22 |
| OklahomaOklahoma | $71.39 | $34.40 |
| Portland, OROregon | $82.89 | $36.88 |
| Rest of OregonOregon | $76.49 | $35.24 |
| Metropolitan Philadelphia, PAPennsylvania | $80.54 | $37.42 |
| Rest of PennsylvaniaPennsylvania | $73.13 | $35.10 |
| Puerto RicoPuerto Rico | $78.02 | $36.14 |
| Rhode IslandRhode Island | $79.34 | $36.56 |
| South CarolinaSouth Carolina | $73.18 | $34.91 |
| South DakotaSouth Dakota | $75.72 | $34.30 |
| TennesseeTennessee | $71.57 | $33.92 |
| Austin, TXTexas | $80.22 | $36.40 |
| Beaumont, TXTexas | $72.67 | $34.98 |
| Brazoria, TXTexas | $76.63 | $35.58 |
| Dallas, TXTexas | $77.12 | $35.86 |
| Fort Worth, TXTexas | $76.64 | $35.80 |
| Galveston, TXTexas | $76.86 | $35.73 |
| Houston, TXTexas | $78.32 | $37.19 |
| Rest of TexasTexas | $74.61 | $35.30 |
| UtahUtah | $74.13 | $35.20 |
| Virgin Islands, VIUnited States Virgin Islands | $78.02 | $36.14 |
| VermontVermont | $75.66 | $34.65 |
| Rest of WashingtonWashington | $79.88 | $36.27 |
| King County, WAWashington | $89.85 | $39.03 |
| WisconsinWisconsin | $73.48 | $33.80 |
| West VirginiaWest Virginia | $71.90 | $35.91 |
| WyomingWyoming | $76.80 | $35.38 |
53661 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.
$68.94
$91.58
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 | $91.32 | 1 |
| AL | $69.90 | 1 |
| AR | $68.94 | 1 |
| AZ | $75.51 | 1 |
| CA | $81.59–$101.56 | 29 |
| CO | $80.48 | 1 |
| CT | $82.48 | 1 |
| DC | $88.21 | 1 |
| DE | $76.72 | 1 |
| FL | $76.57–$83.68 | 3 |
| GA | $72.45–$78.92 | 2 |
| GU | $83.41 | 1 |
| HI | $83.41 | 1 |
| IA | $71.51 | 1 |
| ID | $71.97 | 1 |
| IL | $74.52–$81.37 | 4 |
| IN | $72.36 | 1 |
| KS | $71.23 | 1 |
| KY | $71.55 | 1 |
| LA | $71.46–$74.82 | 2 |
| MA | $80.05–$88.13 | 2 |
| MD | $78.12–$88.21 | 3 |
| ME | $72.37–$76.04 | 2 |
| MI | $73.36–$77.52 | 2 |
| MN | $77.10 | 1 |
| MO | $70.32–$75.03 | 3 |
| MS | $69.64 | 1 |
| MT | $77.48 | 1 |
| NC | $73.08 | 1 |
| ND | $75.90 | 1 |
| NE | $71.87 | 1 |
| NH | $79.27 | 1 |
| NJ | $83.42–$87.37 | 2 |
| NM | $73.76 | 1 |
| NV | $77.10 | 1 |
| NY | $74.12–$91.00 | 5 |
| OH | $73.04 | 1 |
| OK | $71.39 | 1 |
| OR | $76.49–$82.89 | 2 |
| PA | $73.13–$80.54 | 2 |
| PR | $78.02 | 1 |
| RI | $79.34 | 1 |
| SC | $73.18 | 1 |
| SD | $75.72 | 1 |
| TN | $71.57 | 1 |
| TX | $72.67–$80.22 | 8 |
| UT | $74.13 | 1 |
| VA | $75.83–$88.21 | 2 |
| VI | $78.02 | 1 |
| VT | $75.66 | 1 |
| WA | $79.88–$89.85 | 2 |
| WI | $73.48 | 1 |
| WV | $71.90 | 1 |
| WY | $76.80 | 1 |
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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 1.54 | × 0.983 | 1.5138 |
| Malpractice | 0.08 | × 0.706 | 0.0565 |
| Total RVUs | 2.2703 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$75.83
Office: (0.7 × 1 + 1.54 × 0.983 + 0.08 × 0.706) × $33.4009 = $75.83
Facility: (0.7 × 1 + 0.3 × 0.983 + 0.08 × 0.706) × $33.4009 = $35.12
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
| 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
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%).
How 53661 has changed in Virginia
53661 · Office / nonfacility
$75.83
Effective 2026-10-01
The base rate is $4.71 higher than on 2025-10-01, moving from $71.12 to $75.83 (6.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$71.12changed to$75.83
- 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 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$73.44changed to$71.12
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$72.25changed to$73.44
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$74.17changed to$72.25
- 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 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$75.23changed to$74.17
- 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
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$75.50changed to$75.23
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.37 changed to 1.38
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$71.12changed to$75.50
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.18 changed to 1.37
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$69.79changed to$71.12
- 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
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$70.77changed to$69.79
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.19 changed to 1.16
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$70.04changed to$70.77
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.18 changed to 1.19
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$68.97changed to$70.04
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.16 changed to 1.18
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$68.92changed to$68.97
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$68.58changed to$68.92
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$68.12changed to$68.58
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.15 changed to 1.16
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$67.46changed to$68.12
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.24 changed to 1.15
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $67.46
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $75.83 | $35.12 | RVU26D |
| 2026-07-01 | $75.83 | $35.12 | RVU26C |
| 2026-04-01 | $75.83 | $35.12 | RVU26B |
| 2026-01-01 | $75.83 | $35.12 | RVU26A |
| 2025-10-01 | $71.12 | $38.02 | RVU25D |
| 2025-07-01 | $71.12 | $38.02 | RVU25C |
| 2025-04-01 | $71.12 | $38.02 | RVU25B |
| 2025-01-01 | $71.12 | $38.02 | RVU25A |
| 2024-10-01 | $73.44 | $39.05 | RVU24D |
| 2024-07-01 | $73.44 | $39.05 | RVU24C |
| 2024-04-01 | $73.44 | $39.05 | RVU24B |
| 2024-03-09 | $73.44 | $39.05 | RVU24AR |
| 2024-01-01 | $72.25 | $38.41 | RVU24A |
| 2023-10-01 | $74.17 | $39.95 | RVU23D |
| 2023-07-01 | $74.17 | $39.95 | RVU23C |
| 2023-04-01 | $74.17 | $39.95 | RVU23B |
| 2023-01-01 | $74.17 | $39.95 | RVU23A |
| 2022-10-01 | $75.23 | $40.11 | RVU22D |
| 2022-07-01 | $75.23 | $40.11 | RVU22C |
| 2022-04-01 | $75.23 | $40.11 | RVU22B |
| 2022-01-01 | $75.23 | $40.11 | RVU22A |
| 2021-10-01 | $75.50 | $40.44 | RVU21D |
| 2021-07-01 | $75.50 | $40.44 | RVU21C |
| 2021-04-01 | $75.50 | $40.44 | RVU21B |
| 2021-01-01 | $75.50 | $40.44 | RVU21A |
| 2020-10-01 | $71.12 | $41.79 | RVU20D |
| 2020-07-01 | $71.12 | $41.79 | RVU20C |
| 2020-04-01 | $71.12 | $41.79 | RVU20B |
| 2020-01-01 | $71.12 | $41.79 | RVU20A |
| 2019-10-01 | $69.79 | $41.71 | RVU19D |
| 2019-07-01 | $69.79 | $41.71 | RVU19C |
| 2019-04-01 | $69.79 | $41.71 | RVU19B |
| 2019-01-01 | $69.79 | $41.71 | RVU19A |
| 2018-10-01 | $70.77 | $42.02 | RVU18D |
| 2018-07-01 | $70.77 | $42.02 | RVU18C |
| 2018-04-01 | $70.77 | $42.02 | RVU18B |
| 2018-01-01 | $70.77 | $42.02 | RVU18AR1 |
| 2017-10-01 | $70.04 | $41.41 | RVU17D |
| 2017-07-01 | $70.04 | $41.41 | RVU17C |
| 2017-04-01 | $70.04 | $41.41 | RVU17B |
| 2017-01-01 | $70.04 | $41.41 | RVU17A |
| 2016-10-01 | $68.97 | $40.81 | RVU16D |
| 2016-07-01 | $68.97 | $40.81 | RVU16C |
| 2016-04-01 | $68.97 | $40.81 | RVU16B |
| 2016-01-01 | $68.97 | $40.81 | RVU16A |
| 2015-10-01 | $68.92 | $40.66 | RVU15D |
| 2015-07-01 | $68.92 | $40.66 | RVU15C |
| 2015-04-01 | $68.58 | $40.46 | RVU15B |
| 2015-01-01 | $68.58 | $40.46 | RVU15A |
| 2014-10-01 | $68.12 | $40.38 | RVU14D |
| 2014-07-01 | $68.12 | $40.38 | RVU14C |
| 2014-04-01 | $68.12 | $40.38 | RVU14B |
| 2014-01-01 | $68.12 | $40.38 | RVU14A |
| 2013-10-01 | $67.46 | $38.87 | RVU13D |
| 2013-07-01 | $67.46 | $38.87 | RVU13C |
| 2013-04-01 | $67.46 | $38.87 | RVU13B |
| 2013-01-01 | $67.46 | $38.87 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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