CPT code 53665: Urethral dilation, female, complicated2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $35.69 for 53665 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 53665 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 53665 covers

A urologist or other qualified clinician uses urethral dilators to widen a narrowed female urethra when the dilation is complicated. The service may be performed in an office or facility setting. The record should explain the urethral problem and the circumstances that make the dilation complicated; the code is not selected simply because dilation is repeated.

Report 53665 for the complicated female procedure rather than routine female dilation, distinguishing it from initial and subsequent services in that code family. Document the indication, relevant anatomy or history, and work performed. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 Washington, DC area compares for 53665

Across 109 of 109 payment localities, the facility rate for 53665 runs from $30.76 in Wisconsin to $44.42 in Alaska. Washington, DC area pays $35.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53665 rates by state

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

See 53665 in every payment locality

How the 53665 rate is calculated

Each of 53665’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 53665

The CMS indicators that decide how 53665 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 53665

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

How 53665 has changed in Washington, DC area

Price 53665 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

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