Billing code 53661: Urethral dilationMedicare rate & RVUs
Reports a subsequent urethral dilation in a female patient when repeat dilation is performed to address urethral narrowing or related difficulty with passage.
Medicare pays $77.49 for 53661 nationally in the office and $36.07 in a hospital or facility. Local office rates run $68.94–$101.56.
Medicare rate · 53661
Urethral dilation
Swap in your local Medicare rate.
- Work RVUs
- 0.7
- Total RVUs
- 2.32
- Global days
- 000
National rate · 2026
$77.49
Office setting, before claim adjustments.
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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 10 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.
Where 53661 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
$68.94 to $101.56
109 of 109 payment localities
53661 rates by state
Office rate range in each state. Select a state to see its payment localities.
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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
Swap in your local Medicare rate.
Work 0.70Practice expense 1.54Malpractice 0.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 53661
The CMS indicators that decide how 53661 is paid alongside other services.
CMS payment indicators · 53661
Urethral dilation
| 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
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%).
53661 compared with similar codes
Compare codes
53661 vs 53660 vs 53665 vs 53621 vs 53601: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 53660Urethral dilation
- 53660 represents the initial female urethral dilation in this family. Use 53661 for a subsequent service.
- 53665Urethral dilation
- 53665 is the complicated female urethral dilation code. The documented service must meet the family’s criteria for complicated treatment.
- 53621Urethral dilation
- 53621 belongs to the female urethral-stricture dilation family. Determine the correct code from the documented procedure and the applicable family criteria.
- 53601Urethral dilation
- 53601 describes subsequent urethral-stricture dilation for a male patient; 53661 is for subsequent female urethral dilation.
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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