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CMS RVU26D · Effective 2026-10-01

53660 in Delaware

Office / nonfacility

$78.03

Base rate per service

Facility setting

$37.11

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Urology

About 53660: Female urethral dilation requiring physician skill

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

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.

CMS billing rules for 53660

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.69 · 29%
  • Practice expense (office) RVU1.59 · 67%
  • Malpractice RVU0.08 · 3%

2.5K

Medicare services in 2024 · #2307 by national volume

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.

53660 compared with similar codes

Office rates for Delaware, from the same CMS release.

53661

Urethral dilation

Female, subsequent

$76.72

Both concern skilled female urethral dilation. Check the code definitions and documentation to distinguish the particular service represented by 53660 from its related code.

53665

Urethral dilation

Female, complicated

No office rate

This is the related skilled urethral-dilation code for male anatomy; 53660 is for female anatomy.

53620

Urethral dilation

Female, initial

$171.90

Choose the stricture-specific code when the record supports dilation of a female urethral stricture; 53660 describes skilled female urethral dilation outside that selection.

The same code, a different location

How does Delaware compare?

53660 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $78.03

  2. $10.56 higher than Delaware

  3. $11.80 higher than Delaware

  4. Miami

    $85.09

    $7.06 higher than Delaware

  5. Chicago

    $82.71

    $4.68 higher than Delaware

  6. Manhattan

    $90.47

    $12.44 higher than Delaware

  7. Alaska*

    $92.60

    $14.57 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 53660 ranges from $70.04 in Arkansas to $103.59 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Alabama

    Alabama · 53660

    Office

    $71.03

    Facility

    $34.79

    $7.00 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 53660

    Office

    $70.04

    Facility

    $34.46

    $7.99 lower than Delaware for the office setting.

  • Arizona

    Arizona · 53660

    Office

    $76.80

    Facility

    $36.66

    $1.23 lower than Delaware for the office setting.

  • Bakersfield

    California · 53660

    Office

    $83.32

    Facility

    $37.92

    $5.29 higher than Delaware for the office setting.

  • Chico

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • El Centro

    California · 53660

    Office

    $83.09

    Facility

    $37.70

    $5.06 higher than Delaware for the office setting.

  • Fresno

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Madera

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Merced

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Modesto

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Napa

    California · 53660

    Office

    $95.85

    Facility

    $41.26

    $17.82 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 53660

    Office

    $88.13

    Facility

    $39.17

    $10.10 higher than Delaware for the office setting.

  • Redding

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Rest Of California

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 53660

    Office

    $83.95

    Facility

    $38.55

    $5.92 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 53660

    Office

    $87.07

    Facility

    $38.90

    $9.04 higher than Delaware for the office setting.

  • Salinas

    California · 53660

    Office

    $86.74

    Facility

    $38.74

    $8.71 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 53660

    Office

    $88.70

    Facility

    $39.17

    $10.67 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 53660

    Office

    $101.34

    Facility

    $42.95

    $23.31 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 53660

    Office

    $101.25

    Facility

    $42.86

    $23.22 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 53660

    Office

    $103.59

    Facility

    $43.87

    $25.56 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 53660

    Office

    $103.22

    Facility

    $43.50

    $25.19 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 53660

    Office

    $85.36

    Facility

    $38.19

    $7.33 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 53660

    Office

    $89.49

    Facility

    $39.17

    $11.46 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 53660

    Office

    $87.05

    Facility

    $38.76

    $9.02 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 53660

    Office

    $90.39

    Facility

    $39.53

    $12.36 higher than Delaware for the office setting.

  • Stockton

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Vallejo

    California · 53660

    Office

    $95.72

    Facility

    $41.13

    $17.69 higher than Delaware for the office setting.

  • Visalia

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Yuba City

    California · 53660

    Office

    $83.08

    Facility

    $37.68

    $5.05 higher than Delaware for the office setting.

  • Colorado

    Colorado · 53660

    Office

    $81.92

    Facility

    $37.85

    $3.89 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 53660

    Office

    $83.94

    Facility

    $39.33

    $5.91 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 53660

    Office

    $81.68

    Facility

    $39.72

    $3.65 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 53660

    Office

    $77.83

    Facility

    $38.24

    $0.20 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 53660

    Office

    $80.28

    Facility

    $38.20

    $2.25 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 53660

    Office

    $73.60

    Facility

    $36.66

    $4.43 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 53660

    Office

    $84.98

    Facility

    $37.89

    $6.95 higher than Delaware for the office setting.

  • Iowa

    Iowa · 53660

    Office

    $72.70

    Facility

    $34.80

    $5.33 lower than Delaware for the office setting.

  • Idaho

    Idaho · 53660

    Office

    $73.17

    Facility

    $35.07

    $4.86 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 53660

    Office

    $77.29

    Facility

    $39.18

    $0.74 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 53660

    Office

    $75.71

    Facility

    $37.90

    $2.32 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 53660

    Office

    $82.48

    Facility

    $39.95

    $4.45 higher than Delaware for the office setting.

  • Indiana

    Indiana · 53660

    Office

    $73.58

    Facility

    $35.18

    $4.45 lower than Delaware for the office setting.

  • Kansas

    Kansas · 53660

    Office

    $72.40

    Facility

    $34.96

    $5.63 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 53660

    Office

    $72.70

    Facility

    $35.88

    $5.33 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 53660

    Office

    $76.06

    Facility

    $37.08

    $1.97 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 53660

    Office

    $72.61

    Facility

    $35.95

    $5.42 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 53660

    Office

    $89.78

    Facility

    $40.33

    $11.75 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 53660

    Office

    $81.47

    Facility

    $37.85

    $3.44 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 53660

    Office

    $83.70

    Facility

    $39.26

    $5.67 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 53660

    Office

    $79.47

    Facility

    $37.56

    $1.44 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 53660

    Office

    $73.57

    Facility

    $35.46

    $4.46 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 53660

    Office

    $77.36

    Facility

    $36.32

    $0.67 lower than Delaware for the office setting.

  • Detroit

    Michigan · 53660

    Office

    $78.80

    Facility

    $38.83

    $0.77 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 53660

    Office

    $74.55

    Facility

    $36.74

    $3.48 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 53660

    Office

    $78.49

    Facility

    $35.87

    $0.46 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 53660

    Office

    $75.53

    Facility

    $36.63

    $2.50 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 53660

    Office

    $76.28

    Facility

    $36.85

    $1.75 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 53660

    Office

    $71.43

    Facility

    $35.73

    $6.60 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 53660

    Office

    $70.75

    Facility

    $35.09

    $7.28 lower than Delaware for the office setting.

  • Montana**

    Montana · 53660

    Office

    $78.82

    Facility

    $37.40

    $0.79 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 53660

    Office

    $74.30

    Facility

    $35.66

    $3.73 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 53660

    Office

    $77.24

    Facility

    $35.82

    $0.79 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 53660

    Office

    $73.07

    Facility

    $34.85

    $4.96 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 53660

    Office

    $80.67

    Facility

    $37.55

    $2.64 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 53660

    Office

    $88.96

    Facility

    $40.91

    $10.93 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 53660

    Office

    $84.89

    Facility

    $39.67

    $6.86 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 53660

    Office

    $74.96

    Facility

    $36.98

    $3.07 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 53660

    Office

    $78.43

    Facility

    $36.97

    $0.40 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 53660

    Office

    $92.63

    Facility

    $43.38

    $14.60 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 53660

    Office

    $85.47

    Facility

    $40.12

    $7.44 higher than Delaware for the office setting.

  • Queens

    New York · 53660

    Office

    $91.15

    Facility

    $42.19

    $13.12 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 53660

    Office

    $75.38

    Facility

    $36.03

    $2.65 lower than Delaware for the office setting.

  • Ohio

    Ohio · 53660

    Office

    $74.23

    Facility

    $36.41

    $3.80 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 53660

    Office

    $72.55

    Facility

    $35.56

    $5.48 lower than Delaware for the office setting.

  • Portland

    Oregon · 53660

    Office

    $84.41

    Facility

    $38.39

    $6.38 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 53660

    Office

    $77.82

    Facility

    $36.57

    $0.21 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 53660

    Office

    $81.93

    Facility

    $38.82

    $3.90 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 53660

    Office

    $74.32

    Facility

    $36.30

    $3.71 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 53660

    Office

    $79.37

    Facility

    $37.50

    $1.34 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 53660

    Office

    $80.73

    Facility

    $37.94

    $2.70 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 53660

    Office

    $74.39

    Facility

    $36.12

    $3.64 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 53660

    Office

    $77.05

    Facility

    $35.63

    $0.98 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 53660

    Office

    $72.76

    Facility

    $35.11

    $5.27 lower than Delaware for the office setting.

  • Austin

    Texas · 53660

    Office

    $81.65

    Facility

    $37.83

    $3.62 higher than Delaware for the office setting.

  • Beaumont

    Texas · 53660

    Office

    $73.86

    Facility

    $36.17

    $4.17 lower than Delaware for the office setting.

  • Brazoria

    Texas · 53660

    Office

    $77.94

    Facility

    $36.90

    $0.09 lower than Delaware for the office setting.

  • Dallas

    Texas · 53660

    Office

    $78.44

    Facility

    $37.19

    $0.41 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 53660

    Office

    $77.95

    Facility

    $37.11

    $0.08 lower than Delaware for the office setting.

  • Galveston

    Texas · 53660

    Office

    $78.18

    Facility

    $37.05

    $0.15 higher than Delaware for the office setting.

  • Houston

    Texas · 53660

    Office

    $79.64

    Facility

    $38.52

    $1.61 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 53660

    Office

    $75.86

    Facility

    $36.55

    $2.17 lower than Delaware for the office setting.

  • Utah

    Utah · 53660

    Office

    $75.37

    Facility

    $36.44

    $2.66 lower than Delaware for the office setting.

  • Virginia

    Virginia · 53660

    Office

    $77.14

    Facility

    $36.42

    $0.89 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 53660

    Office

    $79.37

    Facility

    $37.50

    $1.34 higher than Delaware for the office setting.

  • Vermont

    Vermont · 53660

    Office

    $76.98

    Facility

    $35.97

    $1.05 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 53660

    Office

    $81.30

    Facility

    $37.69

    $3.27 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 53660

    Office

    $91.54

    Facility

    $40.73

    $13.51 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 53660

    Office

    $74.75

    Facility

    $35.07

    $3.28 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 53660

    Office

    $73.02

    Facility

    $37.03

    $5.01 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 53660

    Office

    $78.13

    Facility

    $36.71

    $0.10 higher than Delaware for the office setting.

See how rates vary across the country

53660 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 53660 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 53660 in Delaware, the physician’s office rate is $78.03 and the facility-setting rate is $37.11: a difference of $40.92.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 53660 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$85.83

$78.03 × 110% = $85.83

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 53660 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

6,224

Code
53660
Physician work
0.69
Practice expense
1.59
Malpractice
0.08

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 53660 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0050.6934
Practice expense1.59× 0.9881.5709
Malpractice0.08× 0.8990.0719
Total RVUs2.3363
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$78.03

Open 53660 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.691.005
Practice expense1.590.988
Malpractice0.080.899

(0.69 × 1.005 + 1.59 × 0.988 + 0.08 × 0.899) × $33.4009 = $78.03

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.691.005
Practice expense0.350.988
Malpractice0.080.899

(0.69 × 1.005 + 0.35 × 0.988 + 0.08 × 0.899) × $33.4009 = $37.11

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

53660 · Office / nonfacility

$78.03

Effective 2026-10-01

The base rate is $4.91 higher than on 2025-10-01, moving from $73.12 to $78.03 (6.7%).

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

    $73.12changed to$78.03

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $73.12

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$78.03$37.11RVU26D
2026-07-01$78.03$37.11RVU26C
2026-04-01$78.03$37.11RVU26B
2026-01-01$78.03$37.11RVU26A
2025-10-01$73.12$40.07RVU25D
2025-07-01$73.12$40.07RVU25C
2025-04-01$73.12$40.07RVU25B
2025-01-01$73.12$40.07RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 53660PPRRVU2026_Oct_nonQPP.csv, line 6,224 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)