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CMS RVU26D · Effective 2026-10-01

53601 in Madera

Office / nonfacility

$93.33

Base rate per service

Facility setting

$47.57

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 53601: Subsequent male urethral stricture dilation

Reports a subsequent session of urethral stricture dilation in a male patient using sounds or urethral dilators to widen the narrowed passage.

A urologist typically reports this service when dilating a male patient’s urethral stricture during a subsequent treatment session. The clinician passes sounds or urethral dilators through the urethra to widen a narrowed segment, often to address obstructive urinary symptoms related to scar tissue. The service may be performed in an office or facility setting.

Select this code for the subsequent service in the male stricture-dilation family, rather than the family’s initial-service code. Documentation should identify the stricture, the dilation performed, and why this is a subsequent service. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple 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. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 53601

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 RVU0.96 · 36%
  • Practice expense (office) RVU1.60 · 60%
  • Malpractice RVU0.12 · 4%

2.3K

Medicare services in 2024 · #2375 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.

53601 compared with similar codes

Office rates for Madera, from the same CMS release.

53600

Urethral dilation

Male, initial

$94.02

53600 is the initial-service code for male urethral stricture dilation. Use 53601 for the subsequent service in that treatment sequence.

53605

Urethral dilation

Complicated male stricture

No office rate

53605 is the related male dilation code for cases requiring a guide wire; 53601 identifies a subsequent dilation using sounds or a urethral dilator.

53621

Urethral dilation

Female, subsequent dilation

$176.37

53621 is the subsequent-service code for female urethral stricture dilation. Use 53601 for the corresponding male service.

53661

Urethral dilation

Female, subsequent

$81.59

53661 describes subsequent female urethral dilation in a different code family; 53601 is for subsequent male stricture dilation.

The same code, a different location

How does Madera compare?

In Bakersfield, the office rate for 53601 is $93.69—$0.36 higher than the $93.33 rate in Madera. Both use the same code, release and participation basis.

53601 across payment areas

Same release and payment basis · bars start at $0

  1. Madera · This locality

    $93.33

  2. Bakersfield

    $93.69

    $0.36 higher than Madera

  3. Chico

    $93.33

    The same base rate than Madera

  4. El Centro

    $93.35

    $0.02 higher than Madera

  5. Fresno

    $93.33

    The same base rate than Madera

  6. Hanford-Corcoran

    $93.33

    The same base rate than Madera

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $99.26

    $5.93 higher than Madera

Other payment areas listed in California 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, 53601 ranges from $80.04 in Arkansas to $114.80 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

  • Merced

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Modesto

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Napa

    California · 53601

    Office

    $106.56

    Facility

    $51.53

    $13.23 higher than Madera for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 53601

    Office

    $98.63

    Facility

    $49.28

    $5.30 higher than Madera for the office setting.

  • Redding

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Rest Of California

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 53601

    Office

    $94.63

    Facility

    $48.87

    $1.30 higher than Madera for the office setting.

  • Sacramento-Roseville-Folsom

    California · 53601

    Office

    $97.52

    Facility

    $48.96

    $4.19 higher than Madera for the office setting.

  • Salinas

    California · 53601

    Office

    $97.15

    Facility

    $48.76

    $3.82 higher than Madera for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 53601

    Office

    $99.12

    Facility

    $49.18

    $5.79 higher than Madera for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 53601

    Office

    $112.30

    Facility

    $53.43

    $18.97 higher than Madera for the office setting.

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

    California · 53601

    Office

    $112.17

    Facility

    $53.30

    $18.84 higher than Madera for the office setting.

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

    California · 53601

    Office

    $114.80

    Facility

    $54.60

    $21.47 higher than Madera for the office setting.

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

    California · 53601

    Office

    $114.25

    Facility

    $54.04

    $20.92 higher than Madera for the office setting.

  • San Luis Obispo-Paso Robles

    California · 53601

    Office

    $95.63

    Facility

    $48.07

    $2.30 higher than Madera for the office setting.

  • Santa Cruz-Watsonville

    California · 53601

    Office

    $99.82

    Facility

    $49.09

    $6.49 higher than Madera for the office setting.

  • Santa Maria-Santa Barbara

    California · 53601

    Office

    $97.42

    Facility

    $48.74

    $4.09 higher than Madera for the office setting.

  • Santa Rosa-Petaluma

    California · 53601

    Office

    $100.80

    Facility

    $49.53

    $7.47 higher than Madera for the office setting.

  • Stockton

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Vallejo

    California · 53601

    Office

    $106.36

    Facility

    $51.33

    $13.03 higher than Madera for the office setting.

  • Visalia

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Yuba City

    California · 53601

    Office

    $93.33

    Facility

    $47.57

    The same base rate than Madera for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 53601

    Office

    $101.21

    Facility

    $52.03

    $7.88 higher than Madera for the office setting.

  • Miami

    Florida · 53601

    Office

    $97.83

    Facility

    $54.37

    $4.50 higher than Madera for the office setting.

  • Chicago

    Illinois · 53601

    Office

    $95.20

    Facility

    $53.24

    $1.87 higher than Madera for the office setting.

  • Manhattan

    New York · 53601

    Office

    $102.57

    Facility

    $54.06

    $9.24 higher than Madera for the office setting.

  • Alaska*

    Alaska · 53601

    Office

    $107.22

    Facility

    $62.76

    $13.89 higher than Madera for the office setting.

  • Alabama

    Alabama · 53601

    Office

    $81.09

    Facility

    $44.56

    $12.24 lower than Madera for the office setting.

  • Arkansas

    Arkansas · 53601

    Office

    $80.04

    Facility

    $44.17

    $13.29 lower than Madera for the office setting.

  • Arizona

    Arizona · 53601

    Office

    $87.28

    Facility

    $46.82

    $6.05 lower than Madera for the office setting.

  • Colorado

    Colorado · 53601

    Office

    $92.44

    Facility

    $48.02

    $0.89 lower than Madera for the office setting.

  • Connecticut

    Connecticut · 53601

    Office

    $95.11

    Facility

    $50.15

    $1.78 higher than Madera for the office setting.

  • Delaware

    Delaware · 53601

    Office

    $88.63

    Facility

    $47.38

    $4.70 lower than Madera for the office setting.

  • Fort Lauderdale

    Florida · 53601

    Office

    $93.45

    Facility

    $51.15

    $0.12 higher than Madera for the office setting.

  • Rest Of Florida

    Florida · 53601

    Office

    $89.18

    Facility

    $49.26

    $4.15 lower than Madera for the office setting.

  • Atlanta

    Georgia · 53601

    Office

    $91.27

    Facility

    $48.85

    $2.06 lower than Madera for the office setting.

  • Rest Of Georgia

    Georgia · 53601

    Office

    $84.51

    Facility

    $47.27

    $8.82 lower than Madera for the office setting.

  • Hawaii, Guam

    Hawaii · 53601

    Office

    $95.15

    Facility

    $47.68

    $1.82 higher than Madera for the office setting.

  • Iowa

    Iowa · 53601

    Office

    $82.56

    Facility

    $44.35

    $10.77 lower than Madera for the office setting.

  • Idaho

    Idaho · 53601

    Office

    $83.13

    Facility

    $44.72

    $10.20 lower than Madera for the office setting.

  • East St. Louis

    Illinois · 53601

    Office

    $89.30

    Facility

    $50.89

    $4.03 lower than Madera for the office setting.

  • Rest Of Illinois

    Illinois · 53601

    Office

    $87.12

    Facility

    $49.00

    $6.21 lower than Madera for the office setting.

  • Suburban Chicago

    Illinois · 53601

    Office

    $94.28

    Facility

    $51.40

    $0.95 higher than Madera for the office setting.

  • Indiana

    Indiana · 53601

    Office

    $83.55

    Facility

    $44.85

    $9.78 lower than Madera for the office setting.

  • Kansas

    Kansas · 53601

    Office

    $82.40

    Facility

    $44.65

    $10.93 lower than Madera for the office setting.

  • Kentucky

    Kentucky · 53601

    Office

    $83.24

    Facility

    $46.12

    $10.09 lower than Madera for the office setting.

  • New Orleans

    Louisiana · 53601

    Office

    $86.91

    Facility

    $47.62

    $6.42 lower than Madera for the office setting.

  • Rest Of Louisiana

    Louisiana · 53601

    Office

    $83.20

    Facility

    $46.25

    $10.13 lower than Madera for the office setting.

  • Metropolitan Boston

    Massachusetts · 53601

    Office

    $100.76

    Facility

    $50.90

    $7.43 higher than Madera for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 53601

    Office

    $92.05

    Facility

    $48.08

    $1.28 lower than Madera for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 53601

    Office

    $94.88

    Facility

    $50.08

    $1.55 higher than Madera for the office setting.

  • Rest Of Maryland

    Maryland · 53601

    Office

    $90.15

    Facility

    $47.90

    $3.18 lower than Madera for the office setting.

  • Rest Of Maine

    Maine · 53601

    Office

    $83.72

    Facility

    $45.31

    $9.61 lower than Madera for the office setting.

  • Southern Maine

    Maine · 53601

    Office

    $87.55

    Facility

    $46.18

    $5.78 lower than Madera for the office setting.

  • Detroit

    Michigan · 53601

    Office

    $90.39

    Facility

    $50.10

    $2.94 lower than Madera for the office setting.

  • Rest Of Michigan

    Michigan · 53601

    Office

    $85.38

    Facility

    $47.26

    $7.95 lower than Madera for the office setting.

  • Minnesota

    Minnesota · 53601

    Office

    $88.24

    Facility

    $45.28

    $5.09 lower than Madera for the office setting.

  • Metropolitan Kansas City

    Missouri · 53601

    Office

    $86.16

    Facility

    $46.96

    $7.17 lower than Madera for the office setting.

  • Metropolitan St. Louis

    Missouri · 53601

    Office

    $86.96

    Facility

    $47.21

    $6.37 lower than Madera for the office setting.

  • Rest Of Missouri

    Missouri · 53601

    Office

    $82.04

    Facility

    $46.05

    $11.29 lower than Madera for the office setting.

  • Mississippi

    Mississippi · 53601

    Office

    $81.04

    Facility

    $45.09

    $12.29 lower than Madera for the office setting.

  • Montana**

    Montana · 53601

    Office

    $89.51

    Facility

    $47.76

    $3.82 lower than Madera for the office setting.

  • North Carolina

    North Carolina · 53601

    Office

    $84.49

    Facility

    $45.53

    $8.84 lower than Madera for the office setting.

  • North Dakota**

    North Dakota · 53601

    Office

    $87.13

    Facility

    $45.38

    $6.20 lower than Madera for the office setting.

  • Nebraska

    Nebraska · 53601

    Office

    $82.91

    Facility

    $44.37

    $10.42 lower than Madera for the office setting.

  • New Hampshire

    New Hampshire · 53601

    Office

    $91.20

    Facility

    $47.74

    $2.13 lower than Madera for the office setting.

  • Northern Nj

    New Jersey · 53601

    Office

    $100.36

    Facility

    $51.93

    $7.03 higher than Madera for the office setting.

  • Rest Of New Jersey

    New Jersey · 53601

    Office

    $96.10

    Facility

    $50.51

    $2.77 higher than Madera for the office setting.

  • New Mexico

    New Mexico · 53601

    Office

    $85.88

    Facility

    $47.60

    $7.45 lower than Madera for the office setting.

  • Nevada**

    Nevada · 53601

    Office

    $88.90

    Facility

    $47.11

    $4.43 lower than Madera for the office setting.

  • Nyc Suburbs/Long Island

    New York · 53601

    Office

    $105.10

    Facility

    $55.46

    $11.77 higher than Madera for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 53601

    Office

    $96.88

    Facility

    $51.16

    $3.55 higher than Madera for the office setting.

  • Queens

    New York · 53601

    Office

    $103.06

    Facility

    $53.71

    $9.73 higher than Madera for the office setting.

  • Rest Of New York

    New York · 53601

    Office

    $85.65

    Facility

    $45.99

    $7.68 lower than Madera for the office setting.

  • Ohio

    Ohio · 53601

    Office

    $84.90

    Facility

    $46.78

    $8.43 lower than Madera for the office setting.

  • Oklahoma

    Oklahoma · 53601

    Office

    $82.90

    Facility

    $45.62

    $10.43 lower than Madera for the office setting.

  • Portland

    Oregon · 53601

    Office

    $94.93

    Facility

    $48.55

    $1.60 higher than Madera for the office setting.

  • Rest Of Oregon

    Oregon · 53601

    Office

    $88.11

    Facility

    $46.53

    $5.22 lower than Madera for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 53601

    Office

    $93.06

    Facility

    $49.59

    $0.27 lower than Madera for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 53601

    Office

    $84.91

    Facility

    $46.58

    $8.42 lower than Madera for the office setting.

  • Puerto Rico

    Puerto Rico · 53601

    Office

    $90.04

    Facility

    $47.83

    $3.29 lower than Madera for the office setting.

  • Rhode Island

    Rhode Island · 53601

    Office

    $91.45

    Facility

    $48.33

    $1.88 lower than Madera for the office setting.

  • South Carolina

    South Carolina · 53601

    Office

    $84.85

    Facility

    $46.27

    $8.48 lower than Madera for the office setting.

  • South Dakota**

    South Dakota · 53601

    Office

    $86.85

    Facility

    $45.10

    $6.48 lower than Madera for the office setting.

  • Tennessee

    Tennessee · 53601

    Office

    $82.80

    Facility

    $44.84

    $10.53 lower than Madera for the office setting.

  • Austin

    Texas · 53601

    Office

    $92.22

    Facility

    $48.05

    $1.11 lower than Madera for the office setting.

  • Beaumont

    Texas · 53601

    Office

    $84.42

    Facility

    $46.43

    $8.91 lower than Madera for the office setting.

  • Brazoria

    Texas · 53601

    Office

    $88.41

    Facility

    $47.03

    $4.92 lower than Madera for the office setting.

  • Dallas

    Texas · 53601

    Office

    $89.02

    Facility

    $47.44

    $4.31 lower than Madera for the office setting.

  • Fort Worth

    Texas · 53601

    Office

    $88.54

    Facility

    $47.37

    $4.79 lower than Madera for the office setting.

  • Galveston

    Texas · 53601

    Office

    $88.71

    Facility

    $47.25

    $4.62 lower than Madera for the office setting.

  • Houston

    Texas · 53601

    Office

    $90.90

    Facility

    $49.45

    $2.43 lower than Madera for the office setting.

  • Rest Of Texas

    Texas · 53601

    Office

    $86.40

    Facility

    $46.78

    $6.93 lower than Madera for the office setting.

  • Utah

    Utah · 53601

    Office

    $85.90

    Facility

    $46.65

    $7.43 lower than Madera for the office setting.

  • Virginia

    Virginia · 53601

    Office

    $87.43

    Facility

    $46.39

    $5.90 lower than Madera for the office setting.

  • Virgin Islands

    United States Virgin Islands · 53601

    Office

    $90.04

    Facility

    $47.83

    $3.29 lower than Madera for the office setting.

  • Vermont

    Vermont · 53601

    Office

    $87.00

    Facility

    $45.67

    $6.33 lower than Madera for the office setting.

  • Rest Of Washington

    Washington · 53601

    Office

    $91.81

    Facility

    $47.84

    $1.52 lower than Madera for the office setting.

  • Seattle (King Cnty)

    Washington · 53601

    Office

    $102.52

    Facility

    $51.29

    $9.19 higher than Madera for the office setting.

  • Wisconsin

    Wisconsin · 53601

    Office

    $84.50

    Facility

    $44.50

    $8.83 lower than Madera for the office setting.

  • West Virginia

    West Virginia · 53601

    Office

    $84.24

    Facility

    $47.96

    $9.09 lower than Madera for the office setting.

  • Wyoming**

    Wyoming · 53601

    Office

    $88.47

    Facility

    $46.72

    $4.86 lower than Madera for the office setting.

See how rates vary across the country

53601 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$80.04

$107.22

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$107.221
AL$81.091
AR$80.041
AZ$87.281
CA$93.33–$114.8029
CO$92.441
CT$95.111
DC$101.211
DE$88.631
FL$89.18–$97.833
GA$84.51–$91.272
GU$95.151
HI$95.151
IA$82.561
ID$83.131
IL$87.12–$95.204
IN$83.551
KS$82.401
KY$83.241
LA$83.20–$86.912
MA$92.05–$100.762
MD$90.15–$101.213
ME$83.72–$87.552
MI$85.38–$90.392
MN$88.241
MO$82.04–$86.963
MS$81.041
MT$89.511
NC$84.491
ND$87.131
NE$82.911
NH$91.201
NJ$96.10–$100.362
NM$85.881
NV$88.901
NY$85.65–$105.105
OH$84.901
OK$82.901
OR$88.11–$94.932
PA$84.91–$93.062
PR$90.041
RI$91.451
SC$84.851
SD$86.851
TN$82.801
TX$84.42–$92.228
UT$85.901
VA$87.43–$101.212
VI$90.041
VT$87.001
WA$91.81–$102.522
WI$84.501
WV$84.241
WY$88.471

Explore 53601 on the national rate map →

Where does this rate apply?

Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 53601 in Madera, the physician’s office rate is $93.33 and the facility-setting rate is $47.57: a difference of $45.76.

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 53601 in Madera. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$102.66

$93.33 × 110% = $102.66

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 53601 in Madera.

PPRRVU2026_Oct_nonQPP.csv

6,220

Code
53601
Physician work
0.96
Practice expense
1.60
Malpractice
0.12

GPCI2026.csv

14

Locality
Madera
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 53601 in Madera
ComponentRVULocality factorAdjusted
Physician work0.96× 1.0170.9763
Practice expense1.60× 1.0961.7536
Malpractice0.12× 0.5360.0643
Total RVUs2.7942
Conversion factor× 33.4009

Office / nonfacility rate, Madera$93.33

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 53601 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.961.017
Practice expense1.61.096
Malpractice0.120.536

(0.96 × 1.017 + 1.6 × 1.096 + 0.12 × 0.536) × $33.4009 = $93.33

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.961.017
Practice expense0.351.096
Malpractice0.120.536

(0.96 × 1.017 + 0.35 × 1.096 + 0.12 × 0.536) × $33.4009 = $47.57

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

53601 · Office / nonfacility

$93.33

Effective 2026-10-01

The base rate is $6.51 higher than on 2025-10-01, moving from $86.82 to $93.33 (7.5%).

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

    $86.82changed to$93.33

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.98 changed to 0.96
    • Practice expense RVU 1.48 changed to 1.60
    • Malpractice RVU 0.13 changed to 0.12
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $86.82

    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$93.33$47.57RVU26D
2026-07-01$93.33$47.57RVU26C
2026-04-01$93.33$47.57RVU26B
2026-01-01$93.33$47.57RVU26A
2025-10-01$86.82$51.82RVU25D
2025-07-01$86.82$51.82RVU25C
2025-04-01$86.82$51.82RVU25B
2025-01-01$86.82$51.82RVU25A

53601 billing questions

When should 53601 be chosen instead of 53600?

Use 53601 for the subsequent male urethral stricture dilation service; 53600 represents the initial service in this code family. Documentation should support the service’s place in the treatment sequence.

How does 53601 differ from 53605?

53601 identifies a subsequent male stricture dilation using sounds or a urethral dilator. Code 53605 is the related male code for dilation requiring a guide wire.

Is same-day preoperative or postoperative care separately included?

The 0-day global period includes same-day preoperative and postoperative care in the procedure payment.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this code.

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 53601PPRRVU2026_Oct_nonQPP.csv, line 6,220 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet