On this page

CMS RVU26D · Effective 2026-10-01

53600 in Wyoming**

Office / nonfacility

$89.88

Base rate per service

Facility setting

$54.81

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 procedure

About 53600: Initial male urethral stricture dilation

Reports initial dilation of a male urethral stricture by passage of a sound or dilator to widen the narrowed urethral segment.

A urologist typically reports this service when treating a male urethral stricture by passing a sound or urethral dilator through the narrowed segment to enlarge it. The procedure may be performed in an office or facility setting. The code identifies an initial dilation, rather than a later dilation in the same treatment course or a complicated initial service.

Documentation should establish the stricture, the patient’s sex, the initial nature of the dilation, and the instrumentation and treatment performed. The 0-day global period includes same-day preoperative and postoperative care. 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. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

CMS billing rules for 53600

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 RVU1.18 · 43%
  • Practice expense (office) RVU1.40 · 51%
  • Malpractice RVU0.15 · 5%

2.7K

Medicare services in 2024 · #2255 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.

53600 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

53601

Urethral dilation

Male, subsequent

$88.47

Use 53600 for the initial male stricture dilation; 53601 identifies a subsequent dilation.

53605

Urethral dilation

Complicated male stricture

No office rate

Both are initial male stricture dilation codes. 53605 is the complicated-service choice; 53600 is for a non-complicated initial service.

53620

Urethral dilation

Female, initial

$171.95

53620 is the initial stricture-dilation code for a female patient. Code 53600 is for a male patient.

The same code, a different location

How does Wyoming** compare?

53600 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $89.88

  2. $9.79 higher than Wyoming**

  3. $12.32 higher than Wyoming**

  4. Miami

    $100.76

    $10.88 higher than Wyoming**

  5. Chicago

    $98.18

    $8.30 higher than Wyoming**

  6. Manhattan

    $104.22

    $14.34 higher than Wyoming**

  7. Alaska*

    $111.68

    $21.80 higher than Wyoming**

Other payment areas listed in Wyoming 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, 53600 ranges from $82.16 in Arkansas to $113.86 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 · 53600

    Office

    $83.16

    Facility

    $52.48

    $6.72 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 53600

    Office

    $82.16

    Facility

    $52.04

    $7.72 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 53600

    Office

    $89.01

    Facility

    $55.03

    $0.87 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 53600

    Office

    $94.46

    Facility

    $56.03

    $4.58 higher than Wyoming** for the office setting.

  • Chico

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • El Centro

    California · 53600

    Office

    $94.04

    Facility

    $55.61

    $4.16 higher than Wyoming** for the office setting.

  • Fresno

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Madera

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Merced

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Modesto

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Napa

    California · 53600

    Office

    $106.07

    Facility

    $59.85

    $16.19 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 53600

    Office

    $98.91

    Facility

    $57.46

    $9.03 higher than Wyoming** for the office setting.

  • Redding

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 53600

    Office

    $95.65

    Facility

    $57.21

    $5.77 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 53600

    Office

    $97.90

    Facility

    $57.11

    $8.02 higher than Wyoming** for the office setting.

  • Salinas

    California · 53600

    Office

    $97.52

    Facility

    $56.87

    $7.64 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 53600

    Office

    $99.24

    Facility

    $57.29

    $9.36 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 53600

    Office

    $111.39

    Facility

    $61.94

    $21.51 higher than Wyoming** for the office setting.

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

    California · 53600

    Office

    $111.22

    Facility

    $61.77

    $21.34 higher than Wyoming** for the office setting.

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

    California · 53600

    Office

    $113.86

    Facility

    $63.29

    $23.98 higher than Wyoming** for the office setting.

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

    California · 53600

    Office

    $113.17

    Facility

    $62.59

    $23.29 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 53600

    Office

    $96.03

    Facility

    $56.08

    $6.15 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 53600

    Office

    $99.74

    Facility

    $57.13

    $9.86 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 53600

    Office

    $97.73

    Facility

    $56.83

    $7.85 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 53600

    Office

    $100.70

    Facility

    $57.64

    $10.82 higher than Wyoming** for the office setting.

  • Stockton

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Vallejo

    California · 53600

    Office

    $105.83

    Facility

    $59.60

    $15.95 higher than Wyoming** for the office setting.

  • Visalia

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Yuba City

    California · 53600

    Office

    $94.02

    Facility

    $55.58

    $4.14 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 53600

    Office

    $93.55

    Facility

    $56.24

    $3.67 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 53600

    Office

    $96.63

    Facility

    $58.85

    $6.75 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 53600

    Office

    $90.31

    Facility

    $55.66

    $0.43 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 53600

    Office

    $95.84

    Facility

    $60.31

    $5.96 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 53600

    Office

    $91.65

    Facility

    $58.12

    $1.77 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 53600

    Office

    $93.06

    Facility

    $57.43

    $3.18 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 53600

    Office

    $87.10

    Facility

    $55.81

    $2.78 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 53600

    Office

    $95.48

    Facility

    $55.61

    $5.60 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 53600

    Office

    $84.19

    Facility

    $52.10

    $5.69 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 53600

    Office

    $84.80

    Facility

    $52.54

    $5.08 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 53600

    Office

    $92.52

    Facility

    $60.26

    $2.64 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 53600

    Office

    $89.94

    Facility

    $57.92

    $0.06 higher than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 53600

    Office

    $96.59

    Facility

    $60.57

    $6.71 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 53600

    Office

    $85.20

    Facility

    $52.68

    $4.68 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 53600

    Office

    $84.21

    Facility

    $52.51

    $5.67 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 53600

    Office

    $85.57

    Facility

    $54.39

    $4.31 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 53600

    Office

    $89.11

    Facility

    $56.11

    $0.77 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 53600

    Office

    $85.60

    Facility

    $54.56

    $4.28 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 53600

    Office

    $101.32

    Facility

    $59.45

    $11.44 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 53600

    Office

    $93.28

    Facility

    $56.35

    $3.40 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 53600

    Office

    $96.42

    Facility

    $58.78

    $6.54 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 53600

    Office

    $91.73

    Facility

    $56.24

    $1.85 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 53600

    Office

    $85.55

    Facility

    $53.28

    $4.33 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 53600

    Office

    $88.91

    Facility

    $54.16

    $0.97 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 53600

    Office

    $92.98

    Facility

    $59.14

    $3.10 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 53600

    Office

    $87.76

    Facility

    $55.74

    $2.12 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 53600

    Office

    $89.01

    Facility

    $52.93

    $0.87 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 53600

    Office

    $88.22

    Facility

    $55.29

    $1.66 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 53600

    Office

    $88.95

    Facility

    $55.56

    $0.93 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 53600

    Office

    $84.60

    Facility

    $54.37

    $5.28 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 53600

    Office

    $83.38

    Facility

    $53.18

    $6.50 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 53600

    Office

    $91.17

    Facility

    $56.10

    $1.29 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 53600

    Office

    $86.24

    Facility

    $53.52

    $3.64 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 53600

    Office

    $88.21

    Facility

    $53.14

    $1.67 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 53600

    Office

    $84.47

    Facility

    $52.10

    $5.41 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 53600

    Office

    $92.48

    Facility

    $55.97

    $2.60 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 53600

    Office

    $101.49

    Facility

    $60.81

    $11.61 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 53600

    Office

    $97.55

    Facility

    $59.25

    $7.67 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 53600

    Office

    $88.31

    Facility

    $56.15

    $1.57 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 53600

    Office

    $90.39

    Facility

    $55.29

    $0.51 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 53600

    Office

    $106.84

    Facility

    $65.14

    $16.96 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 53600

    Office

    $98.45

    Facility

    $60.05

    $8.57 higher than Wyoming** for the office setting.

  • Queens

    New York · 53600

    Office

    $104.43

    Facility

    $62.98

    $14.55 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 53600

    Office

    $87.36

    Facility

    $54.04

    $2.52 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 53600

    Office

    $87.16

    Facility

    $55.14

    $2.72 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 53600

    Office

    $85.06

    Facility

    $53.75

    $4.82 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 53600

    Office

    $95.72

    Facility

    $56.76

    $5.84 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 53600

    Office

    $89.51

    Facility

    $54.58

    $0.37 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 53600

    Office

    $94.78

    Facility

    $58.27

    $4.90 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 53600

    Office

    $87.07

    Facility

    $54.88

    $2.81 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 53600

    Office

    $91.62

    Facility

    $56.17

    $1.74 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 53600

    Office

    $92.94

    Facility

    $56.71

    $3.06 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 53600

    Office

    $86.88

    Facility

    $54.47

    $3.00 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 53600

    Office

    $87.86

    Facility

    $52.79

    $2.02 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 53600

    Office

    $84.61

    Facility

    $52.73

    $5.27 lower than Wyoming** for the office setting.

  • Austin

    Texas · 53600

    Office

    $93.40

    Facility

    $56.30

    $3.52 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 53600

    Office

    $86.62

    Facility

    $54.71

    $3.26 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 53600

    Office

    $89.98

    Facility

    $55.22

    $0.10 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 53600

    Office

    $90.64

    Facility

    $55.71

    $0.76 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 53600

    Office

    $90.24

    Facility

    $55.66

    $0.36 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 53600

    Office

    $90.31

    Facility

    $55.49

    $0.43 higher than Wyoming** for the office setting.

  • Houston

    Texas · 53600

    Office

    $93.06

    Facility

    $58.23

    $3.18 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 53600

    Office

    $88.31

    Facility

    $55.03

    $1.57 lower than Wyoming** for the office setting.

  • Utah

    Utah · 53600

    Office

    $87.87

    Facility

    $54.90

    $2.01 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 53600

    Office

    $88.92

    Facility

    $54.44

    $0.96 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 53600

    Office

    $91.62

    Facility

    $56.17

    $1.74 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 53600

    Office

    $88.24

    Facility

    $53.52

    $1.64 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 53600

    Office

    $92.98

    Facility

    $56.05

    $3.10 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 53600

    Office

    $102.85

    Facility

    $59.82

    $12.97 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 53600

    Office

    $85.75

    Facility

    $52.16

    $4.13 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 53600

    Office

    $87.22

    Facility

    $56.74

    $2.66 lower than Wyoming** for the office setting.

See how rates vary across the country

53600 · 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.

$82.16

$111.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$111.681
AL$83.161
AR$82.161
AZ$89.011
CA$94.02–$113.8629
CO$93.551
CT$96.631
DC$102.201
DE$90.311
FL$91.65–$100.763
GA$87.10–$93.062
GU$95.481
HI$95.481
IA$84.191
ID$84.801
IL$89.94–$98.184
IN$85.201
KS$84.211
KY$85.571
LA$85.60–$89.112
MA$93.28–$101.322
MD$91.73–$102.203
ME$85.55–$88.912
MI$87.76–$92.982
MN$89.011
MO$84.60–$88.953
MS$83.381
MT$91.171
NC$86.241
ND$88.211
NE$84.471
NH$92.481
NJ$97.55–$101.492
NM$88.311
NV$90.391
NY$87.36–$106.845
OH$87.161
OK$85.061
OR$89.51–$95.722
PA$87.07–$94.782
PR$91.621
RI$92.941
SC$86.881
SD$87.861
TN$84.611
TX$86.62–$93.408
UT$87.871
VA$88.92–$102.202
VI$91.621
VT$88.241
WA$92.98–$102.852
WI$85.751
WV$87.221
WY$89.881

Explore 53600 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 53600 in Wyoming**, the physician’s office rate is $89.88 and the facility-setting rate is $54.81: a difference of $35.07.

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 53600 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$98.87

$89.88 × 110% = $98.87

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.

Compare your contract offer →

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 53600 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

6,219

Code
53600
Physician work
1.18
Practice expense
1.40
Malpractice
0.15

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 53600 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.18× 1.0001.1800
Practice expense1.40× 1.0001.4000
Malpractice0.15× 0.7400.1110
Total RVUs2.6910
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$89.88

Open 53600 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.181
Practice expense1.41
Malpractice0.150.74

(1.18 × 1 + 1.4 × 1 + 0.15 × 0.74) × $33.4009 = $89.88

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.181
Practice expense0.351
Malpractice0.150.74

(1.18 × 1 + 0.35 × 1 + 0.15 × 0.74) × $33.4009 = $54.81

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

53600 · Office / nonfacility

$89.88

Effective 2026-10-01

The base rate is $4.87 higher than on 2025-10-01, moving from $85.01 to $89.88 (5.7%).

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

    $85.01changed to$89.88

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.21 changed to 1.18
    • Practice expense RVU 1.30 changed to 1.40
    • Malpractice RVU 0.16 changed to 0.15
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $85.01

    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$89.88$54.81RVU26D
2026-07-01$89.88$54.81RVU26C
2026-04-01$89.88$54.81RVU26B
2026-01-01$89.88$54.81RVU26A
2025-10-01$85.01$60.43RVU25D
2025-07-01$85.01$60.43RVU25C
2025-04-01$85.01$60.43RVU25B
2025-01-01$85.01$60.43RVU25A

53600 billing questions

When should 53600 be chosen instead of 53601?

Use 53600 for the initial male urethral stricture dilation in the treatment course. Code 53601 is for a subsequent dilation.

How does 53600 differ from 53605?

Both describe initial male urethral stricture dilation, but 53605 is for a complicated initial service. Use 53600 for the non-complicated initial service.

Can modifier 50 be reported?

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

Is same-day evaluation or postoperative care separately included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service, and 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 53600PPRRVU2026_Oct_nonQPP.csv, line 6,219 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)