$95.15
Use 53600 for the initial male stricture dilation; 53601 identifies a subsequent dilation.
On this page
CMS RVU26D · Effective 2026-10-01
53600 Urethral dilation Medicare reimbursement rates in Hawaii
Reports initial dilation of a male urethral stricture by passage of a sound or dilator to widen the narrowed urethral segment. Compare 53600 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 53600 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$95.48
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$55.61
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Hawaii, from the same CMS release.
No office rate
Both are initial male stricture dilation codes. 53605 is the complicated-service choice; 53600 is for a non-complicated initial service.
$186.52
53620 is the initial stricture-dilation code for a female patient. Code 53600 is for a male patient.
Compare 53600 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$95.48
Facility
$55.61
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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 53600 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,219
- Code
- 53600
- Physician work
- 1.18
- Practice expense
- 1.40
- Malpractice
- 0.15
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.18 | × 1.000 | 1.1800 |
| Practice expense | 1.40 | × 1.137 | 1.5918 |
| Malpractice | 0.15 | × 0.579 | 0.0868 |
| Total RVUs | 2.8586 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$95.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.18 | 1 |
| Practice expense | 1.4 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.18 × 1 + 1.4 × 1.137 + 0.15 × 0.579) × $33.4009 = $95.48
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.18 | 1 |
| Practice expense | 0.35 | 1.137 |
| Malpractice | 0.15 | 0.579 |
(1.18 × 1 + 0.35 × 1.137 + 0.15 × 0.579) × $33.4009 = $55.61
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.
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.
6,21653510,,Repair of urethra injury,A,,10.69,5.20,NA,5.20,,1.36,17.25,17.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21753515,,Repair of urethra injury,A,,13.86,5.86,NA,5.86,,1.77,21.49,21.49,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21853520,,Repair of urethra defect,A,,9.24,4.90,NA,4.90,,1.20,15.34,15.34,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,21953600,,Dilate urethra stricture,A,,1.18,1.40,,0.35,,0.15,2.73,1.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22053601,,Dilate urethra stricture,A,,0.96,1.60,,0.35,,0.12,2.68,1.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22153605,,Dilate urethra stricture,A,,1.25,0.26,NA,0.26,,0.16,1.67,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22253620,,Dilate urethra stricture,A,,1.58,3.42,,0.53,,0.20,5.20,2.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014