Both concern skilled female urethral dilation. Check the code definitions and documentation to distinguish the particular service represented by 53660 from its related code.
On this page
CMS RVU26D · Effective 2026-10-01
53660 Urethral dilation Medicare reimbursement rates in Kansas
Reports physician-performed dilation of the female urethra when skilled treatment is needed to widen the urethral passage. Compare 53660 office and facility rates across CMS payment localities in Kansas.
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 53660 in Kansas?
Kansas 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
$72.40
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$34.96
1 of 1 localities have a supported rate.
Payment area: Kansas
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
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 Kansas, from the same CMS release.
This is the related skilled urethral-dilation code for male anatomy; 53660 is for female anatomy.
Choose the stricture-specific code when the record supports dilation of a female urethral stricture; 53660 describes skilled female urethral dilation outside that selection.
Compare 53660 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
Kansas →
Office / nonfacility
$72.40
Facility
$34.96
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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 Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,224
- Code
- 53660
- Physician work
- 0.69
- Practice expense
- 1.59
- Malpractice
- 0.08
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.69 | × 1.000 | 0.6900 |
| Practice expense | 1.59 | × 0.904 | 1.4374 |
| Malpractice | 0.08 | × 0.504 | 0.0403 |
| Total RVUs | 2.1677 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$72.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1 |
| Practice expense | 1.59 | 0.904 |
| Malpractice | 0.08 | 0.504 |
(0.69 × 1 + 1.59 × 0.904 + 0.08 × 0.504) × $33.4009 = $72.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1 |
| Practice expense | 0.35 | 0.904 |
| Malpractice | 0.08 | 0.504 |
(0.69 × 1 + 0.35 × 0.904 + 0.08 × 0.504) × $33.4009 = $34.96
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.
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.
