No office rate
53000 describes external urethrotomy in a male patient. 53025 is the corresponding external approach for a female patient.
On this page
CMS RVU26D · Effective 2026-10-01
53025 Urethrotomy Medicare reimbursement rates in Ohio
Reports an external incision to open a narrowed female urethra, such as for a symptomatic urethral stricture or stenotic meatus. Compare 53025 office and facility rates across CMS payment localities in Ohio.
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 53025 in Ohio?
Ohio 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
No supported rate
Facility setting
$60.97
1 of 1 localities have a supported rate.
Payment area: Ohio
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 53025: Female external urethrotomy
Reports an external incision to open a narrowed female urethra, such as for a symptomatic urethral stricture or stenotic meatus.
CPT 53025 represents an external incision to open a narrowed female urethra, including a meatal narrowing treated through an external approach. A urologist typically performs the procedure in an operating or procedure setting for a symptomatic urethral stricture or stenotic meatus. The operative note should identify the narrowing and document the external approach and incision performed; this is distinct from passing dilators or making an incision from within the urethra.
Report the service when the documented procedure matches the female external approach, rather than selecting a code based only on the diagnosis. 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 the others at 50%. A bilateral adjustment is inappropriate for this code. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 53025
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.10 · 59%
- Practice expense (office) RVU0.64 · 34%
- Malpractice RVU0.14 · 7%
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.
53025 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
53010 is an internal urethrotomy for a male patient. 53025 is an external incision for a female patient.
$74.23
53660 represents female urethral dilation. Choose 53025 when the documented treatment is an external incision rather than dilation.
Compare 53025 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
Ohio →
Office / nonfacility
Unavailable
Facility
$60.97
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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 53025 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,174
- Code
- 53025
- Physician work
- 1.10
- Practice expense
- 0.64
- Malpractice
- 0.14
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.10 | × 1.000 | 1.1000 |
| Practice expense | 0.64 | × 0.913 | 0.5843 |
| Malpractice | 0.14 | × 1.008 | 0.1411 |
| Total RVUs | 1.8254 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$60.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.1 | 1 |
| Practice expense | 0.64 | 0.913 |
| Malpractice | 0.14 | 1.008 |
(1.1 × 1 + 0.64 × 0.913 + 0.14 × 1.008) × $33.4009 = $60.97
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.
53025 billing questions
How does 53025 differ from 53010?
53025 describes an external urethral incision in a female patient. Code 53010 describes an internal urethrotomy in a male patient.
Should urethral dilation be reported instead?
Use 53025 for the documented external incision. Female urethral dilation, such as with passage of a dilator, is represented by 53660.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code based on its descriptor or anatomy.
Is same-day postoperative care separately included?
The code has a 0-day global period. Same-day preoperative and postoperative care is included.
When is assistant-at-surgery payment allowed?
Only when medical necessity for the assistant is documented. Co-surgeon and team-surgery payment 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.
6,17153000,,Incision of urethra,A,,2.27,1.60,NA,1.60,,0.28,4.15,4.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17253010,,Incision of urethra,A,,4.34,3.51,NA,3.51,,0.57,8.42,8.42,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17353020,,Incision of urethra,A,,1.73,0.64,NA,0.64,,0.21,2.58,2.58,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17453025,,Incision of urethra,A,,1.10,0.64,NA,0.64,,0.14,1.88,1.88,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17553040,,Drainage of urethra abscess,A,,6.39,3.64,NA,3.64,,0.82,10.85,10.85,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17653060,,Drainage of urethra abscess,A,,2.61,2.65,,1.40,,0.45,5.71,4.46,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17753080,,Drainage of urinary leakage,A,,6.75,4.04,NA,4.04,,0.87,11.66,11.66,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703