$87.16
53600 is the initial-service code for male urethral stricture dilation. Use 53601 for the subsequent service in that treatment sequence.
On this page
CMS RVU26D · Effective 2026-10-01
53601 Urethral dilation Medicare reimbursement rates in Ohio
Reports a subsequent session of urethral stricture dilation in a male patient using sounds or urethral dilators to widen the narrowed passage. Compare 53601 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 53601 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
$84.90
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$46.78
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
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 Ohio, from the same CMS release.
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.
$156.85
53621 is the subsequent-service code for female urethral stricture dilation. Use 53601 for the corresponding male service.
$73.04
53661 describes subsequent female urethral dilation in a different code family; 53601 is for subsequent male stricture dilation.
Compare 53601 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
$84.90
Facility
$46.78
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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 Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,220
- Code
- 53601
- Physician work
- 0.96
- Practice expense
- 1.60
- Malpractice
- 0.12
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.96 | × 1.000 | 0.9600 |
| Practice expense | 1.60 | × 0.913 | 1.4608 |
| Malpractice | 0.12 | × 1.008 | 0.1210 |
| Total RVUs | 2.5418 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$84.90
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.96 | 1 |
| Practice expense | 1.6 | 0.913 |
| Malpractice | 0.12 | 1.008 |
(0.96 × 1 + 1.6 × 0.913 + 0.12 × 1.008) × $33.4009 = $84.90
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.96 | 1 |
| Practice expense | 0.35 | 0.913 |
| Malpractice | 0.12 | 1.008 |
(0.96 × 1 + 0.35 × 0.913 + 0.12 × 1.008) × $33.4009 = $46.78
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.
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.
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
6,22353621,,Dilate urethra stricture,A,,1.32,3.51,,0.42,,0.17,5.00,1.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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