$74.23
53660 represents the initial female urethral dilation in this family. Use 53661 for a subsequent service.
On this page
CMS RVU26D · Effective 2026-10-01
53661 Urethral dilation Medicare reimbursement rates in Ohio
Reports a subsequent urethral dilation in a female patient when repeat dilation is performed to address urethral narrowing or related difficulty with passage. Compare 53661 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 53661 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
$73.04
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$35.22
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 53661: Subsequent female urethral dilation
Reports a subsequent urethral dilation in a female patient when repeat dilation is performed to address urethral narrowing or related difficulty with passage.
This service is a repeat dilation of the female urethra, generally performed by a urologist or other qualified clinician using a dilator to widen the urethral channel. It may be performed in an office or facility when a patient returns for further treatment after an earlier dilation. The service addresses the urethra itself; documentation should support the reason for repeat treatment and the procedure performed.
Select this code for a subsequent female urethral dilation, rather than the initial or complicated service. Record the indication, relevant findings, and that dilation was carried out. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one 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 53661
- 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 RVU0.70 · 30%
- Practice expense (office) RVU1.54 · 66%
- Malpractice RVU0.08 · 3%
6.4K
Medicare services in 2024 · #1716 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.
53661 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
53665 is the complicated female urethral dilation code. The documented service must meet the family’s criteria for complicated treatment.
$156.85
53621 belongs to the female urethral-stricture dilation family. Determine the correct code from the documented procedure and the applicable family criteria.
$84.90
53601 describes subsequent urethral-stricture dilation for a male patient; 53661 is for subsequent female urethral dilation.
Compare 53661 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
$73.04
Facility
$35.22
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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 53661 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,225
- Code
- 53661
- Physician work
- 0.70
- Practice expense
- 1.54
- Malpractice
- 0.08
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 1.54 | × 0.913 | 1.4060 |
| Malpractice | 0.08 | × 1.008 | 0.0806 |
| Total RVUs | 2.1867 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$73.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 1.54 | 0.913 |
| Malpractice | 0.08 | 1.008 |
(0.7 × 1 + 1.54 × 0.913 + 0.08 × 1.008) × $33.4009 = $73.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.3 | 0.913 |
| Malpractice | 0.08 | 1.008 |
(0.7 × 1 + 0.3 × 0.913 + 0.08 × 1.008) × $33.4009 = $35.22
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.
53661 billing questions
How does this differ from 53660?
53661 is for a subsequent female urethral dilation; 53660 is the initial service in that code family.
When would 53665 be considered instead?
Use 53665 when the service meets the code family’s criteria for a complicated female urethral dilation, rather than a subsequent routine dilation.
How is this distinguished from 53621?
53621 is in the female urethral-stricture dilation family. Choose between the codes based on the documented service and applicable code-family criteria, not simply because dilation is repeated.
Is same-day care included in the procedure payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% multiple-procedure reduction.
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.
6,22253620,,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
6,22453660,,Dilation of urethra,A,,0.69,1.59,,0.35,,0.08,2.36,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22553661,,Dilation of urethra,A,,0.70,1.54,,0.30,,0.08,2.32,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22653665,,Dilation of urethra,A,,0.74,0.16,NA,0.16,,0.09,0.99,0.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22753850,,Prostatic microwave thermotx,A,,5.28,36.78,,3.96,,0.67,42.73,9.91,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22853852,,Prostatic rf thermotx,A,,5.78,35.28,,4.06,,0.75,41.81,10.59,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,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