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See a sample rate comparisonCPT 53600 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Sound Orurethral Dilator Male Initial Dilation Of Urethral Stricture By Passage Of Sound Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 53600 |
| Medicaid Fee Schedule | View Medicaid rates for 53600 |
National average reimbursement for CPT 53600 by major payers:
$116.50
$114.49
$124.44
$109.49
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CPT 53600
5 of 25 sample ratesHigher to lower in this preview
Columbia Medical Center Of Plano Subsidiary Lp, Medical City Plano
$1,970.00Published ratePhysicians Surgery Center Of Tempe, LLC, Physicians Surgery Center Of Tempe
Physicians Surgery Center Of Tempe LLC
$566.00Published rateOptumcare Colorado Asc, LLC, Colorado Springs Health Partners Asc, LLC
$361.00Published rateRevision Advanced Surgery Center Inc
$123.00Published rateCasc Aquisition Inc, Carolina Ambulatory Surgery Center
Casc Aquisition Inc
$66.00Published rate
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See a sample payer proposalCPT 53600 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53600 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 53600 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 53425-CPT | High | Surgical Repair Of Urine Tract, Surgery To Open A Blockage Repair An Injury Or Correct A Prolapse (Bladder Slips Out Of Place). The Procedure Is Performed In Two Stages. |
| 53600-CPT | Low | Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Sound Orurethral Dilator Male Initial Dilation Of Urethral Stricture By Passage Of Sound Or |
| 53601-CPT | Low | Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Sound Orurethral Dilator Male Subsequent Dilation Of Urethral Stricture By Passage Of Sound Or |
| 53605-CPT | Low | Dilation Of Urethral Stricture, Dilation Of Urethral Stricture Or Vesical Neck By Passage Ofsound Or Urethral Dilator Male Generalor Conduction (Spinal) Anesthesia |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53600 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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