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See a sample rate comparisonCPT 53601 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 Subsequent 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 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 53601 |
| Medicaid Fee Schedule | View Medicaid rates for 53601 |
National average reimbursement for CPT 53601 by major payers:
$100.93
$109.69
$118.52
$94.37
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CPT 53601
5 of 25 sample ratesHigher to lower in this preview
Center For Ambulatory Surgery, LLC, The Center For Ambulatory Surgery
The Center For Ambulatory Surgery LLC
$1,054.00Published ratePiccard Surgery Center, LLC
$574.00Published rateUrology Surgery Center Johns Creek LLC
$150.00Published rateNorwood Endoscopy Center, LLC
$114.00Published rateOaks Surgery Center Lp
Oaks Surgery Center Lp The Oak
$71.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 53601 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53601 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 53601 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 |
|---|---|---|
| 53430-CPT | High | Urethroplas,Reconst.Female Urethra |
| 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 53601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53601 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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