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CPT code 53620: Urethral dilation, female, initial2026 Medicare rate & RVUs in Washington, DC area

Reports the initial instrument-based widening of a documented female urethral stricture, typically performed by a urologist in an office or outpatient setting.

CMS RVU26DEffective Oct 1, 2026One payment locality982 Medicare services in 2024

In Washington, DC area, Medicare pays $197.62 for 53620 in the office and $83.91 when it’s performed in a hospital or facility.

$197.62Office (non-facility)
$83.91Hospital or facility
+13.8%vs the national office rate ($173.68)

Check a contract rate as a % of Medicare · 53620 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 53620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 53620 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 53620 covers

A urologist or other qualified physician uses a sound or urethral dilator to widen a narrowed segment of the female urethra. The procedure may be performed in an office or outpatient facility when a urethral stricture is being treated; it is distinct from general female urethral dilation without a stricture-specific service. Documentation should identify the stricture and describe the dilation performed.

Use this code for the initial dilation in the treatment sequence; code 53621 is the subsequent-service counterpart. The record should support that this is the initial service and include the clinical indication and procedural details. 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 multiple-procedure reduction. Modifier 50 is not appropriate for this urethral service. CMS does not pay assistant-at-surgery services for this code, and co-surgeon and team-surgery reporting are not permitted.

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.

How Washington, DC area compares for 53620

Across 109 of 109 payment localities, the office rate for 53620 runs from $154.34 in Arkansas to $226.88 in San Benito County, CA. Washington, DC area pays $197.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

53620 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$197.62
  2. Los Angeles, CA · California$194.51−$3.11
  3. Miami, FL · Florida$188.58−$9.04
  4. Chicago, IL · Illinois$183.28−$14.34
  5. Manhattan, NY · New York$199.48+$1.86
  6. Alaska · Alaska$204.50+$6.88
  7. Alabama · Alabama$156.51−$41.11

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

53620 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$154.34$71.42
ArizonaArizona$169.18$75.65
Bakersfield, CACalifornia$183.04$77.25
Chico, CACalifornia$182.45$76.65
El Centro, CACalifornia$182.48$76.69
Fresno, CACalifornia$182.45$76.65
Hanford, CACalifornia$182.45$76.65
Madera, CACalifornia$182.45$76.65

53620 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$154.34

$204.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
53620 office rate range by state
State / territoryOffice rate rangeLocalities
AK$204.501
AL$156.511
AR$154.341
AZ$169.181
CA$182.45–$226.8829
CO$180.171
CT$184.941
DC$197.621
DE$171.901
FL$172.02–$188.583
GA$162.63–$177.012
GU$186.521
HI$186.521
IA$159.951
ID$161.031
IL$167.51–$183.284
IN$161.911
KS$159.411
KY$160.441
LA$160.27–$167.852
MA$179.23–$197.272
MD$175.04–$197.623
ME$162.02–$170.192
MI$164.61–$174.272
MN$172.291
MO$157.75–$168.213
MS$156.061
MT$173.671
NC$163.621
ND$169.721
NE$160.731
NH$177.531
NJ$186.95–$195.742
NM$165.551
NV$172.681
NY$165.99–$204.385
OH$163.801
OK$159.971
OR$171.24–$185.502
PA$163.95–$180.612
PR$174.841
RI$177.741
SC$164.001
SD$169.251
TN$160.201
TX$162.93–$179.658
UT$166.151
VA$169.78–$197.622
VI$174.841
VT$169.241
WA$178.83–$201.032
WI$164.261
WV$161.601
WY$171.951

See 53620 in every payment locality

How the 53620 rate is calculated

Each of 53620’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 53620

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.58

1.58 RVUs× 1.000 GPCI

Practice expense3.42

3.42 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

5.2000

Conversion factor

$33.4009

Medicare rate

$173.68

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,222

Code
53620
Physician work
1.58
Practice expense
3.42
Malpractice
0.20

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 53620 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.58× 1.0541.6653
Practice expense3.42× 1.1784.0288
Malpractice0.20× 1.1130.2226
Total RVUs5.9167
Conversion factor× 33.4009

Office rate, Washington, DC area$197.62

Office: (1.58 × 1.054 + 3.42 × 1.178 + 0.2 × 1.113) × $33.4009 = $197.62

Facility: (1.58 × 1.054 + 0.53 × 1.178 + 0.2 × 1.113) × $33.4009 = $83.91

Open 53620 in the RVU calculator

Payment rules and modifiers for 53620

The CMS indicators that decide how 53620 is paid alongside other services.

CMS payment indicators · 53620

Urethral dilation, female, initial

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

53620 without 51 · national office

$173.68

Urethral dilation, female, initial

53620-51 · Second procedure: 50%

$86.84

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 53620

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 53620
CodeHow it relatesOffice range, Washington, DC area
Same family
53621Urethral dilation, female, subsequent dilationSubsequent-service counterpart for female urethral stricture dilation.$190.90
53600Urethral dilation, male, initialInitial stricture dilation code for a male patient.$102.20
53601Urethral dilation, male, subsequentSubsequent stricture dilation code for a male patient.$101.21
Used instead
53660Urethral dilation, female, requiring physician skillFemale urethral dilation series for a service outside the stricture-specific sequence.$89.83

How 53620 has changed in Washington, DC area

53620 · Office / nonfacility

$197.62

Effective 2026-10-01

The base rate is $11.68 higher than on 2025-10-01, moving from $185.94 to $197.62 (6.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $185.94changed to$197.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.62 changed to 1.58
    • Practice expense RVU 3.19 changed to 3.42
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $194.92changed to$185.94

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.28 changed to 3.19

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $191.74changed to$194.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $200.83changed to$191.74

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $210.91changed to$200.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.34 changed to 3.28
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $198.40changed to$210.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.02 changed to 3.34
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $176.26changed to$198.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.42 changed to 3.02
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $155.61changed to$176.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.99 changed to 2.42
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $136.35changed to$155.61

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.55 changed to 1.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $135.31changed to$136.35

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.53 changed to 1.55
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $133.93changed to$135.31

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.50 changed to 1.53
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $134.41changed to$133.93

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $133.74changed to$134.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $131.57changed to$133.74

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.49 changed to 1.50
    • Malpractice RVU 0.15 changed to 0.18
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $128.78changed to$131.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.59 changed to 1.49
    • Malpractice RVU 0.16 changed to 0.15
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $128.78

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$197.62$83.91RVU26D
2026-07-01$197.62$83.91RVU26C
2026-04-01$197.62$83.91RVU26B
2026-01-01$197.62$83.91RVU26A
2025-10-01$185.94$93.02RVU25D
2025-07-01$185.94$93.02RVU25C
2025-04-01$185.94$93.02RVU25B
2025-01-01$185.94$93.02RVU25A
2024-10-01$194.92$94.93RVU24D
2024-07-01$194.92$94.93RVU24C
2024-04-01$194.92$94.93RVU24B
2024-03-09$194.92$94.93RVU24AR
2024-01-01$191.74$93.38RVU24A
2023-10-01$200.83$96.34RVU23D
2023-07-01$200.83$96.34RVU23C
2023-04-01$200.83$96.34RVU23B
2023-01-01$200.83$96.34RVU23A
2022-10-01$210.91$98.84RVU22D
2022-07-01$210.91$98.84RVU22C
2022-04-01$210.91$98.84RVU22B
2022-01-01$210.91$98.84RVU22A
2021-10-01$198.40$99.21RVU21D
2021-07-01$198.40$99.21RVU21C
2021-04-01$198.40$99.21RVU21B
2021-01-01$198.40$99.21RVU21A
2020-10-01$176.26$100.91RVU20D
2020-07-01$176.26$100.91RVU20C
2020-04-01$176.26$100.91RVU20B
2020-01-01$176.26$100.91RVU20A
2019-10-01$155.61$100.46RVU19D
2019-07-01$155.61$100.46RVU19C
2019-04-01$155.61$100.46RVU19B
2019-01-01$155.61$100.46RVU19A
2018-10-01$136.35$100.78RVU18D
2018-07-01$136.35$100.78RVU18C
2018-04-01$136.35$100.78RVU18B
2018-01-01$136.35$100.78RVU18AR1
2017-10-01$135.31$100.71RVU17D
2017-07-01$135.31$100.71RVU17C
2017-04-01$135.31$100.71RVU17B
2017-01-01$135.31$100.71RVU17A
2016-10-01$133.93$99.84RVU16D
2016-07-01$133.93$99.84RVU16C
2016-04-01$133.93$99.84RVU16B
2016-01-01$133.93$99.84RVU16A
2015-10-01$134.41$100.20RVU15D
2015-07-01$134.41$100.20RVU15C
2015-04-01$133.74$99.70RVU15B
2015-01-01$133.74$99.70RVU15A
2014-10-01$131.57$97.98RVU14D
2014-07-01$131.57$97.98RVU14C
2014-04-01$131.57$97.98RVU14B
2014-01-01$131.57$97.98RVU14A
2013-10-01$128.78$94.13RVU13D
2013-07-01$128.78$94.13RVU13C
2013-04-01$128.78$94.13RVU13B
2013-01-01$128.78$94.13RVU13AR

Price 53620 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

53620 billing questions

When should 53620 be chosen over 53621?

Use 53620 for the initial female urethral stricture dilation in the treatment sequence. Use 53621 for a subsequent dilation.

How is this different from 53660?

Code 53620 is for initial dilation of a documented female urethral stricture. Code 53660 belongs to the female urethral dilation series outside this stricture-specific sequence.

Can modifier 50 be reported?

No. This urethral service is not reported as a bilateral procedure.

Is same-day evaluation and postoperative care separately included?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

CMS does not pay an assistant-at-surgery service for this code. Co-surgeon and team-surgery reporting are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 53620PPRRVU2026_Oct_nonQPP.csv, line 6,222 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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