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CPT code 53620: Urethral dilation, female, initial2026 Medicare rate & RVUs in Delaware

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 Delaware, Medicare pays $171.90 for 53620 in the office and $76.53 when it’s performed in a hospital or facility.

$171.90Office (non-facility)
$76.53Hospital or facility
−1.0%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 Delaware
  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 Delaware 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. Delaware pays $171.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

53620 in Delaware vs other payment areas
  1. Delaware · this page$171.90
  2. Los Angeles, CA · California$194.51+$22.61
  3. Washington, DC area · District of Columbia$197.62+$25.72
  4. Miami, FL · Florida$188.58+$16.68
  5. Chicago, IL · Illinois$183.28+$11.38
  6. Manhattan, NY · New York$199.48+$27.58
  7. Alaska · Alaska$204.50+$32.60

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

53620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$156.51$72.04
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

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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 53620 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.58× 1.0051.5879
Practice expense3.42× 0.9883.3790
Malpractice0.20× 0.8990.1798
Total RVUs5.1467
Conversion factor× 33.4009

Office rate, Delaware$171.90

Office: (1.58 × 1.005 + 3.42 × 0.988 + 0.2 × 0.899) × $33.4009 = $171.90

Facility: (1.58 × 1.005 + 0.53 × 0.988 + 0.2 × 0.899) × $33.4009 = $76.53

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, Delaware
Same family
53621Urethral dilation, female, subsequent dilationSubsequent-service counterpart for female urethral stricture dilation.$165.24
53600Urethral dilation, male, initialInitial stricture dilation code for a male patient.$90.31
53601Urethral dilation, male, subsequentSubsequent stricture dilation code for a male patient.$88.63
Used instead
53660Urethral dilation, female, requiring physician skillFemale urethral dilation series for a service outside the stricture-specific sequence.$78.03

How 53620 has changed in Delaware

53620 · Office / nonfacility

$171.90

Effective 2026-10-01

The base rate is $10.53 higher than on 2025-10-01, moving from $161.37 to $171.90 (6.5%).

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

    $161.37changed to$171.90

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $169.04changed to$161.37

    • 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

    $166.28changed to$169.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $173.25changed to$166.28

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $180.89changed to$173.25

    • 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 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $170.65changed to$180.89

    • 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

    $154.63changed to$170.65

    • 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 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $139.13changed to$154.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.99 changed to 2.42
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $122.84changed to$139.13

    • 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

    $122.12changed to$122.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.53 changed to 1.55
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $121.05changed to$122.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.50 changed to 1.53
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $121.49changed to$121.05

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $120.88changed to$121.49

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $118.85changed to$120.88

    • 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
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $115.91changed to$118.85

    • 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
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $115.91

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$171.90$76.53RVU26D
2026-07-01$171.90$76.53RVU26C
2026-04-01$171.90$76.53RVU26B
2026-01-01$171.90$76.53RVU26A
2025-10-01$161.37$84.04RVU25D
2025-07-01$161.37$84.04RVU25C
2025-04-01$161.37$84.04RVU25B
2025-01-01$161.37$84.04RVU25A
2024-10-01$169.04$85.83RVU24D
2024-07-01$169.04$85.83RVU24C
2024-04-01$169.04$85.83RVU24B
2024-03-09$169.04$85.83RVU24AR
2024-01-01$166.28$84.42RVU24A
2023-10-01$173.25$86.57RVU23D
2023-07-01$173.25$86.57RVU23C
2023-04-01$173.25$86.57RVU23B
2023-01-01$173.25$86.57RVU23A
2022-10-01$180.89$88.22RVU22D
2022-07-01$180.89$88.22RVU22C
2022-04-01$180.89$88.22RVU22B
2022-01-01$180.89$88.22RVU22A
2021-10-01$170.65$88.63RVU21D
2021-07-01$170.65$88.63RVU21C
2021-04-01$170.65$88.63RVU21B
2021-01-01$170.65$88.63RVU21A
2020-10-01$154.63$91.62RVU20D
2020-07-01$154.63$91.62RVU20C
2020-04-01$154.63$91.62RVU20B
2020-01-01$154.63$91.62RVU20A
2019-10-01$139.13$92.49RVU19D
2019-07-01$139.13$92.49RVU19C
2019-04-01$139.13$92.49RVU19B
2019-01-01$139.13$92.49RVU19A
2018-10-01$122.84$92.76RVU18D
2018-07-01$122.84$92.76RVU18C
2018-04-01$122.84$92.76RVU18B
2018-01-01$122.84$92.76RVU18AR1
2017-10-01$122.12$92.69RVU17D
2017-07-01$122.12$92.69RVU17C
2017-04-01$122.12$92.69RVU17B
2017-01-01$122.12$92.69RVU17A
2016-10-01$121.05$91.89RVU16D
2016-07-01$121.05$91.89RVU16C
2016-04-01$121.05$91.89RVU16B
2016-01-01$121.05$91.89RVU16A
2015-10-01$121.49$92.22RVU15D
2015-07-01$121.49$92.22RVU15C
2015-04-01$120.88$91.76RVU15B
2015-01-01$120.88$91.76RVU15A
2014-10-01$118.85$89.85RVU14D
2014-07-01$118.85$89.85RVU14C
2014-04-01$118.85$89.85RVU14B
2014-01-01$118.85$89.85RVU14A
2013-10-01$115.91$85.72RVU13D
2013-07-01$115.91$85.72RVU13C
2013-04-01$115.91$85.72RVU13B
2013-01-01$115.91$85.72RVU13AR

Price 53620 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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