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

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 Queens, NY, Medicare pays $200.80 for 53620 in the office and $86.71 when it’s performed in a hospital or facility.

$200.80Office (non-facility)
$86.71Hospital or facility
+15.6%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $200.80. The RVUs are the same everywhere; the geographic indexes change the dollars.

53620 in Queens, NY vs other payment areas
  1. Queens, NY · this page$200.80
  2. Manhattan, NY · New York$199.48−$1.32
  3. NYC suburbs and Long Island, NY · New York$204.38+$3.58
  4. Poughkeepsie and northern NYC suburbs, NY · New York$188.31−$12.49
  5. Rest of New York · New York$165.99−$34.81
  6. Los Angeles, CA · California$194.51−$6.29
  7. Washington, DC area · District of Columbia$197.62−$3.18

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

Every other payment area

53620 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$188.58$88.10
Chicago, ILIllinois$183.28$86.26
AlaskaAlaska$204.50$101.69
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

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 53620 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.58× 1.0641.6811
Practice expense3.42× 1.1824.0424
Malpractice0.20× 1.4420.2884
Total RVUs6.0120
Conversion factor× 33.4009

Office rate, Queens, NY$200.80

Office: (1.58 × 1.064 + 3.42 × 1.182 + 0.2 × 1.442) × $33.4009 = $200.80

Facility: (1.58 × 1.064 + 0.53 × 1.182 + 0.2 × 1.442) × $33.4009 = $86.71

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, Queens, NY
Same family
53621Urethral dilation, female, subsequent dilationSubsequent-service counterpart for female urethral stricture dilation.$193.67
53600Urethral dilation, male, initialInitial stricture dilation code for a male patient.$104.43
53601Urethral dilation, male, subsequentSubsequent stricture dilation code for a male patient.$103.06
Used instead
53660Urethral dilation, female, requiring physician skillFemale urethral dilation series for a service outside the stricture-specific sequence.$91.15

How 53620 has changed in Queens, NY

53620 · Office / nonfacility

$200.80

Effective 2026-10-01

The base rate is $12.23 higher than on 2025-10-01, moving from $188.57 to $200.80 (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

    $188.57changed to$200.80

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $197.64changed to$188.57

    • 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

    $194.41changed to$197.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $206.23changed to$194.41

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $219.56changed to$206.23

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $206.74changed to$219.56

    • 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

    $183.18changed to$206.74

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.24changed to$183.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.99 changed to 2.42
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $142.06changed to$161.24

    • 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

    $140.95changed to$142.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.53 changed to 1.55
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $139.47changed to$140.95

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.50 changed to 1.53
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $139.97changed to$139.47

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $139.28changed to$139.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $135.10changed to$139.28

    • 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 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $131.30changed to$135.10

    • 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 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $131.30

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$200.80$86.71RVU26D
2026-07-01$200.80$86.71RVU26C
2026-04-01$200.80$86.71RVU26B
2026-01-01$200.80$86.71RVU26A
2025-10-01$188.57$95.42RVU25D
2025-07-01$188.57$95.42RVU25C
2025-04-01$188.57$95.42RVU25B
2025-01-01$188.57$95.42RVU25A
2024-10-01$197.64$97.40RVU24D
2024-07-01$197.64$97.40RVU24C
2024-04-01$197.64$97.40RVU24B
2024-03-09$197.64$97.40RVU24AR
2024-01-01$194.41$95.81RVU24A
2023-10-01$206.23$101.91RVU23D
2023-07-01$206.23$101.91RVU23C
2023-04-01$206.23$101.91RVU23B
2023-01-01$206.23$101.91RVU23A
2022-10-01$219.56$108.22RVU22D
2022-07-01$219.56$108.22RVU22C
2022-04-01$219.56$108.22RVU22B
2022-01-01$219.56$108.22RVU22A
2021-10-01$206.74$108.19RVU21D
2021-07-01$206.74$108.19RVU21C
2021-04-01$206.74$108.19RVU21B
2021-01-01$206.74$108.19RVU21A
2020-10-01$183.18$108.26RVU20D
2020-07-01$183.18$108.26RVU20C
2020-04-01$183.18$108.26RVU20B
2020-01-01$183.18$108.26RVU20A
2019-10-01$161.24$106.32RVU19D
2019-07-01$161.24$106.32RVU19C
2019-04-01$161.24$106.32RVU19B
2019-01-01$161.24$106.32RVU19A
2018-10-01$142.06$106.63RVU18D
2018-07-01$142.06$106.63RVU18C
2018-04-01$142.06$106.63RVU18B
2018-01-01$142.06$106.63RVU18AR1
2017-10-01$140.95$106.50RVU17D
2017-07-01$140.95$106.50RVU17C
2017-04-01$140.95$106.50RVU17B
2017-01-01$140.95$106.50RVU17A
2016-10-01$139.47$105.56RVU16D
2016-07-01$139.47$105.56RVU16C
2016-04-01$139.47$105.56RVU16B
2016-01-01$139.47$105.56RVU16A
2015-10-01$139.97$105.94RVU15D
2015-07-01$139.97$105.94RVU15C
2015-04-01$139.28$105.41RVU15B
2015-01-01$139.28$105.41RVU15A
2014-10-01$135.10$101.65RVU14D
2014-07-01$135.10$101.65RVU14C
2014-04-01$135.10$101.65RVU14B
2014-01-01$135.10$101.65RVU14A
2013-10-01$131.30$96.74RVU13D
2013-07-01$131.30$96.74RVU13C
2013-04-01$131.30$96.74RVU13B
2013-01-01$131.30$96.74RVU13AR

Price 53620 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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