CPT code 53621: Urethral dilation, female, subsequent dilation2026 Medicare rate & RVUs in Alabama
Reports a subsequent dilation of a female urethral stricture using sounds or dilators, when the service follows the initial dilation.
In Alabama, Medicare pays $149.89 for 53621 in the office and $59.58 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 53621 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 53621 covers
This code applies to a subsequent urethral stricture dilation in a female patient using sounds or dilators to widen the narrowed urethral passage. A urologist typically performs the procedure in an office or outpatient facility. It is distinct from dilation of a female urethra when a urethral stricture is not the condition being treated.
Select the subsequent-service code rather than the initial-service code based on where the dilation falls in the treatment sequence, not the stricture’s severity. Document the stricture, the patient’s anatomy, the dilation performed, and why this was a subsequent service. The 0-day global period includes same-day preoperative and postoperative care. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgery and team-surgery payment 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 Alabama compares for 53621
Across 109 of 109 payment localities, the office rate for 53621 runs from $147.72 in Arkansas to $221.04 in San Benito County, CA. Alabama pays $149.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$149.89
- Los Angeles, CA · California$188.36+$38.47
- Washington, DC area · District of Columbia$190.90+$41.01
- Miami, FL · Florida$180.49+$30.60
- Chicago, IL · Illinois$175.25+$25.36
- Manhattan, NY · New York$192.15+$42.26
- Alaska · Alaska$194.12+$44.23
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $147.72 | $59.06 |
| ArizonaArizona | $162.55 | $62.54 |
| Bakersfield, CACalifornia | $176.88 | $63.76 |
| Chico, CACalifornia | $176.37 | $63.26 |
| El Centro, CACalifornia | $176.40 | $63.29 |
| Fresno, CACalifornia | $176.37 | $63.26 |
| Hanford, CACalifornia | $176.37 | $63.26 |
| Madera, CACalifornia | $176.37 | $63.26 |
| Merced, CACalifornia | $176.37 | $63.26 |
| Modesto, CACalifornia | $176.37 | $63.26 |
| Napa, CACalifornia | $204.27 | $68.24 |
| Oxnard, CACalifornia | $187.44 | $65.44 |
| Redding, CACalifornia | $176.37 | $63.26 |
| Rest of CaliforniaCalifornia | $176.37 | $63.26 |
| Riverside, CACalifornia | $178.22 | $65.10 |
| Sacramento, CACalifornia | $185.07 | $65.03 |
| Salinas, CACalifornia | $184.38 | $64.76 |
| San Diego, CACalifornia | $188.71 | $65.27 |
| Marin County, CACalifornia | $216.19 | $70.66 |
| San Francisco, CACalifornia | $216.00 | $70.47 |
| San Benito County, CACalifornia | $221.04 | $72.21 |
| Santa Clara County, CACalifornia | $220.25 | $71.42 |
| San Luis Obispo, CACalifornia | $181.42 | $63.86 |
| Santa Cruz, CACalifornia | $190.50 | $65.10 |
| Santa Maria, CACalifornia | $185.07 | $64.72 |
| Santa Rosa, CACalifornia | $192.42 | $65.68 |
| Stockton, CACalifornia | $176.37 | $63.26 |
| Vallejo, CACalifornia | $203.99 | $67.96 |
| Visalia, CACalifornia | $176.37 | $63.26 |
| Yuba City, CACalifornia | $176.37 | $63.26 |
| ColoradoColorado | $173.79 | $63.98 |
| ConnecticutConnecticut | $178.11 | $66.95 |
| DelawareDelaware | $165.24 | $63.27 |
| Fort Lauderdale, FLFlorida | $173.12 | $68.57 |
| Rest of FloridaFlorida | $164.70 | $66.03 |
| Atlanta, GAGeorgia | $170.15 | $65.29 |
| Rest of GeorgiaGeorgia | $155.43 | $63.37 |
| Hawaii, Guam, HIHawaii | $180.68 | $63.33 |
| IowaIowa | $153.62 | $59.18 |
| IdahoIdaho | $154.63 | $59.68 |
| East St. Louis, ILIllinois | $163.38 | $68.43 |
| Rest of IllinoisIllinois | $160.00 | $65.77 |
| Suburban Chicago, ILIllinois | $174.86 | $68.87 |
| IndianaIndiana | $155.53 | $59.85 |
| KansasKansas | $152.93 | $59.63 |
| KentuckyKentucky | $153.51 | $61.76 |
| New Orleans, LALouisiana | $160.86 | $63.74 |
| Rest of LouisianaLouisiana | $153.28 | $61.94 |
| Metropolitan Boston, MAMassachusetts | $190.93 | $67.70 |
| Rest of MassachusettsMassachusetts | $172.77 | $64.09 |
| Baltimore area, MDMaryland | $177.61 | $66.87 |
| Rest of MarylandMaryland | $168.39 | $63.94 |
| Rest of MaineMaine | $155.48 | $60.53 |
| Southern Maine, MEMaine | $163.85 | $61.57 |
| Detroit, MIMichigan | $166.80 | $67.20 |
| Rest of MichiganMichigan | $157.54 | $63.31 |
| MinnesotaMinnesota | $166.41 | $60.21 |
| Metropolitan Kansas City, MOMissouri | $159.72 | $62.81 |
| Metropolitan St. Louis, MOMissouri | $161.39 | $63.13 |
| Rest of MissouriMissouri | $150.68 | $61.71 |
| MississippiMississippi | $149.23 | $60.36 |
| MontanaMontana | $166.99 | $63.78 |
| North CarolinaNorth Carolina | $157.10 | $60.81 |
| North DakotaNorth Dakota | $163.63 | $60.42 |
| NebraskaNebraska | $154.45 | $59.18 |
| New HampshireNew Hampshire | $171.10 | $63.66 |
| Northern New JerseyNew Jersey | $188.93 | $69.20 |
| Rest of New JerseyNew Jersey | $180.10 | $67.40 |
| New MexicoNew Mexico | $158.42 | $63.77 |
| NevadaNevada | $166.17 | $62.86 |
| NYC suburbs and Long Island, NYNew York | $196.85 | $74.13 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $181.32 | $68.30 |
| Queens, NYNew York | $193.67 | $71.68 |
| Rest of New YorkNew York | $159.46 | $61.41 |
| OhioOhio | $156.85 | $62.62 |
| OklahomaOklahoma | $153.19 | $61.03 |
| Portland, OROregon | $179.27 | $64.60 |
| Rest of OregonOregon | $164.85 | $62.05 |
| Metropolitan Philadelphia, PAPennsylvania | $173.70 | $66.26 |
| Rest of PennsylvaniaPennsylvania | $157.08 | $62.33 |
| Puerto RicoPuerto Rico | $168.21 | $63.86 |
| Rhode IslandRhode Island | $171.10 | $64.48 |
| South CarolinaSouth Carolina | $157.24 | $61.88 |
| South DakotaSouth Dakota | $163.23 | $60.03 |
| TennesseeTennessee | $153.71 | $59.89 |
| Austin, TXTexas | $173.25 | $64.05 |
| Beaumont, TXTexas | $156.05 | $62.13 |
| Brazoria, TXTexas | $165.05 | $62.77 |
| Dallas, TXTexas | $166.13 | $63.33 |
| Fort Worth, TXTexas | $165.03 | $63.26 |
| Galveston, TXTexas | $165.56 | $63.07 |
| Houston, TXTexas | $168.67 | $66.19 |
| Rest of TexasTexas | $160.47 | $62.53 |
| UtahUtah | $159.39 | $62.37 |
| VirginiaVirginia | $163.34 | $61.89 |
| Virgin Islands, VIUnited States Virgin Islands | $168.21 | $63.86 |
| VermontVermont | $163.03 | $60.85 |
| Rest of WashingtonWashington | $172.43 | $63.76 |
| King County, WAWashington | $194.78 | $68.15 |
| WisconsinWisconsin | $158.15 | $59.28 |
| West VirginiaWest Virginia | $154.09 | $64.41 |
| WyomingWyoming | $165.53 | $62.32 |
53621 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$147.72
$198.70
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $194.12 | 1 |
| AL | $149.89 | 1 |
| AR | $147.72 | 1 |
| AZ | $162.55 | 1 |
| CA | $176.37–$221.04 | 29 |
| CO | $173.79 | 1 |
| CT | $178.11 | 1 |
| DC | $190.90 | 1 |
| DE | $165.24 | 1 |
| FL | $164.70–$180.49 | 3 |
| GA | $155.43–$170.15 | 2 |
| GU | $180.68 | 1 |
| HI | $180.68 | 1 |
| IA | $153.62 | 1 |
| ID | $154.63 | 1 |
| IL | $160.00–$175.25 | 4 |
| IN | $155.53 | 1 |
| KS | $152.93 | 1 |
| KY | $153.51 | 1 |
| LA | $153.28–$160.86 | 2 |
| MA | $172.77–$190.93 | 2 |
| MD | $168.39–$190.90 | 3 |
| ME | $155.48–$163.85 | 2 |
| MI | $157.54–$166.80 | 2 |
| MN | $166.41 | 1 |
| MO | $150.68–$161.39 | 3 |
| MS | $149.23 | 1 |
| MT | $166.99 | 1 |
| NC | $157.10 | 1 |
| ND | $163.63 | 1 |
| NE | $154.45 | 1 |
| NH | $171.10 | 1 |
| NJ | $180.10–$188.93 | 2 |
| NM | $158.42 | 1 |
| NV | $166.17 | 1 |
| NY | $159.46–$196.85 | 5 |
| OH | $156.85 | 1 |
| OK | $153.19 | 1 |
| OR | $164.85–$179.27 | 2 |
| PA | $157.08–$173.70 | 2 |
| PR | $168.21 | 1 |
| RI | $171.10 | 1 |
| SC | $157.24 | 1 |
| SD | $163.23 | 1 |
| TN | $153.71 | 1 |
| TX | $156.05–$173.25 | 8 |
| UT | $159.39 | 1 |
| VA | $163.34–$190.90 | 2 |
| VI | $168.21 | 1 |
| VT | $163.03 | 1 |
| WA | $172.43–$194.78 | 2 |
| WI | $158.15 | 1 |
| WV | $154.09 | 1 |
| WY | $165.53 | 1 |
How the 53621 rate is calculated
Each of 53621’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 · 53621
RVUs × geographic indexes × conversion factor
Work1.32
1.32 RVUs× 1.000 GPCI
Practice expense3.51
3.51 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
5.0000
Conversion factor
$33.4009
Medicare rate
$167.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,223
- Code
- 53621
- Physician work
- 1.32
- Practice expense
- 3.51
- Malpractice
- 0.17
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.32 | × 1.000 | 1.3200 |
| Practice expense | 3.51 | × 0.875 | 3.0713 |
| Malpractice | 0.17 | × 0.566 | 0.0962 |
| Total RVUs | 4.4875 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Alabama$149.89
Office: (1.32 × 1 + 3.51 × 0.875 + 0.17 × 0.566) × $33.4009 = $149.89
Facility: (1.32 × 1 + 0.42 × 0.875 + 0.17 × 0.566) × $33.4009 = $59.58
Payment rules and modifiers for 53621
The CMS indicators that decide how 53621 is paid alongside other services.
CMS payment indicators · 53621
Urethral dilation, female, subsequent dilation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
53621 without 51 · national office
$167.00
Urethral dilation, female, subsequent dilation
53621-51 · Second procedure: 50%
$83.50
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%).
How 53621 has changed in Alabama
53621 · Office / nonfacility
$149.89
Effective 2026-10-01
The base rate is $10.77 higher than on 2025-10-01, moving from $139.12 to $149.89 (7.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$139.12changed to$149.89
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.35 changed to 1.32
- Practice expense RVU 3.29 changed to 3.51
- Malpractice RVU 0.16 changed to 0.17
- Practice expense GPCI 0.869 changed to 0.875
- Malpractice GPCI 0.575 changed to 0.566
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$145.39changed to$139.12
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.36 changed to 3.29
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$143.01changed to$145.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$149.73changed to$143.01
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.35 changed to 3.36
- Practice expense GPCI 0.878 changed to 0.869
- Malpractice GPCI 0.748 changed to 0.575
January 1, 2023
RVU23A
$156.62changed to$149.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.40 changed to 3.35
- Practice expense GPCI 0.888 changed to 0.878
- Malpractice GPCI 0.921 changed to 0.748
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$147.67changed to$156.62
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.09 changed to 3.40
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$132.12changed to$147.67
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.48 changed to 3.09
- Practice expense GPCI 0.889 changed to 0.888
- Malpractice GPCI 0.707 changed to 0.921
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$117.39changed to$132.12
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.06 changed to 2.48
- Practice expense GPCI 0.890 changed to 0.889
- Malpractice GPCI 0.492 changed to 0.707
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$104.12changed to$117.39
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.65 changed to 2.06
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$104.12
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $149.89 | $59.58 | RVU26D |
| 2026-07-01 | $149.89 | $59.58 | RVU26C |
| 2026-04-01 | $149.89 | $59.58 | RVU26B |
| 2026-01-01 | $149.89 | $59.58 | RVU26A |
| 2025-10-01 | $139.12 | $64.35 | RVU25D |
| 2025-07-01 | $139.12 | $64.35 | RVU25C |
| 2025-04-01 | $139.12 | $64.35 | RVU25B |
| 2025-01-01 | $139.12 | $64.35 | RVU25A |
| 2024-10-01 | $145.39 | $65.84 | RVU24D |
| 2024-07-01 | $145.39 | $65.84 | RVU24C |
| 2024-04-01 | $145.39 | $65.84 | RVU24B |
| 2024-03-09 | $145.39 | $65.84 | RVU24AR |
| 2024-01-01 | $143.01 | $64.76 | RVU24A |
| 2023-10-01 | $149.73 | $67.61 | RVU23D |
| 2023-07-01 | $149.73 | $67.61 | RVU23C |
| 2023-04-01 | $149.73 | $67.61 | RVU23B |
| 2023-01-01 | $149.73 | $67.61 | RVU23A |
| 2022-10-01 | $156.62 | $69.96 | RVU22D |
| 2022-07-01 | $156.62 | $69.96 | RVU22C |
| 2022-04-01 | $156.62 | $69.96 | RVU22B |
| 2022-01-01 | $156.62 | $69.96 | RVU22A |
| 2021-10-01 | $147.67 | $69.90 | RVU21D |
| 2021-07-01 | $147.67 | $69.90 | RVU21C |
| 2021-04-01 | $147.67 | $69.90 | RVU21B |
| 2021-01-01 | $147.67 | $69.90 | RVU21A |
| 2020-10-01 | $132.12 | $70.84 | RVU20D |
| 2020-07-01 | $132.12 | $70.84 | RVU20C |
| 2020-04-01 | $132.12 | $70.84 | RVU20B |
| 2020-01-01 | $132.12 | $70.84 | RVU20A |
| 2019-10-01 | $117.39 | $70.24 | RVU19D |
| 2019-07-01 | $117.39 | $70.24 | RVU19C |
| 2019-04-01 | $117.39 | $70.24 | RVU19B |
| 2019-01-01 | $117.39 | $70.24 | RVU19A |
| 2018-10-01 | $104.12 | $70.48 | RVU18D |
| 2018-07-01 | $104.12 | $70.48 | RVU18C |
| 2018-04-01 | $104.12 | $70.48 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
53621 billing questions
How does this differ from 53620?
53620 is the initial dilation code for a female urethral stricture. Use 53621 for a subsequent dilation in the treatment sequence.
Can 53621 be reported for a male patient?
No. This code is for subsequent dilation of a female urethral stricture; male stricture dilation is coded in the male-specific code series.
How does this differ from 53661?
53621 concerns a urethral stricture and a subsequent dilation. Code 53661 is in the separate series for female urethral dilation.
Should modifier 50 be appended?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What same-day care is included?
The 0-day global period includes same-day preoperative and postoperative care. Other procedures performed in the same session may be subject to the standard multiple-procedure reduction.
What documentation supports reporting 53621?
Document the female patient’s urethral stricture, the dilation performed with sounds or dilators, and why the service is subsequent rather than initial.
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
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