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CPT code 53621: Urethral dilation, female, subsequent dilation2026 Medicare rate & RVUs in Connecticut

Reports a subsequent dilation of a female urethral stricture using sounds or dilators, when the service follows the initial dilation.

CMS RVU26DEffective Oct 1, 2026One payment locality570 Medicare services in 2024

In Connecticut, Medicare pays $178.11 for 53621 in the office and $66.95 when it’s performed in a hospital or facility.

$178.11Office (non-facility)
$66.95Hospital or facility
+6.7%vs the national office rate ($167.00)

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.

We’ll open 53621 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 53621 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 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 Connecticut 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. Connecticut pays $178.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

53621 in Connecticut vs other payment areas
  1. Connecticut · this page$178.11
  2. Los Angeles, CA · California$188.36+$10.25
  3. Washington, DC area · District of Columbia$190.90+$12.79
  4. Miami, FL · Florida$180.49+$2.38
  5. Chicago, IL · Illinois$175.25−$2.86
  6. Manhattan, NY · New York$192.15+$14.04
  7. Alaska · Alaska$194.12+$16.01

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

Every other payment area

53621 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$149.89$59.58
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

53621 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.

$147.72

$198.70

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

View every state and territory as a table
53621 office rate range by state
State / territoryOffice rate rangeLocalities
AK$194.121
AL$149.891
AR$147.721
AZ$162.551
CA$176.37–$221.0429
CO$173.791
CT$178.111
DC$190.901
DE$165.241
FL$164.70–$180.493
GA$155.43–$170.152
GU$180.681
HI$180.681
IA$153.621
ID$154.631
IL$160.00–$175.254
IN$155.531
KS$152.931
KY$153.511
LA$153.28–$160.862
MA$172.77–$190.932
MD$168.39–$190.903
ME$155.48–$163.852
MI$157.54–$166.802
MN$166.411
MO$150.68–$161.393
MS$149.231
MT$166.991
NC$157.101
ND$163.631
NE$154.451
NH$171.101
NJ$180.10–$188.932
NM$158.421
NV$166.171
NY$159.46–$196.855
OH$156.851
OK$153.191
OR$164.85–$179.272
PA$157.08–$173.702
PR$168.211
RI$171.101
SC$157.241
SD$163.231
TN$153.711
TX$156.05–$173.258
UT$159.391
VA$163.34–$190.902
VI$168.211
VT$163.031
WA$172.43–$194.782
WI$158.151
WV$154.091
WY$165.531

See 53621 in every payment locality

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

Office or facility?

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 Connecticut 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

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 53621 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.32× 1.0201.3464
Practice expense3.51× 1.0773.7803
Malpractice0.17× 1.2100.2057
Total RVUs5.3324
Conversion factor× 33.4009

Office rate, Connecticut$178.11

Office: (1.32 × 1.02 + 3.51 × 1.077 + 0.17 × 1.21) × $33.4009 = $178.11

Facility: (1.32 × 1.02 + 0.42 × 1.077 + 0.17 × 1.21) × $33.4009 = $66.95

Open 53621 in the RVU calculator

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

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

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%).

When to use modifier 51

Codes related to 53621

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

Codes related to 53621
CodeHow it relatesOffice range, Connecticut
Same family
53620Urethral dilation, female, initialInitial female urethral stricture dilation; 53621 is for a subsequent dilation.$184.94
53600Urethral dilation, male, initialMale urethral stricture dilation, initial service.$96.63
53601Urethral dilation, male, subsequentMale urethral stricture dilation, subsequent service.$95.11
Used instead
53660Urethral dilation, female, requiring physician skillFemale urethral dilation in a separate code series.$83.94
53661Urethral dilation, female, subsequentSubsequent female urethral dilation in a separate code series.$82.48

How 53621 has changed in Connecticut

53621 · Office / nonfacility

$178.11

Effective 2026-10-01

The base rate is $11.13 higher than on 2025-10-01, moving from $166.98 to $178.11 (6.7%).

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

    $166.98changed to$178.11

    • 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
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $174.78changed to$166.98

    • 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.

  3. March 9, 2024

    RVU24AR

    $171.93changed to$174.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $178.39changed to$171.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.35 changed to 3.36
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $185.02changed to$178.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.40 changed to 3.35
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $173.85changed to$185.02

    • 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.

  7. January 1, 2021

    RVU21A

    $155.67changed to$173.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.48 changed to 3.09
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $139.01changed to$155.67

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.06 changed to 2.48
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $122.45changed to$139.01

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.65 changed to 2.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $121.20changed to$122.45

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.62 changed to 1.65
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $120.73changed to$121.20

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.61 changed to 1.62
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $121.17changed to$120.73

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $120.57changed to$121.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $117.95changed to$120.57

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.59 changed to 1.61
    • Malpractice RVU 0.11 changed to 0.15
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $116.65changed to$117.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.71 changed to 1.59
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $116.65

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$178.11$66.95RVU26D
2026-07-01$178.11$66.95RVU26C
2026-04-01$178.11$66.95RVU26B
2026-01-01$178.11$66.95RVU26A
2025-10-01$166.98$73.11RVU25D
2025-07-01$166.98$73.11RVU25C
2025-04-01$166.98$73.11RVU25B
2025-01-01$166.98$73.11RVU25A
2024-10-01$174.78$74.91RVU24D
2024-07-01$174.78$74.91RVU24C
2024-04-01$174.78$74.91RVU24B
2024-03-09$174.78$74.91RVU24AR
2024-01-01$171.93$73.69RVU24A
2023-10-01$178.39$75.32RVU23D
2023-07-01$178.39$75.32RVU23C
2023-04-01$178.39$75.32RVU23B
2023-01-01$178.39$75.32RVU23A
2022-10-01$185.02$76.30RVU22D
2022-07-01$185.02$76.30RVU22C
2022-04-01$185.02$76.30RVU22B
2022-01-01$185.02$76.30RVU22A
2021-10-01$173.85$76.28RVU21D
2021-07-01$173.85$76.28RVU21C
2021-04-01$173.85$76.28RVU21B
2021-01-01$173.85$76.28RVU21A
2020-10-01$155.67$78.95RVU20D
2020-07-01$155.67$78.95RVU20C
2020-04-01$155.67$78.95RVU20B
2020-01-01$155.67$78.95RVU20A
2019-10-01$139.01$80.10RVU19D
2019-07-01$139.01$80.10RVU19C
2019-04-01$139.01$80.10RVU19B
2019-01-01$139.01$80.10RVU19A
2018-10-01$122.45$80.42RVU18D
2018-07-01$122.45$80.42RVU18C
2018-04-01$122.45$80.42RVU18B
2018-01-01$122.45$80.42RVU18AR1
2017-10-01$121.20$79.91RVU17D
2017-07-01$121.20$79.91RVU17C
2017-04-01$121.20$79.91RVU17B
2017-01-01$121.20$79.91RVU17A
2016-10-01$120.73$79.39RVU16D
2016-07-01$120.73$79.39RVU16C
2016-04-01$120.73$79.39RVU16B
2016-01-01$120.73$79.39RVU16A
2015-10-01$121.17$79.28RVU15D
2015-07-01$121.17$79.28RVU15C
2015-04-01$120.57$78.88RVU15B
2015-01-01$120.57$78.88RVU15A
2014-10-01$117.95$77.17RVU14D
2014-07-01$117.95$77.17RVU14C
2014-04-01$117.95$77.17RVU14B
2014-01-01$117.95$77.17RVU14A
2013-10-01$116.65$74.73RVU13D
2013-07-01$116.65$74.73RVU13C
2013-04-01$116.65$74.73RVU13B
2013-01-01$116.65$74.73RVU13AR

Price 53621 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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
RVUs for 53621PPRRVU2026_Oct_nonQPP.csv, line 6,223 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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