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CPT code 53621: Urethral dilation, female, subsequent dilation2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $190.90 for 53621 in the office and $69.32 when it’s performed in a hospital or facility.

$190.90Office (non-facility)
$69.32Hospital or facility
+14.3%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $190.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

53621 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$190.90
  2. Los Angeles, CA · California$188.36−$2.54
  3. Miami, FL · Florida$180.49−$10.41
  4. Chicago, IL · Illinois$175.25−$15.65
  5. Manhattan, NY · New York$192.15+$1.25
  6. Alaska · Alaska$194.12+$3.22
  7. Alabama · Alabama$149.89−$41.01

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

Every other payment area

53621 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 53621 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.32× 1.0541.3913
Practice expense3.51× 1.1784.1348
Malpractice0.17× 1.1130.1892
Total RVUs5.7153
Conversion factor× 33.4009

Office rate, Washington, DC area$190.90

Office: (1.32 × 1.054 + 3.51 × 1.178 + 0.17 × 1.113) × $33.4009 = $190.90

Facility: (1.32 × 1.054 + 0.42 × 1.178 + 0.17 × 1.113) × $33.4009 = $69.32

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, Washington, DC area
Same family
53620Urethral dilation, female, initialInitial female urethral stricture dilation; 53621 is for a subsequent dilation.$197.62
53600Urethral dilation, male, initialMale urethral stricture dilation, initial service.$102.20
53601Urethral dilation, male, subsequentMale urethral stricture dilation, subsequent service.$101.21
Used instead
53660Urethral dilation, female, requiring physician skillFemale urethral dilation in a separate code series.$89.83
53661Urethral dilation, female, subsequentSubsequent female urethral dilation in a separate code series.$88.21

How 53621 has changed in Washington, DC area

53621 · Office / nonfacility

$190.90

Effective 2026-10-01

The base rate is $11.85 higher than on 2025-10-01, moving from $179.05 to $190.90 (6.6%).

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

    $179.05changed to$190.90

    • 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 1.057 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

    $187.43changed to$179.05

    • 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

    $184.37changed to$187.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $193.22changed to$184.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.35 changed to 3.36
    • 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

    $202.28changed to$193.22

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.40 changed to 3.35
    • 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

    $189.69changed to$202.28

    • 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

    $167.30changed to$189.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.48 changed to 3.09
    • 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

    $147.12changed to$167.30

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.06 changed to 2.48
    • 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

    $129.17changed to$147.12

    • 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

    $127.68changed to$129.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.62 changed to 1.65
    • 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

    $127.14changed to$127.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.61 changed to 1.62
    • 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

    $127.60changed to$127.14

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $126.96changed to$127.60

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $123.99changed to$126.96

    • 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
    • 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

    $122.49changed to$123.99

    • 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
    • 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: $122.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$190.90$69.32RVU26D
2026-07-01$190.90$69.32RVU26C
2026-04-01$190.90$69.32RVU26B
2026-01-01$190.90$69.32RVU26A
2025-10-01$179.05$76.49RVU25D
2025-07-01$179.05$76.49RVU25C
2025-04-01$179.05$76.49RVU25B
2025-01-01$179.05$76.49RVU25A
2024-10-01$187.43$78.31RVU24D
2024-07-01$187.43$78.31RVU24C
2024-04-01$187.43$78.31RVU24B
2024-03-09$187.43$78.31RVU24AR
2024-01-01$184.37$77.03RVU24A
2023-10-01$193.22$79.67RVU23D
2023-07-01$193.22$79.67RVU23C
2023-04-01$193.22$79.67RVU23B
2023-01-01$193.22$79.67RVU23A
2022-10-01$202.28$81.66RVU22D
2022-07-01$202.28$81.66RVU22C
2022-04-01$202.28$81.66RVU22B
2022-01-01$202.28$81.66RVU22A
2021-10-01$189.69$81.44RVU21D
2021-07-01$189.69$81.44RVU21C
2021-04-01$189.69$81.44RVU21B
2021-01-01$189.69$81.44RVU21A
2020-10-01$167.30$83.14RVU20D
2020-07-01$167.30$83.14RVU20C
2020-04-01$167.30$83.14RVU20B
2020-01-01$167.30$83.14RVU20A
2019-10-01$147.12$83.28RVU19D
2019-07-01$147.12$83.28RVU19C
2019-04-01$147.12$83.28RVU19B
2019-01-01$147.12$83.28RVU19A
2018-10-01$129.17$83.62RVU18D
2018-07-01$129.17$83.62RVU18C
2018-04-01$129.17$83.62RVU18B
2018-01-01$129.17$83.62RVU18AR1
2017-10-01$127.68$83.13RVU17D
2017-07-01$127.68$83.13RVU17C
2017-04-01$127.68$83.13RVU17B
2017-01-01$127.68$83.13RVU17A
2016-10-01$127.14$82.70RVU16D
2016-07-01$127.14$82.70RVU16C
2016-04-01$127.14$82.70RVU16B
2016-01-01$127.14$82.70RVU16A
2015-10-01$127.60$82.56RVU15D
2015-07-01$127.60$82.56RVU15C
2015-04-01$126.96$82.15RVU15B
2015-01-01$126.96$82.15RVU15A
2014-10-01$123.99$80.07RVU14D
2014-07-01$123.99$80.07RVU14C
2014-04-01$123.99$80.07RVU14B
2014-01-01$123.99$80.07RVU14A
2013-10-01$122.49$77.25RVU13D
2013-07-01$122.49$77.25RVU13C
2013-04-01$122.49$77.25RVU13B
2013-01-01$122.49$77.25RVU13AR

Price 53621 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

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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