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

In Iowa, Medicare pays $153.62 for 53621 in the office and $59.18 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.

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 Iowa 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. Iowa pays $153.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

53621 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 53621

The CMS indicators that decide how 53621 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 53621

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

How 53621 has changed in Iowa

Price 53621 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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

Open CMS sourceHow we calculate rates