$172.29
Both apply to female urethral stricture dilation. Choose 53620 for the initial dilation and 53621 for a subsequent dilation.
On this page
CMS RVU26D · Effective 2026-10-01
53621 Urethral dilation Medicare reimbursement rates in Minnesota
Reports a subsequent dilation of a female urethral stricture using sounds or dilators, when the service follows the initial dilation. Compare 53621 office and facility rates across CMS payment localities in Minnesota.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 53621 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$166.41
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$60.21
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology
About 53621: Subsequent female urethral stricture dilation
Reports a subsequent dilation of a female urethral stricture using sounds or dilators, when the service follows the initial dilation.
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.
CMS billing rules for 53621
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.32 · 26%
- Practice expense (office) RVU3.51 · 70%
- Malpractice RVU0.17 · 3%
570
Medicare services in 2024 · #3443 by national volume
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.
53621 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$88.24
This is the subsequent-service code for male urethral stricture dilation; 53621 is for a female patient.
$77.10
This belongs to the separate series for female urethral dilation. Use 53621 when treating a female urethral stricture with a subsequent dilation.
Compare 53621 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Minnesota →
Office / nonfacility
$166.41
Facility
$60.21
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 53621 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,223
- Code
- 53621
- Physician work
- 1.32
- Practice expense
- 3.51
- Malpractice
- 0.17
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.32 | × 1.000 | 1.3200 |
| Practice expense | 3.51 | × 1.029 | 3.6118 |
| Malpractice | 0.17 | × 0.296 | 0.0503 |
| Total RVUs | 4.9821 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$166.41
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1 |
| Practice expense | 3.51 | 1.029 |
| Malpractice | 0.17 | 0.296 |
(1.32 × 1 + 3.51 × 1.029 + 0.17 × 0.296) × $33.4009 = $166.41
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.32 | 1 |
| Practice expense | 0.42 | 1.029 |
| Malpractice | 0.17 | 0.296 |
(1.32 × 1 + 0.42 × 1.029 + 0.17 × 0.296) × $33.4009 = $60.21
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,22053601,,Dilate urethra stricture,A,,0.96,1.60,,0.35,,0.12,2.68,1.43,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22153605,,Dilate urethra stricture,A,,1.25,0.26,NA,0.26,,0.16,1.67,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22253620,,Dilate urethra stricture,A,,1.58,3.42,,0.53,,0.20,5.20,2.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22353621,,Dilate urethra stricture,A,,1.32,3.51,,0.42,,0.17,5.00,1.91,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22453660,,Dilation of urethra,A,,0.69,1.59,,0.35,,0.08,2.36,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22553661,,Dilation of urethra,A,,0.70,1.54,,0.30,,0.08,2.32,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22653665,,Dilation of urethra,A,,0.74,0.16,NA,0.16,,0.09,0.99,0.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002