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See a sample rate comparisonCPT 53621 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Filiform Andfollower Male Subsequent Dilation Of Urethral Stricture By Passage Of Filiform And
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 53621 |
| Medicaid Fee Schedule | View Medicaid rates for 53621 |
National average reimbursement for CPT 53621 by major payers:
$164.13
$172.32
$195.32
$130.34
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CPT 53621
5 of 25 sample ratesHigher to lower in this preview
Paramus Endoscopy LLC, Endoscopy Center Of Bergen County
Paramus Endoscopy LLC
$1,674.00Published rateEast West Surgery Center Lp
$574.00Published rateConnecticut Gi Endoscopy Center LLC
$290.00Published rateCenter For Robotic Surgery Of Louisiana LLC
$145.00Published rateAnderson Endoscopy Center LLC
$81.00Published rate
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See a sample payer proposalCPT 53621 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53621 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 53621 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 53600-CPT | Low | Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Sound Orurethral Dilator Male Initial Dilation Of Urethral Stricture By Passage Of Sound Or |
| 53601-CPT | Low | Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Sound Orurethral Dilator Male Subsequent Dilation Of Urethral Stricture By Passage Of Sound Or |
| 53620-CPT | Low | Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Filiform Andfollower Male Initial Dilation Of Urethral Stricture By Passage Of Filiform And |
| 53621-CPT | Low | Dilation Of Urethral Strictur, Dilation Of Urethral Stricture By Passage Of Filiform Andfollower Male Subsequent Dilation Of Urethral Stricture By Passage Of Filiform And |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53621. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53621 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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