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CPT code 50200: Renal biopsy, percutaneous2026 Medicare rate & RVUs in New Mexico

Reports percutaneous needle sampling of kidney tissue for diagnostic evaluation, including biopsies of native or transplanted kidneys.

CMS RVU26DEffective Oct 1, 2026One payment locality31.1K Medicare services in 2024

In New Mexico, Medicare pays $459.87 for 50200 in the office and $109.78 when it’s performed in a hospital or facility.

$459.87Office (non-facility)
$109.78Hospital or facility
−6.5%vs the national office rate ($492.00)

Check a contract rate as a % of Medicare · 50200 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 50200 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 50200 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 50200 covers

Code 50200 describes obtaining kidney tissue through the skin with a biopsy needle for diagnostic examination. Nephrologists and interventional radiologists commonly perform the procedure, often using ultrasound or CT to guide needle placement. Typical cases include sampling a native kidney to investigate unexplained renal dysfunction, proteinuria, or hematuria, or sampling a transplanted kidney when tissue evaluation is needed. The specimen is sent for pathology assessment.

Choose 50200 when the kidney is sampled percutaneously; a biopsy requiring surgical exposure is a different service. Document the kidney sampled, percutaneous approach, indication, and tissue obtained. Imaging guidance and pathology may be separately reportable when performed, documented, and permitted by applicable coding edits. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral procedures reported with modifier 50, CMS pays 150%. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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 New Mexico compares for 50200

Across 109 of 109 payment localities, the office rate for 50200 runs from $430.79 in Arkansas to $676.47 in San Benito County, CA. New Mexico pays $459.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

50200 in New Mexico vs other payment areas
  1. New Mexico · this page$459.87
  2. Los Angeles, CA · California$566.87+$107.00
  3. Washington, DC area · District of Columbia$569.44+$109.57
  4. Miami, FL · Florida$520.92+$61.05
  5. Chicago, IL · Illinois$504.95+$45.08
  6. Manhattan, NY · New York$567.50+$107.63
  7. Alaska · Alaska$553.56+$93.69

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

Every other payment area

50200 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$437.71$103.65
ArkansasArkansas$430.79$102.85
ArizonaArizona$478.24$108.30
Bakersfield, CACalifornia$529.36$110.93
Chico, CACalifornia$528.62$110.19
El Centro, CACalifornia$528.66$110.23
Fresno, CACalifornia$528.62$110.19
Hanford, CACalifornia$528.62$110.19

50200 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.

$430.79

$602.55

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

View every state and territory as a table
50200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$553.561
AL$437.711
AR$430.791
AZ$478.241
CA$528.62–$676.4729
CO$517.181
CT$526.531
DC$569.441
DE$486.701
FL$478.14–$520.923
GA$449.63–$500.342
GU$544.311
HI$544.311
IA$452.611
ID$455.251
IL$461.14–$509.704
IN$458.201
KS$449.001
KY$446.191
LA$444.91–$469.102
MA$513.15–$573.152
MD$496.99–$569.443
ME$456.45–$485.382
MI$457.66–$483.272
MN$498.141
MO$435.69–$472.503
MS$433.401
MT$491.981
NC$461.871
ND$487.231
NE$455.711
NH$507.661
NJ$533.27–$562.462
NM$459.871
NV$491.061
NY$469.29–$580.655
OH$456.691
OK$446.711
OR$487.99–$536.302
PA$458.22–$511.602
PR$496.351
RI$506.021
SC$459.901
SD$486.671
TN$451.291
TX$454.84–$514.818
UT$466.791
VA$482.73–$569.442
VI$496.351
VT$483.971
WA$512.63–$586.682
WI$469.381
WV$442.201
WY$489.911

See 50200 in every payment locality

How the 50200 rate is calculated

Each of 50200’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 · 50200

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.32

2.32 RVUs× 1.000 GPCI

Practice expense12.17

12.17 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

14.7300

Conversion factor

$33.4009

Medicare rate

$492.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,882

Code
50200
Physician work
2.32
Practice expense
12.17
Malpractice
0.24

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 50200 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.32× 1.0002.3200
Practice expense12.17× 0.91711.1599
Malpractice0.24× 1.2010.2882
Total RVUs13.7681
Conversion factor× 33.4009

Office rate, New Mexico$459.87

Office: (2.32 × 1 + 12.17 × 0.917 + 0.24 × 1.201) × $33.4009 = $459.87

Facility: (2.32 × 1 + 0.74 × 0.917 + 0.24 × 1.201) × $33.4009 = $109.78

Open 50200 in the RVU calculator

Payment rules and modifiers for 50200

The CMS indicators that decide how 50200 is paid alongside other services.

CMS payment indicators · 50200

Renal biopsy, percutaneous

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 50 · payment effect

With and without the modifier

50200 without 50 · national office

$492.00

Renal biopsy, percutaneous

50200-50 · Bilateral: 150%

$738.00

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

Codes related to 50200

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

Codes related to 50200
CodeHow it relatesOffice range, New Mexico
Used instead
50205Renal biopsy, open surgical exposureKidney biopsy performed through surgical exposure rather than a percutaneous approach.No office rate
Often billed with
76942Ultrasound needle guidance, biopsy, aspiration, injection, or localizationUltrasound guidance for needle placement may be separately reported when supported.$60.99
77012CT guidance, needle placementCT guidance for needle placement may be separately reported when supported.$117.71
88305Tissue pathology exam, level IV specimenPathology examination of a kidney biopsy specimen may be reported separately.$66.53

How 50200 has changed in New Mexico

50200 · Office / nonfacility

$459.87

Effective 2026-10-01

The base rate is $14.96 higher than on 2025-10-01, moving from $444.91 to $459.87 (3.4%).

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

    $444.91changed to$459.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.38 changed to 2.32
    • Practice expense RVU 12.23 changed to 12.17
    • Malpractice RVU 0.23 changed to 0.24
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $468.82changed to$444.91

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.58 changed to 12.23
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $461.17changed to$468.82

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $485.60changed to$461.17

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.95 changed to 12.58
    • Malpractice RVU 0.23 changed to 0.24
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $504.57changed to$485.60

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 13.33 changed to 12.95
    • Malpractice RVU 0.22 changed to 0.23
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $520.22changed to$504.57

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 13.71 changed to 13.33
    • Malpractice RVU 0.21 changed to 0.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $517.22changed to$520.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 12.87 changed to 13.71
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $516.65changed to$517.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 12.67 changed to 12.87
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $516.20changed to$516.65

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.66 changed to 12.67
    • Malpractice RVU 0.24 changed to 0.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $511.48changed to$516.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 12.59 changed to 12.66
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $585.37changed to$511.48

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 2.63 changed to 2.38
    • Practice expense RVU 14.60 changed to 12.59
    • Malpractice RVU 0.26 changed to 0.24
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $587.83changed to$585.37

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 14.56 changed to 14.60
    • Malpractice RVU 0.30 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $584.91changed to$587.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $554.37changed to$584.91

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 13.64 changed to 14.56
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $564.36changed to$554.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 14.90 changed to 13.64
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $564.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$459.87$109.78RVU26D
2026-07-01$459.87$109.78RVU26C
2026-04-01$459.87$109.78RVU26B
2026-01-01$459.87$109.78RVU26A
2025-10-01$444.91$118.89RVU25D
2025-07-01$444.91$118.89RVU25C
2025-04-01$444.91$118.89RVU25B
2025-01-01$444.91$118.89RVU25A
2024-10-01$468.82$121.83RVU24D
2024-07-01$468.82$121.83RVU24C
2024-04-01$468.82$121.83RVU24B
2024-03-09$468.82$121.83RVU24AR
2024-01-01$461.17$119.85RVU24A
2023-10-01$485.60$123.39RVU23D
2023-07-01$485.60$123.39RVU23C
2023-04-01$485.60$123.39RVU23B
2023-01-01$485.60$123.39RVU23A
2022-10-01$504.57$125.35RVU22D
2022-07-01$504.57$125.35RVU22C
2022-04-01$504.57$125.35RVU22B
2022-01-01$504.57$125.35RVU22A
2021-10-01$520.22$125.98RVU21D
2021-07-01$520.22$125.98RVU21C
2021-04-01$520.22$125.98RVU21B
2021-01-01$520.22$125.98RVU21A
2020-10-01$517.22$131.52RVU20D
2020-07-01$517.22$131.52RVU20C
2020-04-01$517.22$131.52RVU20B
2020-01-01$517.22$131.52RVU20A
2019-10-01$516.65$132.62RVU19D
2019-07-01$516.65$132.62RVU19C
2019-04-01$516.65$132.62RVU19B
2019-01-01$516.65$132.62RVU19A
2018-10-01$516.20$133.26RVU18D
2018-07-01$516.20$133.26RVU18C
2018-04-01$516.20$133.26RVU18B
2018-01-01$516.20$133.26RVU18AR1
2017-10-01$511.48$133.10RVU17D
2017-07-01$511.48$133.10RVU17C
2017-04-01$511.48$133.10RVU17B
2017-01-01$511.48$133.10RVU17A
2016-10-01$585.37$145.12RVU16D
2016-07-01$585.37$145.12RVU16C
2016-04-01$585.37$145.12RVU16B
2016-01-01$585.37$145.12RVU16A
2015-10-01$587.83$147.31RVU15D
2015-07-01$587.83$147.31RVU15C
2015-04-01$584.91$146.58RVU15B
2015-01-01$584.91$146.58RVU15A
2014-10-01$554.37$145.93RVU14D
2014-07-01$554.37$145.93RVU14C
2014-04-01$554.37$145.93RVU14B
2014-01-01$554.37$145.93RVU14A
2013-10-01$564.36$139.89RVU13D
2013-07-01$564.36$139.89RVU13C
2013-04-01$564.36$139.89RVU13B
2013-01-01$564.36$139.89RVU13AR

Price 50200 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

50200 billing questions

When should 50200 be used instead of 50205?

Use 50200 for kidney tissue obtained through a percutaneous needle approach. Use 50205 when the kidney is surgically exposed for the biopsy.

Can imaging guidance be reported with 50200?

Ultrasound or CT guidance may be separately reportable when it is performed and documented. Check the applicable coding edits and reporting requirements for the guidance code.

Is the pathology examination included in 50200?

50200 reports obtaining the tissue, not the pathologist’s examination. A pathology service may be separately reported when performed and supported by the record.

How is a biopsy of both kidneys reported?

For a bilateral procedure reported with modifier 50, CMS pays 150%. Document that both kidneys were sampled.

What same-day care is included in the payment?

The 0-day global period includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

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 50200PPRRVU2026_Oct_nonQPP.csv, line 5,882 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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