CPT code 50200: Renal biopsy, percutaneous2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $486.67 for 50200 in the office and $104.90 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $486.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50200 rates by state

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

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.

Payment rules and modifiers for 50200

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

What modifiers do to the payment

When to use modifier 50

Codes related to 50200

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

How 50200 has changed in South Dakota

Price 50200 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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