CPT code 50230: Radical nephrectomy, open, with regional or caval work2026 Medicare rate & RVUs in New Mexico

Open radical nephrectomy, including partial ureter removal and regional node and/or vena caval thrombus work, for definitive renal surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5K Medicare services in 2024

In New Mexico, Medicare pays $1,143.17 for 50230 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,143.17Hospital or facility

Check a contract rate as a % of Medicare · 50230 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 50230 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 50230 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 50230 covers

Code 50230 represents open radical kidney removal with partial removal of the adjacent ureter and regional lymph-node dissection, vena caval tumor-thrombus removal, or both, as indicated. Urologists typically perform it in a hospital operating room for renal malignancy requiring this extent of surgery, such as disease involving regional nodes or extending into the vena cava. It is distinct from limited kidney excision and diagnostic biopsy.

Choose the code based on the operation performed, not the diagnosis alone. The operative report should support the open approach, nephrectomy extent, partial ureter removal, and any regional lymphadenectomy or caval thrombectomy. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is 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 50230

Across 109 of 109 payment localities, the facility rate for 50230 runs from $1,053.27 in Arkansas to $1,498.00 in Alaska. New Mexico pays $1,143.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

50230 in New Mexico vs other payment areas
  1. New Mexico · this page$1,143.17
  2. Los Angeles, CA · California$1,184.98+$41.81
  3. Washington, DC area · District of Columbia$1,242.81+$99.64
  4. Miami, FL · Florida$1,320.23+$177.06
  5. Chicago, IL · Illinois$1,290.80+$147.63
  6. Manhattan, NY · New York$1,298.09+$154.92
  7. Alaska · Alaska$1,498.00+$354.83

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

Every other payment area

50230 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,062.97
ArkansasArkansas—$1,053.27
ArizonaArizona—$1,118.91
Bakersfield, CACalifornia—$1,139.46
Chico, CACalifornia—$1,129.93
El Centro, CACalifornia—$1,130.48
Fresno, CACalifornia—$1,129.93
Hanford, CACalifornia—$1,129.93

50230 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
50230 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 50230 in every payment locality

How the 50230 rate is calculated

Each of 50230’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 · 50230

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.21

23.21 RVUs× 1.000 GPCI

Practice expense7.73

7.73 RVUs× 1.000 GPCI

Malpractice3.27

3.27 RVUs× 1.000 GPCI

Adjusted RVUs

34.2100

Conversion factor

$33.4009

Medicare rate

$1,142.64

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

5,887

Code
50230
Physician work
23.21
Practice expense
7.73
Malpractice
3.27

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 50230 in New Mexico
ComponentRVULocality factorAdjusted
Physician work23.21× 1.00023.2100
Practice expense7.73× 0.9177.0884
Malpractice3.27× 1.2013.9273
Total RVUs34.2257
Conversion factor× 33.4009

Facility rate, New Mexico$1143.17

Facility: (23.21 × 1 + 7.73 × 0.917 + 3.27 × 1.201) × $33.4009 = $1143.17

Open 50230 in the RVU calculator

Payment rules and modifiers for 50230

50230 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50230

Radical nephrectomy, open, with regional or caval work

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 50230

Radical nephrectomy, open, with regional or caval work

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

50230 without 50 · national facility

$1,142.64

Radical nephrectomy, open, with regional or caval work

50230-50 · Bilateral: 150%

$1,713.96

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

How 50230 has changed in New Mexico

50230 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,143.17RVU26D
2026-07-01Not available in this setting$1,143.17RVU26C
2026-04-01Not available in this setting$1,143.17RVU26B
2026-01-01Not available in this setting$1,143.17RVU26A
2025-10-01Not available in this setting$1,220.97RVU25D
2025-07-01Not available in this setting$1,220.97RVU25C
2025-04-01Not available in this setting$1,220.97RVU25B
2025-01-01Not available in this setting$1,220.97RVU25A
2024-10-01Not available in this setting$1,250.19RVU24D
2024-07-01Not available in this setting$1,250.19RVU24C
2024-04-01Not available in this setting$1,250.19RVU24B
2024-03-09Not available in this setting$1,250.19RVU24AR
2024-01-01Not available in this setting$1,229.79RVU24A
2023-10-01Not available in this setting$1,258.03RVU23D
2023-07-01Not available in this setting$1,258.03RVU23C
2023-04-01Not available in this setting$1,258.03RVU23B
2023-01-01Not available in this setting$1,258.03RVU23A
2022-10-01Not available in this setting$1,274.51RVU22D
2022-07-01Not available in this setting$1,274.51RVU22C
2022-04-01Not available in this setting$1,274.51RVU22B
2022-01-01Not available in this setting$1,274.51RVU22A
2021-10-01Not available in this setting$1,279.91RVU21D
2021-07-01Not available in this setting$1,279.91RVU21C
2021-04-01Not available in this setting$1,279.91RVU21B
2021-01-01Not available in this setting$1,279.91RVU21A
2020-10-01Not available in this setting$1,324.66RVU20D
2020-07-01Not available in this setting$1,324.66RVU20C
2020-04-01Not available in this setting$1,324.66RVU20B
2020-01-01Not available in this setting$1,324.66RVU20A
2019-10-01Not available in this setting$1,333.15RVU19D
2019-07-01Not available in this setting$1,333.15RVU19C
2019-04-01Not available in this setting$1,333.15RVU19B
2019-01-01Not available in this setting$1,333.15RVU19A
2018-10-01Not available in this setting$1,332.31RVU18D
2018-07-01Not available in this setting$1,332.31RVU18C
2018-04-01Not available in this setting$1,332.31RVU18B
2018-01-01Not available in this setting$1,332.31RVU18AR1
2017-10-01Not available in this setting$1,320.74RVU17D
2017-07-01Not available in this setting$1,320.74RVU17C
2017-04-01Not available in this setting$1,320.74RVU17B
2017-01-01Not available in this setting$1,320.74RVU17A
2016-10-01Not available in this setting$1,306.33RVU16D
2016-07-01Not available in this setting$1,306.33RVU16C
2016-04-01Not available in this setting$1,306.33RVU16B
2016-01-01Not available in this setting$1,306.33RVU16A
2015-10-01Not available in this setting$1,309.48RVU15D
2015-07-01Not available in this setting$1,309.48RVU15C
2015-04-01Not available in this setting$1,302.97RVU15B
2015-01-01Not available in this setting$1,302.97RVU15A
2014-10-01Not available in this setting$1,279.15RVU14D
2014-07-01Not available in this setting$1,279.15RVU14C
2014-04-01Not available in this setting$1,279.15RVU14B
2014-01-01Not available in this setting$1,279.15RVU14A
2013-10-01Not available in this setting$1,226.97RVU13D
2013-07-01Not available in this setting$1,226.97RVU13C
2013-04-01Not available in this setting$1,226.97RVU13B
2013-01-01Not available in this setting$1,226.97RVU13AR

Price 50230 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

50230 billing questions

How does 50230 differ from 50220?

50230 is for open radical nephrectomy with regional lymphadenectomy and/or vena caval thrombectomy. 50220 describes kidney removal with partial ureterectomy without that specified radical nodal or caval work.

What documentation supports 50230?

The operative report should establish the open approach and describe the nephrectomy and partial ureter removal, as well as the regional lymph-node or vena caval work performed.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.

How is bilateral 50230 paid?

CMS lists this as a bilateral procedure; reporting modifier 50 results in payment at 150%.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made, and co-surgeons are permitted. CMS does not permit team surgery for this code.

What happens when 50230 is performed with other procedures in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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 50230PPRRVU2026_Oct_nonQPP.csv, line 5,887 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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