CPT code 50391: Renal instillation, through nephrostomy access2026 Medicare rate & RVUs in Indiana
Reports delivery of a therapeutic agent into the renal pelvis or ureter through nephrostomy access, with radiologic supervision and interpretation included.
In Indiana, Medicare pays $119.09 for 50391 in the office and $79.77 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50391 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 50391 covers
This service delivers a therapeutic agent into the renal pelvis or ureter through an established nephrostomy or nephroureteral catheter. A urologist or interventional radiologist may perform it when medication or a chemolytic solution is needed in the upper urinary tract, such as treatment intended to dissolve selected urinary stones. It may occur in a hospital or an appropriately equipped outpatient setting. Radiologic supervision and interpretation are part of the service.
Report the code when the documented treatment is instillation through the specified catheter route, rather than needle aspiration or injection of a renal cyst or pelvis. The record should identify the agent, treatment purpose, access route, and radiologic work. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. 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 Indiana compares for 50391
Across 109 of 109 payment localities, the office rate for 50391 runs from $115.55 in Arkansas to $159.16 in Alaska. Indiana pays $119.09. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Indiana · this page$119.09
- Los Angeles, CA · California$137.33+$18.24
- Washington, DC area · District of Columbia$141.48+$22.39
- Miami, FL · Florida$141.79+$22.70
- Chicago, IL · Illinois$138.36+$19.27
- Manhattan, NY · New York$145.02+$25.93
- Alaska · Alaska$159.16+$40.07
Other areas in Indiana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $116.85 | $79.73 |
| ArkansasArkansas | $115.55 | $79.11 |
| ArizonaArizona | $124.38 | $83.28 |
| Bakersfield, CACalifornia | $130.66 | $84.17 |
| Chico, CACalifornia | $129.95 | $83.45 |
| El Centro, CACalifornia | $129.99 | $83.49 |
| Fresno, CACalifornia | $129.95 | $83.45 |
| Hanford, CACalifornia | $129.95 | $83.45 |
| Madera, CACalifornia | $129.95 | $83.45 |
| Merced, CACalifornia | $129.95 | $83.45 |
| Modesto, CACalifornia | $129.95 | $83.45 |
| Napa, CACalifornia | $144.96 | $89.06 |
| Oxnard, CACalifornia | $136.11 | $85.97 |
| Redding, CACalifornia | $129.95 | $83.45 |
| Rest of CaliforniaCalifornia | $129.95 | $83.45 |
| Riverside, CACalifornia | $132.55 | $86.06 |
| Sacramento, CACalifornia | $134.87 | $85.54 |
| Salinas, CACalifornia | $134.33 | $85.17 |
| San Diego, CACalifornia | $136.37 | $85.63 |
| Marin County, CACalifornia | $151.71 | $91.90 |
| San Francisco, CACalifornia | $151.44 | $91.63 |
| San Benito County, CACalifornia | $155.06 | $93.89 |
| Santa Clara County, CACalifornia | $153.95 | $92.78 |
| San Luis Obispo, CACalifornia | $132.33 | $84.01 |
| Santa Cruz, CACalifornia | $136.80 | $85.26 |
| Santa Maria, CACalifornia | $134.53 | $85.07 |
| Santa Rosa, CACalifornia | $138.09 | $86.00 |
| Stockton, CACalifornia | $129.95 | $83.45 |
| Vallejo, CACalifornia | $144.57 | $88.66 |
| Visalia, CACalifornia | $129.95 | $83.45 |
| Yuba City, CACalifornia | $129.95 | $83.45 |
| ColoradoColorado | $129.82 | $84.68 |
| ConnecticutConnecticut | $134.49 | $88.80 |
| DelawareDelaware | $126.10 | $84.19 |
| Fort Lauderdale, FLFlorida | $134.46 | $91.48 |
| Rest of FloridaFlorida | $128.85 | $88.30 |
| Atlanta, GAGeorgia | $129.95 | $86.85 |
| Rest of GeorgiaGeorgia | $122.81 | $84.97 |
| Hawaii, Guam, HIHawaii | $131.48 | $83.25 |
| IowaIowa | $117.71 | $78.90 |
| IdahoIdaho | $118.60 | $79.57 |
| East St. Louis, ILIllinois | $130.95 | $91.92 |
| Rest of IllinoisIllinois | $126.95 | $88.22 |
| Suburban Chicago, ILIllinois | $135.39 | $91.83 |
| KansasKansas | $117.96 | $79.61 |
| KentuckyKentucky | $120.42 | $82.71 |
| New Orleans, LALouisiana | $125.08 | $85.16 |
| Rest of LouisianaLouisiana | $120.54 | $83.00 |
| Metropolitan Boston, MAMassachusetts | $139.75 | $89.10 |
| Rest of MassachusettsMassachusetts | $129.59 | $84.92 |
| Baltimore area, MDMaryland | $134.23 | $88.71 |
| Rest of MarylandMaryland | $127.90 | $84.98 |
| Rest of MaineMaine | $119.79 | $80.77 |
| Southern Maine, MEMaine | $123.80 | $81.76 |
| Detroit, MIMichigan | $130.82 | $89.88 |
| Rest of MichiganMichigan | $123.47 | $84.74 |
| MinnesotaMinnesota | $123.22 | $79.57 |
| Metropolitan Kansas City, MOMissouri | $123.69 | $83.86 |
| Metropolitan St. Louis, MOMissouri | $124.61 | $84.23 |
| Rest of MissouriMissouri | $119.40 | $82.83 |
| MississippiMississippi | $117.46 | $80.94 |
| MontanaMontana | $127.24 | $84.82 |
| North CarolinaNorth Carolina | $120.65 | $81.07 |
| North DakotaNorth Dakota | $122.50 | $80.08 |
| NebraskaNebraska | $118.00 | $78.85 |
| New HampshireNew Hampshire | $128.53 | $84.37 |
| Northern New JerseyNew Jersey | $140.69 | $91.49 |
| Rest of New JerseyNew Jersey | $135.69 | $89.37 |
| New MexicoNew Mexico | $124.27 | $85.37 |
| NevadaNevada | $125.97 | $83.51 |
| NYC suburbs and Long Island, NYNew York | $148.69 | $98.25 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $137.08 | $90.63 |
| Queens, NYNew York | $144.97 | $94.84 |
| Rest of New YorkNew York | $122.10 | $81.81 |
| OhioOhio | $122.50 | $83.77 |
| OklahomaOklahoma | $119.54 | $81.66 |
| Portland, OROregon | $132.38 | $85.25 |
| Rest of OregonOregon | $124.65 | $82.41 |
| Metropolitan Philadelphia, PAPennsylvania | $132.23 | $88.07 |
| Rest of PennsylvaniaPennsylvania | $122.27 | $83.33 |
| Puerto RicoPuerto Rico | $127.75 | $84.86 |
| Rhode IslandRhode Island | $129.43 | $85.61 |
| South CarolinaSouth Carolina | $121.84 | $82.65 |
| South DakotaSouth Dakota | $121.93 | $79.52 |
| TennesseeTennessee | $118.50 | $79.94 |
| Austin, TXTexas | $129.69 | $84.81 |
| Beaumont, TXTexas | $121.70 | $83.10 |
| Brazoria, TXTexas | $125.51 | $83.47 |
| Dallas, TXTexas | $126.47 | $84.22 |
| Fort Worth, TXTexas | $126.02 | $84.20 |
| Galveston, TXTexas | $126.00 | $83.88 |
| Houston, TXTexas | $130.39 | $88.27 |
| Rest of TexasTexas | $123.65 | $83.40 |
| UtahUtah | $123.11 | $83.24 |
| VirginiaVirginia | $123.96 | $82.26 |
| Virgin Islands, VIUnited States Virgin Islands | $127.75 | $84.86 |
| VermontVermont | $122.74 | $80.75 |
| Rest of WashingtonWashington | $129.11 | $84.44 |
| King County, WAWashington | $141.57 | $89.52 |
| WisconsinWisconsin | $119.38 | $78.74 |
| West VirginiaWest Virginia | $123.45 | $86.59 |
| WyomingWyoming | $125.17 | $82.75 |
50391 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$115.55
$159.16
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $159.16 | 1 |
| AL | $116.85 | 1 |
| AR | $115.55 | 1 |
| AZ | $124.38 | 1 |
| CA | $129.95–$155.06 | 29 |
| CO | $129.82 | 1 |
| CT | $134.49 | 1 |
| DC | $141.48 | 1 |
| DE | $126.10 | 1 |
| FL | $128.85–$141.79 | 3 |
| GA | $122.81–$129.95 | 2 |
| GU | $131.48 | 1 |
| HI | $131.48 | 1 |
| IA | $117.71 | 1 |
| ID | $118.60 | 1 |
| IL | $126.95–$138.36 | 4 |
| IN | $119.09 | 1 |
| KS | $117.96 | 1 |
| KY | $120.42 | 1 |
| LA | $120.54–$125.08 | 2 |
| MA | $129.59–$139.75 | 2 |
| MD | $127.90–$141.48 | 3 |
| ME | $119.79–$123.80 | 2 |
| MI | $123.47–$130.82 | 2 |
| MN | $123.22 | 1 |
| MO | $119.40–$124.61 | 3 |
| MS | $117.46 | 1 |
| MT | $127.24 | 1 |
| NC | $120.65 | 1 |
| ND | $122.50 | 1 |
| NE | $118.00 | 1 |
| NH | $128.53 | 1 |
| NJ | $135.69–$140.69 | 2 |
| NM | $124.27 | 1 |
| NV | $125.97 | 1 |
| NY | $122.10–$148.69 | 5 |
| OH | $122.50 | 1 |
| OK | $119.54 | 1 |
| OR | $124.65–$132.38 | 2 |
| PA | $122.27–$132.23 | 2 |
| PR | $127.75 | 1 |
| RI | $129.43 | 1 |
| SC | $121.84 | 1 |
| SD | $121.93 | 1 |
| TN | $118.50 | 1 |
| TX | $121.70–$130.39 | 8 |
| UT | $123.11 | 1 |
| VA | $123.96–$141.48 | 2 |
| VI | $127.75 | 1 |
| VT | $122.74 | 1 |
| WA | $129.11–$141.57 | 2 |
| WI | $119.38 | 1 |
| WV | $123.45 | 1 |
| WY | $125.17 | 1 |
How the 50391 rate is calculated
Each of 50391’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 · 50391
RVUs × geographic indexes × conversion factor
Work1.91
1.91 RVUs× 1.000 GPCI
Practice expense1.66
1.66 RVUs× 1.000 GPCI
Malpractice0.24
0.24 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Indiana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,913
- Code
- 50391
- Physician work
- 1.91
- Practice expense
- 1.66
- Malpractice
- 0.24
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.91 | × 1.000 | 1.9100 |
| Practice expense | 1.66 | × 0.927 | 1.5388 |
| Malpractice | 0.24 | × 0.486 | 0.1166 |
| Total RVUs | 3.5655 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Indiana$119.09
Office: (1.91 × 1 + 1.66 × 0.927 + 0.24 × 0.486) × $33.4009 = $119.09
Facility: (1.91 × 1 + 0.39 × 0.927 + 0.24 × 0.486) × $33.4009 = $79.77
Payment rules and modifiers for 50391
The CMS indicators that decide how 50391 is paid alongside other services.
CMS payment indicators · 50391
Renal instillation, through nephrostomy access
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50391 without 50 · national office
$127.26
Renal instillation, through nephrostomy access
50391-50 · Bilateral: 150%
$190.89
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).
How 50391 has changed in Indiana
50391 · Office / nonfacility
$119.09
Effective 2026-10-01
The base rate is $5.86 higher than on 2025-10-01, moving from $113.23 to $119.09 (5.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$113.23changed to$119.09
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.96 changed to 1.91
- Practice expense RVU 1.55 changed to 1.66
- Malpractice RVU 0.23 changed to 0.24
- Practice expense GPCI 0.922 changed to 0.927
- Malpractice GPCI 0.485 changed to 0.486
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$116.69changed to$113.23
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.24 changed to 0.23
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$114.78changed to$116.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$116.74changed to$114.78
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.51 changed to 1.55
- Malpractice RVU 0.23 changed to 0.24
- Practice expense GPCI 0.911 changed to 0.922
- Malpractice GPCI 0.475 changed to 0.485
January 1, 2023
RVU23A
$118.25changed to$116.74
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.50 changed to 1.51
- Practice expense GPCI 0.900 changed to 0.911
- Malpractice GPCI 0.465 changed to 0.475
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$119.69changed to$118.25
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.52 changed to 1.50
- Malpractice RVU 0.22 changed to 0.23
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$118.90changed to$119.69
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.36 changed to 1.52
- Malpractice RVU 0.23 changed to 0.22
- Practice expense GPCI 0.910 changed to 0.900
- Malpractice GPCI 0.422 changed to 0.465
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$118.61changed to$118.90
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.37 changed to 1.36
- Malpractice RVU 0.19 changed to 0.23
- Practice expense GPCI 0.919 changed to 0.910
- Malpractice GPCI 0.379 changed to 0.422
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$117.81changed to$118.61
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.35 changed to 1.37
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$117.98changed to$117.81
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.34 changed to 1.35
- Practice expense GPCI 0.920 changed to 0.919
- Malpractice GPCI 0.498 changed to 0.379
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$118.12changed to$117.98
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.32 changed to 1.34
- Malpractice RVU 0.20 changed to 0.19
- Practice expense GPCI 0.921 changed to 0.920
- Malpractice GPCI 0.617 changed to 0.498
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$119.10changed to$118.12
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.33 changed to 1.32
- Malpractice RVU 0.21 changed to 0.20
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$118.51changed to$119.10
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$117.67changed to$118.51
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.31 changed to 1.33
- Malpractice RVU 0.19 changed to 0.21
- Practice expense GPCI 0.922 changed to 0.921
- Malpractice GPCI 0.615 changed to 0.617
Held through RVU15B.
January 1, 2014
RVU14A
$114.51changed to$117.67
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.39 changed to 1.31
- Malpractice RVU 0.20 changed to 0.19
- Practice expense GPCI 0.923 changed to 0.922
- Malpractice GPCI 0.613 changed to 0.615
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $114.51
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $119.09 | $79.77 | RVU26D |
| 2026-07-01 | $119.09 | $79.77 | RVU26C |
| 2026-04-01 | $119.09 | $79.77 | RVU26B |
| 2026-01-01 | $119.09 | $79.77 | RVU26A |
| 2025-10-01 | $113.23 | $88.18 | RVU25D |
| 2025-07-01 | $113.23 | $88.18 | RVU25C |
| 2025-04-01 | $113.23 | $88.18 | RVU25B |
| 2025-01-01 | $113.23 | $88.18 | RVU25A |
| 2024-10-01 | $116.69 | $90.60 | RVU24D |
| 2024-07-01 | $116.69 | $90.60 | RVU24C |
| 2024-04-01 | $116.69 | $90.60 | RVU24B |
| 2024-03-09 | $116.69 | $90.60 | RVU24AR |
| 2024-01-01 | $114.78 | $89.12 | RVU24A |
| 2023-10-01 | $116.74 | $90.80 | RVU23D |
| 2023-07-01 | $116.74 | $90.80 | RVU23C |
| 2023-04-01 | $116.74 | $90.80 | RVU23B |
| 2023-01-01 | $116.74 | $90.80 | RVU23A |
| 2022-10-01 | $118.25 | $92.09 | RVU22D |
| 2022-07-01 | $118.25 | $92.09 | RVU22C |
| 2022-04-01 | $118.25 | $92.09 | RVU22B |
| 2022-01-01 | $118.25 | $92.09 | RVU22A |
| 2021-10-01 | $119.69 | $93.00 | RVU21D |
| 2021-07-01 | $119.69 | $93.00 | RVU21C |
| 2021-04-01 | $119.69 | $93.00 | RVU21B |
| 2021-01-01 | $119.69 | $93.00 | RVU21A |
| 2020-10-01 | $118.90 | $95.91 | RVU20D |
| 2020-07-01 | $118.90 | $95.91 | RVU20C |
| 2020-04-01 | $118.90 | $95.91 | RVU20B |
| 2020-01-01 | $118.90 | $95.91 | RVU20A |
| 2019-10-01 | $118.61 | $96.08 | RVU19D |
| 2019-07-01 | $118.61 | $96.08 | RVU19C |
| 2019-04-01 | $118.61 | $96.08 | RVU19B |
| 2019-01-01 | $118.61 | $96.08 | RVU19A |
| 2018-10-01 | $117.81 | $95.98 | RVU18D |
| 2018-07-01 | $117.81 | $95.98 | RVU18C |
| 2018-04-01 | $117.81 | $95.98 | RVU18B |
| 2018-01-01 | $117.81 | $95.98 | RVU18AR1 |
| 2017-10-01 | $117.98 | $96.19 | RVU17D |
| 2017-07-01 | $117.98 | $96.19 | RVU17C |
| 2017-04-01 | $117.98 | $96.19 | RVU17B |
| 2017-01-01 | $117.98 | $96.19 | RVU17A |
| 2016-10-01 | $118.12 | $96.36 | RVU16D |
| 2016-07-01 | $118.12 | $96.36 | RVU16C |
| 2016-04-01 | $118.12 | $96.36 | RVU16B |
| 2016-01-01 | $118.12 | $96.36 | RVU16A |
| 2015-10-01 | $119.10 | $97.59 | RVU15D |
| 2015-07-01 | $119.10 | $97.59 | RVU15C |
| 2015-04-01 | $118.51 | $97.10 | RVU15B |
| 2015-01-01 | $118.51 | $97.10 | RVU15A |
| 2014-10-01 | $117.67 | $96.20 | RVU14D |
| 2014-07-01 | $117.67 | $96.20 | RVU14C |
| 2014-04-01 | $117.67 | $96.20 | RVU14B |
| 2014-01-01 | $117.67 | $96.20 | RVU14A |
| 2013-10-01 | $114.51 | $92.52 | RVU13D |
| 2013-07-01 | $114.51 | $92.52 | RVU13C |
| 2013-04-01 | $114.51 | $92.52 | RVU13B |
| 2013-01-01 | $114.51 | $92.52 | RVU13AR |
Where the Indiana rate applies
Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Abington
- Adams
- Adams Lake
- Advance
- Akron
- Alamo
- Albany
50391 billing questions
When should this code be used instead of 50390?
Use 50391 for therapeutic delivery through a nephrostomy or nephroureteral catheter. Code 50390 describes percutaneous needle aspiration or injection of a renal cyst or pelvis.
Is radiologic supervision and interpretation separately reported?
No. Radiologic supervision and interpretation are included in this service.
What documentation supports the service?
Document the therapeutic agent, the clinical purpose, delivery through nephrostomy or nephroureteral access, and the associated radiologic work.
How is bilateral performance reported?
CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is restricted. Co-surgeons and team surgery are not permitted for this service.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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
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