CPT code 50396: Kidney pressure test, intrarenal pressure measurement2026 Medicare rate & RVUs in South Dakota
Reports percutaneous measurement of pressure within the renal collecting system, typically during evaluation of suspected urinary outflow obstruction.
In South Dakota, Medicare pays $95.77 for 50396 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50396 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 50396 covers
This service measures pressure within the kidney’s collecting system by introducing a needle and injecting fluid while pressure is assessed. Urologists and interventional radiologists may perform it during a diagnostic workup for suspected obstruction, such as when evaluating impaired drainage at the ureteropelvic junction. The procedure may include contrast injection, but the defining service is the pressure measurement rather than imaging alone.
Report the code when the documented service is an intrarenal pressure study, not simply renal-pelvis access, drainage, or a contrast study. The record should support the indication, percutaneous technique, pressure measurement, and any contrast used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same 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 requires medical-necessity documentation; 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 50396
Across 109 of 109 payment localities, the facility rate for 50396 runs from $93.38 in Arkansas to $132.92 in Alaska. South Dakota pays $95.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$95.77
- Los Angeles, CA · California$105.40+$9.63
- Washington, DC area · District of Columbia$109.16+$13.39
- Miami, FL · Florida$111.46+$15.69
- Chicago, IL · Illinois$109.46+$13.69
- Manhattan, NY · New York$112.59+$16.82
- Alaska · Alaska$132.92+$37.15
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $94.13 |
| ArkansasArkansas | — | $93.38 |
| ArizonaArizona | — | $98.45 |
| Bakersfield, CACalifornia | — | $101.32 |
| Chico, CACalifornia | — | $100.70 |
| El Centro, CACalifornia | — | $100.73 |
| Fresno, CACalifornia | — | $100.70 |
| Hanford, CACalifornia | — | $100.70 |
| Madera, CACalifornia | — | $100.70 |
| Merced, CACalifornia | — | $100.70 |
| Modesto, CACalifornia | — | $100.70 |
| Napa, CACalifornia | — | $109.28 |
| Oxnard, CACalifornia | — | $104.21 |
| Redding, CACalifornia | — | $100.70 |
| Rest of CaliforniaCalifornia | — | $100.70 |
| Riverside, CACalifornia | — | $102.88 |
| Sacramento, CACalifornia | — | $103.69 |
| Salinas, CACalifornia | — | $103.25 |
| San Diego, CACalifornia | — | $104.16 |
| Marin County, CACalifornia | — | $113.47 |
| San Francisco, CACalifornia | — | $113.24 |
| San Benito County, CACalifornia | — | $115.82 |
| Santa Clara County, CACalifornia | — | $114.89 |
| San Luis Obispo, CACalifornia | — | $101.79 |
| Santa Cruz, CACalifornia | — | $103.99 |
| Santa Maria, CACalifornia | — | $103.22 |
| Santa Rosa, CACalifornia | — | $104.93 |
| Stockton, CACalifornia | — | $100.70 |
| Vallejo, CACalifornia | — | $108.95 |
| Visalia, CACalifornia | — | $100.70 |
| Yuba City, CACalifornia | — | $100.70 |
| ColoradoColorado | — | $101.18 |
| ConnecticutConnecticut | — | $104.92 |
| DelawareDelaware | — | $99.56 |
| Fort Lauderdale, FLFlorida | — | $105.93 |
| Rest of FloridaFlorida | — | $102.45 |
| Atlanta, GAGeorgia | — | $102.16 |
| Rest of GeorgiaGeorgia | — | $98.74 |
| Hawaii, Guam, HIHawaii | — | $100.87 |
| IowaIowa | — | $94.02 |
| IdahoIdaho | — | $94.65 |
| East St. Louis, ILIllinois | — | $104.95 |
| Rest of IllinoisIllinois | — | $101.76 |
| Suburban Chicago, ILIllinois | — | $106.52 |
| IndianaIndiana | — | $94.92 |
| KansasKansas | — | $94.45 |
| KentuckyKentucky | — | $96.82 |
| New Orleans, LALouisiana | — | $99.61 |
| Rest of LouisianaLouisiana | — | $97.00 |
| Metropolitan Boston, MAMassachusetts | — | $107.19 |
| Rest of MassachusettsMassachusetts | — | $101.28 |
| Baltimore area, MDMaryland | — | $104.73 |
| Rest of MarylandMaryland | — | $100.64 |
| Rest of MaineMaine | — | $95.65 |
| Southern Maine, MEMaine | — | $97.51 |
| Detroit, MIMichigan | — | $103.90 |
| Rest of MichiganMichigan | — | $98.86 |
| MinnesotaMinnesota | — | $96.24 |
| Metropolitan Kansas City, MOMissouri | — | $98.50 |
| Metropolitan St. Louis, MOMissouri | — | $99.00 |
| Rest of MissouriMissouri | — | $96.53 |
| MississippiMississippi | — | $94.93 |
| MontanaMontana | — | $100.19 |
| North CarolinaNorth Carolina | — | $96.09 |
| North DakotaNorth Dakota | — | $96.23 |
| NebraskaNebraska | — | $94.09 |
| New HampshireNew Hampshire | — | $100.41 |
| Northern New JerseyNew Jersey | — | $109.01 |
| Rest of New JerseyNew Jersey | — | $105.91 |
| New MexicoNew Mexico | — | $99.44 |
| NevadaNevada | — | $99.11 |
| NYC suburbs and Long Island, NYNew York | — | $115.09 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $107.08 |
| Queens, NYNew York | — | $112.14 |
| Rest of New YorkNew York | — | $96.95 |
| OhioOhio | — | $98.05 |
| OklahomaOklahoma | — | $96.00 |
| Portland, OROregon | — | $102.40 |
| Rest of OregonOregon | — | $98.12 |
| Metropolitan Philadelphia, PAPennsylvania | — | $103.76 |
| Rest of PennsylvaniaPennsylvania | — | $97.75 |
| Puerto RicoPuerto Rico | — | $100.38 |
| Rhode IslandRhode Island | — | $101.61 |
| South CarolinaSouth Carolina | — | $97.27 |
| TennesseeTennessee | — | $94.80 |
| Austin, TXTexas | — | $101.05 |
| Beaumont, TXTexas | — | $97.44 |
| Brazoria, TXTexas | — | $99.05 |
| Dallas, TXTexas | — | $99.77 |
| Fort Worth, TXTexas | — | $99.60 |
| Galveston, TXTexas | — | $99.42 |
| Houston, TXTexas | — | $103.08 |
| Rest of TexasTexas | — | $98.26 |
| UtahUtah | — | $98.00 |
| VirginiaVirginia | — | $97.81 |
| Virgin Islands, VIUnited States Virgin Islands | — | $100.38 |
| VermontVermont | — | $96.65 |
| Rest of WashingtonWashington | — | $100.84 |
| King County, WAWashington | — | $108.15 |
| WisconsinWisconsin | — | $94.51 |
| West VirginiaWest Virginia | — | $99.76 |
| WyomingWyoming | — | $98.47 |
50396 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 50396 rate is calculated
Each of 50396’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 · 50396
RVUs × geographic indexes × conversion factor
Work2.04
2.04 RVUs× 1.000 GPCI
Practice expense0.76
0.76 RVUs× 1.000 GPCI
Malpractice0.20
0.20 RVUs× 1.000 GPCI
Adjusted RVUs
3.0000
Conversion factor
$33.4009
Medicare rate
$100.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,914
- Code
- 50396
- Physician work
- 2.04
- Practice expense
- 0.76
- Malpractice
- 0.20
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.04 | × 1.000 | 2.0400 |
| Practice expense | 0.76 | × 1.000 | 0.7600 |
| Malpractice | 0.20 | × 0.336 | 0.0672 |
| Total RVUs | 2.8672 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, South Dakota$95.77
Facility: (2.04 × 1 + 0.76 × 1 + 0.2 × 0.336) × $33.4009 = $95.77
Payment rules and modifiers for 50396
The CMS indicators that decide how 50396 is paid alongside other services.
CMS payment indicators · 50396
Kidney pressure test, intrarenal pressure measurement
| 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) | 0 | Not paid without supporting documentation. |
| 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
50396 without 50 · national facility
$100.20
Kidney pressure test, intrarenal pressure measurement
50396-50 · Bilateral: 150%
$150.30
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 50396 has changed in South Dakota
50396 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $95.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $95.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $95.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $95.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $107.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $107.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $107.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $107.67 | RVU25A |
| 2024-10-01 | Not available in this setting | $109.60 | RVU24D |
| 2024-07-01 | Not available in this setting | $109.60 | RVU24C |
| 2024-04-01 | Not available in this setting | $109.60 | RVU24B |
| 2024-03-09 | Not available in this setting | $109.60 | RVU24AR |
| 2024-01-01 | Not available in this setting | $107.81 | RVU24A |
| 2023-10-01 | Not available in this setting | $111.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $111.46 | RVU23C |
| 2023-04-01 | Not available in this setting | $111.46 | RVU23B |
| 2023-01-01 | Not available in this setting | $111.46 | RVU23A |
| 2022-10-01 | Not available in this setting | $112.90 | RVU22D |
| 2022-07-01 | Not available in this setting | $112.90 | RVU22C |
| 2022-04-01 | Not available in this setting | $112.90 | RVU22B |
| 2022-01-01 | Not available in this setting | $112.90 | RVU22A |
| 2021-10-01 | Not available in this setting | $113.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $113.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $113.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $113.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $117.61 | RVU20D |
| 2020-07-01 | Not available in this setting | $117.61 | RVU20C |
| 2020-04-01 | Not available in this setting | $117.61 | RVU20B |
| 2020-01-01 | Not available in this setting | $117.61 | RVU20A |
| 2019-10-01 | Not available in this setting | $117.85 | RVU19D |
| 2019-07-01 | Not available in this setting | $117.85 | RVU19C |
| 2019-04-01 | Not available in this setting | $117.85 | RVU19B |
| 2019-01-01 | Not available in this setting | $117.85 | RVU19A |
| 2018-10-01 | Not available in this setting | $118.08 | RVU18D |
| 2018-07-01 | Not available in this setting | $118.08 | RVU18C |
| 2018-04-01 | Not available in this setting | $118.08 | RVU18B |
| 2018-01-01 | Not available in this setting | $118.08 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $117.75 | RVU17D |
| 2017-07-01 | Not available in this setting | $117.75 | RVU17C |
| 2017-04-01 | Not available in this setting | $117.75 | RVU17B |
| 2017-01-01 | Not available in this setting | $117.75 | RVU17A |
| 2016-10-01 | Not available in this setting | $118.23 | RVU16D |
| 2016-07-01 | Not available in this setting | $118.23 | RVU16C |
| 2016-04-01 | Not available in this setting | $118.23 | RVU16B |
| 2016-01-01 | Not available in this setting | $118.23 | RVU16A |
| 2015-10-01 | Not available in this setting | $119.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $119.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $118.49 | RVU15B |
| 2015-01-01 | Not available in this setting | $118.49 | RVU15A |
| 2014-10-01 | Not available in this setting | $117.82 | RVU14D |
| 2014-07-01 | Not available in this setting | $117.82 | RVU14C |
| 2014-04-01 | Not available in this setting | $117.82 | RVU14B |
| 2014-01-01 | Not available in this setting | $117.82 | RVU14A |
| 2013-10-01 | Not available in this setting | $107.73 | RVU13D |
| 2013-07-01 | Not available in this setting | $107.73 | RVU13C |
| 2013-04-01 | Not available in this setting | $107.73 | RVU13B |
| 2013-01-01 | Not available in this setting | $107.73 | RVU13AR |
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
50396 billing questions
When should this be reported instead of a nephrostogram?
Report this code for a documented intrarenal pressure measurement. A nephrostogram evaluates the collecting system with contrast imaging; imaging alone does not represent a pressure study.
Does contrast injection by itself support this code?
No. Contrast may be used during the pressure study, but the service must include measurement of intrarenal pressure.
How is bilateral performance reported?
When the procedure is performed bilaterally, report modifier 50. CMS pays the bilateral procedure at 150%.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and pays other procedures at 50%.
What care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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
Fee sheets · Coming soon
Put 50396 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist