CPT code 50433: Catheter placement, nephroureteral catheter2026 Medicare rate & RVUs in Nevada

Report percutaneous placement of a catheter extending from the kidney through the ureter, commonly to provide drainage across a ureteral obstruction.

CMS RVU26DEffective Oct 1, 2026One payment locality4.6K Medicare services in 2024

In Nevada, Medicare pays $1,072.78 for 50433 in the office and $216.53 when it’s performed in a hospital or facility.

$1,072.78Office (non-facility)
$216.53Hospital or facility
−0.2%vs the national office rate ($1,074.84)

Check a contract rate as a % of Medicare · 50433 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 50433 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 50433 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 50433 covers

An interventional radiologist typically accesses the kidney’s collecting system through the skin and advances a nephroureteral catheter through the ureter, often into the bladder. The catheter can provide drainage across a ureteral obstruction or other condition that prevents normal urine flow. Imaging guidance is used to place the catheter, and diagnostic nephrostogram or ureterogram imaging performed as part of the placement is included. The service is commonly performed in a hospital or imaging center.

Report 50433 when the documented service places a nephroureteral catheter, rather than a catheter that remains in the kidney as in 50432. The procedure note should support the indication, percutaneous access, catheter course and endpoint, and laterality. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral procedures, modifier 50 is paid at 150%. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. 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 Nevada compares for 50433

Across 109 of 109 payment localities, the office rate for 50433 runs from $940.37 in Arkansas to $1,479.32 in San Benito County, CA. Nevada pays $1,072.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

50433 in Nevada vs other payment areas
  1. Nevada · this page$1,072.78
  2. Los Angeles, CA · California$1,239.01+$166.23
  3. Washington, DC area · District of Columbia$1,244.63+$171.85
  4. Miami, FL · Florida$1,138.51+$65.73
  5. Chicago, IL · Illinois$1,103.38+$30.60
  6. Manhattan, NY · New York$1,240.37+$167.59
  7. Alaska · Alaska$1,207.09+$134.31

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

Every other payment area

50433 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$955.56$207.08
ArkansasArkansas$940.37$205.58
ArizonaArizona$1,044.61$215.74
Bakersfield, CACalifornia$1,156.75$219.24
Chico, CACalifornia$1,155.13$217.61
El Centro, CACalifornia$1,155.22$217.70
Fresno, CACalifornia$1,155.13$217.61
Hanford, CACalifornia$1,155.13$217.61

50433 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.

$940.37

$1,317.23

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

View every state and territory as a table
50433 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,207.091
AL$955.561
AR$940.371
AZ$1,044.611
CA$1,155.13–$1,479.3229
CO$1,130.081
CT$1,150.591
DC$1,244.631
DE$1,063.161
FL$1,044.46–$1,138.513
GA$981.82–$1,093.182
GU$1,189.701
HI$1,189.701
IA$988.281
ID$994.091
IL$1,007.13–$1,113.764
IN$1,000.571
KS$980.351
KY$974.231
LA$971.42–$1,024.572
MA$1,121.20–$1,252.842
MD$1,085.75–$1,244.633
ME$996.72–$1,060.272
MI$999.45–$1,055.742
MN$1,088.271
MO$951.17–$1,032.023
MS$946.121
MT$1,074.811
NC$1,008.631
ND$1,064.331
NE$995.081
NH$1,109.231
NJ$1,165.27–$1,229.252
NM$1,004.301
NV$1,072.781
NY$1,024.94–$1,269.275
OH$997.311
OK$975.361
OR$1,066.01–$1,172.042
PA$1,000.66–$1,117.822
PR$1,084.401
RI$1,105.511
SC$1,004.331
SD$1,063.091
TN$985.401
TX$993.23–$1,124.938
UT$1,019.471
VA$1,054.46–$1,244.632
VI$1,084.401
VT$1,057.171
WA$1,120.07–$1,282.492
WI$1,025.091
WV$965.511
WY$1,070.241

See 50433 in every payment locality

How the 50433 rate is calculated

Each of 50433’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 · 50433

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.92

4.92 RVUs× 1.000 GPCI

Practice expense26.73

26.73 RVUs× 1.000 GPCI

Malpractice0.53

0.53 RVUs× 1.000 GPCI

Adjusted RVUs

32.1800

Conversion factor

$33.4009

Medicare rate

$1,074.84

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,920

Code
50433
Physician work
4.92
Practice expense
26.73
Malpractice
0.53

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 50433 in Nevada
ComponentRVULocality factorAdjusted
Physician work4.92× 1.0004.9200
Practice expense26.73× 1.00126.7567
Malpractice0.53× 0.8330.4415
Total RVUs32.1182
Conversion factor× 33.4009

Office rate, Nevada$1072.78

Office: (4.92 × 1 + 26.73 × 1.001 + 0.53 × 0.833) × $33.4009 = $1072.78

Facility: (4.92 × 1 + 1.12 × 1.001 + 0.53 × 0.833) × $33.4009 = $216.53

Open 50433 in the RVU calculator

Payment rules and modifiers for 50433

The CMS indicators that decide how 50433 is paid alongside other services.

CMS payment indicators · 50433

Catheter placement, nephroureteral catheter

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

50433 without 50 · national office

$1,074.84

Catheter placement, nephroureteral catheter

50433-50 · Bilateral: 150%

$1,612.26

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 50433 has changed in Nevada

50433 · Office / nonfacility

$1072.78

Effective 2026-10-01

The base rate is $24.42 higher than on 2025-10-01, moving from $1048.36 to $1072.78 (2.3%).

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

    $1048.36changed to$1072.78

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.05 changed to 4.92
    • Practice expense RVU 26.93 changed to 26.73
    • Malpractice RVU 0.51 changed to 0.53
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1105.11changed to$1048.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 27.71 changed to 26.93
    • Malpractice RVU 0.52 changed to 0.51

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1087.07changed to$1105.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1160.30changed to$1087.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 28.63 changed to 27.71
    • Malpractice RVU 0.51 changed to 0.52
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $1214.10changed to$1160.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 29.40 changed to 28.63
    • Malpractice RVU 0.45 changed to 0.51
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1234.63changed to$1214.10

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 29.70 changed to 29.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1184.01changed to$1234.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 27.24 changed to 29.70
    • Malpractice RVU 0.44 changed to 0.45
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1140.93changed to$1184.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 25.76 changed to 27.24
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1094.97changed to$1140.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 24.53 changed to 25.76
    • Malpractice RVU 0.45 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1106.41changed to$1094.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 24.50 changed to 24.53
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1207.07changed to$1106.41

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 5.30 changed to 5.05
    • Practice expense RVU 26.57 changed to 24.50
    • Malpractice RVU 0.47 changed to 0.45
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    No ratechanged to$1207.07

    Held through RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,072.78$216.53RVU26D
2026-07-01$1,072.78$216.53RVU26C
2026-04-01$1,072.78$216.53RVU26B
2026-01-01$1,072.78$216.53RVU26A
2025-10-01$1,048.36$239.05RVU25D
2025-07-01$1,048.36$239.05RVU25C
2025-04-01$1,048.36$239.05RVU25B
2025-01-01$1,048.36$239.05RVU25A
2024-10-01$1,105.11$243.63RVU24D
2024-07-01$1,105.11$243.63RVU24C
2024-04-01$1,105.11$243.63RVU24B
2024-03-09$1,105.11$243.63RVU24AR
2024-01-01$1,087.07$239.65RVU24A
2023-10-01$1,160.30$253.14RVU23D
2023-07-01$1,160.30$253.14RVU23C
2023-04-01$1,160.30$253.14RVU23B
2023-01-01$1,160.30$253.14RVU23A
2022-10-01$1,214.10$260.00RVU22D
2022-07-01$1,214.10$260.00RVU22C
2022-04-01$1,214.10$260.00RVU22B
2022-01-01$1,214.10$260.00RVU22A
2021-10-01$1,234.63$262.86RVU21D
2021-07-01$1,234.63$262.86RVU21C
2021-04-01$1,234.63$262.86RVU21B
2021-01-01$1,234.63$262.86RVU21A
2020-10-01$1,184.01$269.86RVU20D
2020-07-01$1,184.01$269.86RVU20C
2020-04-01$1,184.01$269.86RVU20B
2020-01-01$1,184.01$269.86RVU20A
2019-10-01$1,140.93$268.25RVU19D
2019-07-01$1,140.93$268.25RVU19C
2019-04-01$1,140.93$268.25RVU19B
2019-01-01$1,140.93$268.25RVU19A
2018-10-01$1,094.97$269.38RVU18D
2018-07-01$1,094.97$269.38RVU18C
2018-04-01$1,094.97$269.38RVU18B
2018-01-01$1,094.97$269.38RVU18AR1
2017-10-01$1,106.41$271.83RVU17D
2017-07-01$1,106.41$271.83RVU17C
2017-04-01$1,106.41$271.83RVU17B
2017-01-01$1,106.41$271.83RVU17A
2016-10-01$1,207.07$287.01RVU16D
2016-07-01$1,207.07$287.01RVU16C
2016-04-01$1,207.07$287.01RVU16B
2016-01-01$1,207.07$287.01RVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 50433 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

50433 billing questions

How is 50433 different from 50432?

50433 is for a catheter advanced through the ureter as a nephroureteral catheter. Use 50432 when the catheter is placed in the kidney and does not extend through the ureter.

Can the nephrostogram or ureterogram be billed separately?

Diagnostic nephrostogram or ureterogram imaging performed as part of the catheter placement is included in 50433.

When should 50434 be considered instead?

50434 describes converting an existing nephrostomy catheter to a nephroureteral catheter. 50433 describes placement of the nephroureteral catheter rather than conversion of an existing catheter.

How should bilateral placement be reported?

For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.

What happens when other procedures are performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%. Same-day preoperative and postoperative care is included in 50433’s 0-day global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is restricted for 50433. 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
RVUs for 50433PPRRVU2026_Oct_nonQPP.csv, line 5,920 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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