CPT code 50434: Catheter conversion, nephrostomy to nephroureteral2026 Medicare rate & RVUs in King County, WA
Reports percutaneous conversion of an existing nephrostomy catheter into a nephroureteral catheter, carrying the catheter through the ureter toward the bladder.
In King County, WA, Medicare pays $1,034.20 for 50434 in the office and $177.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50434 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 50434 covers
An interventional radiologist or other qualified physician uses an existing percutaneous kidney access to redirect a nephrostomy catheter through the ureter, typically positioning its distal end in the bladder. This changes the drainage route from a catheter confined to the kidney to one that traverses the ureter. Fluoroscopic or other imaging guidance and a contrast study of the collecting system or ureter may be part of the procedure.
Report 50434 when an existing nephrostomy catheter is converted; documentation should identify the prior access and catheter, the route established, and the final catheter position. Imaging guidance, associated radiological supervision and interpretation, and a nephrostogram or ureterogram when performed are included. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures at 50%. For bilateral conversion, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 King County, WA compares for 50434
Across 109 of 109 payment localities, the office rate for 50434 runs from $755.63 in Arkansas to $1,194.46 in San Benito County, CA. King County, WA pays $1,034.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- King County, WA · this page$1,034.20
- Rest of Washington · Washington$902.04−$132.16
- Los Angeles, CA · California$998.93−$35.27
- Washington, DC area · District of Columbia$1,003.02−$31.18
- Miami, FL · Florida$915.92−$118.28
- Chicago, IL · Illinois$887.32−$146.88
- Manhattan, NY · New York$999.05−$35.15
Other areas in Washington first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $967.45 | $223.64 |
| AlabamaAlabama | $768.00 | $156.89 |
| ArkansasArkansas | $755.63 | $155.70 |
| ArizonaArizona | $840.51 | $163.75 |
| Bakersfield, CACalifornia | $932.05 | $166.59 |
| Chico, CACalifornia | $930.80 | $165.34 |
| El Centro, CACalifornia | $930.87 | $165.41 |
| Fresno, CACalifornia | $930.80 | $165.34 |
| Hanford, CACalifornia | $930.80 | $165.34 |
| Madera, CACalifornia | $930.80 | $165.34 |
| Merced, CACalifornia | $930.80 | $165.34 |
| Modesto, CACalifornia | $930.80 | $165.34 |
| Napa, CACalifornia | $1,097.91 | $177.41 |
| Oxnard, CACalifornia | $996.05 | $170.52 |
| Redding, CACalifornia | $930.80 | $165.34 |
| Rest of CaliforniaCalifornia | $930.80 | $165.34 |
| Riverside, CACalifornia | $935.27 | $169.81 |
| Sacramento, CACalifornia | $981.98 | $169.73 |
| Salinas, CACalifornia | $978.45 | $168.99 |
| San Diego, CACalifornia | $1,005.39 | $170.09 |
| Marin County, CACalifornia | $1,168.24 | $183.47 |
| San Francisco, CACalifornia | $1,167.77 | $183.01 |
| San Benito County, CACalifornia | $1,194.46 | $187.35 |
| Santa Clara County, CACalifornia | $1,192.55 | $185.44 |
| San Luis Obispo, CACalifornia | $962.16 | $166.67 |
| Santa Cruz, CACalifornia | $1,018.06 | $169.49 |
| Santa Maria, CACalifornia | $983.19 | $168.84 |
| Santa Rosa, CACalifornia | $1,028.64 | $170.99 |
| Stockton, CACalifornia | $930.80 | $165.34 |
| Vallejo, CACalifornia | $1,097.24 | $176.74 |
| Visalia, CACalifornia | $930.80 | $165.34 |
| Yuba City, CACalifornia | $930.80 | $165.34 |
| ColoradoColorado | $910.22 | $167.11 |
| ConnecticutConnecticut | $926.55 | $174.36 |
| DelawareDelaware | $855.56 | $165.53 |
| Fort Lauderdale, FLFlorida | $885.63 | $178.14 |
| Rest of FloridaFlorida | $839.89 | $172.21 |
| Atlanta, GAGeorgia | $879.87 | $170.28 |
| Rest of GeorgiaGeorgia | $788.97 | $165.98 |
| Hawaii, Guam, HIHawaii | $959.21 | $165.12 |
| IowaIowa | $794.85 | $155.80 |
| IdahoIdaho | $799.54 | $157.00 |
| East St. Louis, ILIllinois | $820.64 | $178.10 |
| Rest of IllinoisIllinois | $809.36 | $171.71 |
| Suburban Chicago, ILIllinois | $896.20 | $178.93 |
| IndianaIndiana | $804.82 | $157.39 |
| KansasKansas | $788.29 | $156.93 |
| KentuckyKentucky | $782.98 | $162.10 |
| New Orleans, LALouisiana | $823.93 | $166.72 |
| Rest of LouisianaLouisiana | $780.66 | $162.56 |
| Metropolitan Boston, MAMassachusetts | $1,010.04 | $176.14 |
| Rest of MassachusettsMassachusetts | $902.90 | $167.48 |
| Baltimore area, MDMaryland | $923.51 | $174.12 |
| Rest of MarylandMaryland | $873.93 | $167.14 |
| Rest of MaineMaine | $801.58 | $159.04 |
| Southern Maine, MEMaine | $853.47 | $161.34 |
| Detroit, MIMichigan | $848.96 | $174.99 |
| Rest of MichiganMichigan | $803.41 | $165.76 |
| MinnesotaMinnesota | $876.59 | $157.92 |
| Metropolitan Kansas City, MOMissouri | $820.29 | $164.48 |
| Metropolitan St. Louis, MOMissouri | $830.11 | $165.22 |
| Rest of MissouriMissouri | $764.11 | $162.07 |
| MississippiMississippi | $760.16 | $158.82 |
| MontanaMontana | $865.06 | $166.64 |
| North CarolinaNorth Carolina | $811.29 | $159.67 |
| North DakotaNorth Dakota | $856.95 | $158.54 |
| NebraskaNebraska | $800.42 | $155.79 |
| New HampshireNew Hampshire | $893.27 | $166.22 |
| Northern New JerseyNew Jersey | $990.38 | $180.22 |
| Rest of New JerseyNew Jersey | $938.38 | $175.72 |
| New MexicoNew Mexico | $807.32 | $166.87 |
| NevadaNevada | $863.53 | $164.41 |
| NYC suburbs and Long Island, NYNew York | $1,022.45 | $192.04 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $942.73 | $177.97 |
| Queens, NYNew York | $1,011.66 | $186.14 |
| Rest of New YorkNew York | $824.56 | $161.07 |
| OhioOhio | $801.76 | $164.11 |
| OklahomaOklahoma | $784.01 | $160.33 |
| Portland, OROregon | $944.47 | $168.53 |
| Rest of OregonOregon | $858.10 | $162.48 |
| Metropolitan Philadelphia, PAPennsylvania | $899.82 | $172.77 |
| Rest of PennsylvaniaPennsylvania | $804.54 | $163.40 |
| Puerto RicoPuerto Rico | $872.90 | $166.80 |
| Rhode IslandRhode Island | $889.99 | $168.53 |
| South CarolinaSouth Carolina | $807.61 | $162.28 |
| South DakotaSouth Dakota | $855.99 | $157.58 |
| TennesseeTennessee | $792.39 | $157.53 |
| Austin, TXTexas | $906.06 | $167.14 |
| Beaumont, TXTexas | $798.49 | $162.93 |
| Brazoria, TXTexas | $856.49 | $164.36 |
| Dallas, TXTexas | $861.32 | $165.70 |
| Fort Worth, TXTexas | $854.21 | $165.57 |
| Galveston, TXTexas | $858.60 | $165.08 |
| Houston, TXTexas | $866.11 | $172.58 |
| Rest of TexasTexas | $826.57 | $163.77 |
| UtahUtah | $819.94 | $163.43 |
| VirginiaVirginia | $848.66 | $162.12 |
| Virgin Islands, VIUnited States Virgin Islands | $872.90 | $166.80 |
| VermontVermont | $851.03 | $159.60 |
| WisconsinWisconsin | $824.98 | $155.90 |
| West VirginiaWest Virginia | $775.47 | $168.55 |
| WyomingWyoming | $861.52 | $163.11 |
50434 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.
$755.63
$1,062.63
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 | $967.45 | 1 |
| AL | $768.00 | 1 |
| AR | $755.63 | 1 |
| AZ | $840.51 | 1 |
| CA | $930.80–$1,194.46 | 29 |
| CO | $910.22 | 1 |
| CT | $926.55 | 1 |
| DC | $1,003.02 | 1 |
| DE | $855.56 | 1 |
| FL | $839.89–$915.92 | 3 |
| GA | $788.97–$879.87 | 2 |
| GU | $959.21 | 1 |
| HI | $959.21 | 1 |
| IA | $794.85 | 1 |
| ID | $799.54 | 1 |
| IL | $809.36–$896.20 | 4 |
| IN | $804.82 | 1 |
| KS | $788.29 | 1 |
| KY | $782.98 | 1 |
| LA | $780.66–$823.93 | 2 |
| MA | $902.90–$1,010.04 | 2 |
| MD | $873.93–$1,003.02 | 3 |
| ME | $801.58–$853.47 | 2 |
| MI | $803.41–$848.96 | 2 |
| MN | $876.59 | 1 |
| MO | $764.11–$830.11 | 3 |
| MS | $760.16 | 1 |
| MT | $865.06 | 1 |
| NC | $811.29 | 1 |
| ND | $856.95 | 1 |
| NE | $800.42 | 1 |
| NH | $893.27 | 1 |
| NJ | $938.38–$990.38 | 2 |
| NM | $807.32 | 1 |
| NV | $863.53 | 1 |
| NY | $824.56–$1,022.45 | 5 |
| OH | $801.76 | 1 |
| OK | $784.01 | 1 |
| OR | $858.10–$944.47 | 2 |
| PA | $804.54–$899.82 | 2 |
| PR | $872.90 | 1 |
| RI | $889.99 | 1 |
| SC | $807.61 | 1 |
| SD | $855.99 | 1 |
| TN | $792.39 | 1 |
| TX | $798.49–$906.06 | 8 |
| UT | $819.94 | 1 |
| VA | $848.66–$1,003.02 | 2 |
| VI | $872.90 | 1 |
| VT | $851.03 | 1 |
| WA | $902.04–$1,034.20 | 2 |
| WI | $824.98 | 1 |
| WV | $775.47 | 1 |
| WY | $861.52 | 1 |
How the 50434 rate is calculated
Each of 50434’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 · 50434
RVUs × geographic indexes × conversion factor
Work3.66
3.66 RVUs× 1.000 GPCI
Practice expense21.83
21.83 RVUs× 1.000 GPCI
Malpractice0.41
0.41 RVUs× 1.000 GPCI
Adjusted RVUs
25.9000
Conversion factor
$33.4009
Medicare rate
$865.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact King County, WA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,921
- Code
- 50434
- Physician work
- 3.66
- Practice expense
- 21.83
- Malpractice
- 0.41
GPCI2026.csv
108
- Locality
- King County, WA
- Physician work
- 1.050
- Practice expense
- 1.227
- Malpractice
- 0.817
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.66 | × 1.050 | 3.8430 |
| Practice expense | 21.83 | × 1.227 | 26.7854 |
| Malpractice | 0.41 | × 0.817 | 0.3350 |
| Total RVUs | 30.9634 | ||
| Conversion factor | × 33.4009 | ||
Office rate, King County, WA$1034.20
Office: (3.66 × 1.05 + 21.83 × 1.227 + 0.41 × 0.817) × $33.4009 = $1034.20
Facility: (3.66 × 1.05 + 0.92 × 1.227 + 0.41 × 0.817) × $33.4009 = $177.25
Payment rules and modifiers for 50434
The CMS indicators that decide how 50434 is paid alongside other services.
CMS payment indicators · 50434
Catheter conversion, nephrostomy to nephroureteral
| 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
50434 without 50 · national office
$865.08
Catheter conversion, nephrostomy to nephroureteral
50434-50 · Bilateral: 150%
$1,297.62
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 50434 has changed in King County, WA
50434 · Office / nonfacility
$1034.20
Effective 2026-10-01
The base rate is $31.11 higher than on 2025-10-01, moving from $1003.09 to $1034.20 (3.1%).
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
$1003.09changed to$1034.20
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.75 changed to 3.66
- Practice expense RVU 21.94 changed to 21.83
- Malpractice RVU 0.39 changed to 0.41
- Work GPCI 1.043 changed to 1.050
- Practice expense GPCI 1.220 changed to 1.227
- Malpractice GPCI 0.853 changed to 0.817
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1058.14changed to$1003.09
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 22.57 changed to 21.94
- Malpractice RVU 0.40 changed to 0.39
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1040.87changed to$1058.14
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1096.49changed to$1040.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 23.33 changed to 22.57
- Malpractice RVU 0.37 changed to 0.40
- Work GPCI 1.039 changed to 1.043
- Practice expense GPCI 1.207 changed to 1.220
- Malpractice GPCI 0.815 changed to 0.853
January 1, 2023
RVU23A
$1134.42changed to$1096.49
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 23.98 changed to 23.33
- Malpractice RVU 0.34 changed to 0.37
- Work GPCI 1.036 changed to 1.039
- Practice expense GPCI 1.194 changed to 1.207
- Malpractice GPCI 0.776 changed to 0.815
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1149.39changed to$1134.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 24.12 changed to 23.98
- Malpractice RVU 0.33 changed to 0.34
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1077.92changed to$1149.39
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 21.99 changed to 24.12
- Malpractice RVU 0.32 changed to 0.33
- Work GPCI 1.031 changed to 1.036
- Practice expense GPCI 1.170 changed to 1.194
- Malpractice GPCI 0.854 changed to 0.776
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$999.84changed to$1077.92
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 20.58 changed to 21.99
- Malpractice RVU 0.33 changed to 0.32
- Work GPCI 1.027 changed to 1.031
- Practice expense GPCI 1.146 changed to 1.170
- Malpractice GPCI 0.931 changed to 0.854
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$951.79changed to$999.84
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 19.45 changed to 20.58
- Malpractice RVU 0.32 changed to 0.33
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$950.63changed to$951.79
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 19.46 changed to 19.45
- Malpractice RVU 0.34 changed to 0.32
- Work GPCI 1.026 changed to 1.027
- Practice expense GPCI 1.151 changed to 1.146
- Malpractice GPCI 0.713 changed to 0.931
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1031.12changed to$950.63
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.00 changed to 3.75
- Practice expense RVU 21.23 changed to 19.46
- Malpractice RVU 0.36 changed to 0.34
- Work GPCI 1.025 changed to 1.026
- Practice expense GPCI 1.155 changed to 1.151
- Malpractice GPCI 0.495 changed to 0.713
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
No ratechanged to$1031.12
Held through RVU16B, RVU16C, RVU16D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,034.20 | $177.25 | RVU26D |
| 2026-07-01 | $1,034.20 | $177.25 | RVU26C |
| 2026-04-01 | $1,034.20 | $177.25 | RVU26B |
| 2026-01-01 | $1,034.20 | $177.25 | RVU26A |
| 2025-10-01 | $1,003.09 | $195.29 | RVU25D |
| 2025-07-01 | $1,003.09 | $195.29 | RVU25C |
| 2025-04-01 | $1,003.09 | $195.29 | RVU25B |
| 2025-01-01 | $1,003.09 | $195.29 | RVU25A |
| 2024-10-01 | $1,058.14 | $198.81 | RVU24D |
| 2024-07-01 | $1,058.14 | $198.81 | RVU24C |
| 2024-04-01 | $1,058.14 | $198.81 | RVU24B |
| 2024-03-09 | $1,058.14 | $198.81 | RVU24AR |
| 2024-01-01 | $1,040.87 | $195.57 | RVU24A |
| 2023-10-01 | $1,096.49 | $201.56 | RVU23D |
| 2023-07-01 | $1,096.49 | $201.56 | RVU23C |
| 2023-04-01 | $1,096.49 | $201.56 | RVU23B |
| 2023-01-01 | $1,096.49 | $201.56 | RVU23A |
| 2022-10-01 | $1,134.42 | $202.25 | RVU22D |
| 2022-07-01 | $1,134.42 | $202.25 | RVU22C |
| 2022-04-01 | $1,134.42 | $202.25 | RVU22B |
| 2022-01-01 | $1,134.42 | $202.25 | RVU22A |
| 2021-10-01 | $1,149.39 | $204.91 | RVU21D |
| 2021-07-01 | $1,149.39 | $204.91 | RVU21C |
| 2021-04-01 | $1,149.39 | $204.91 | RVU21B |
| 2021-01-01 | $1,149.39 | $204.91 | RVU21A |
| 2020-10-01 | $1,077.92 | $212.31 | RVU20D |
| 2020-07-01 | $1,077.92 | $212.31 | RVU20C |
| 2020-04-01 | $1,077.92 | $212.31 | RVU20B |
| 2020-01-01 | $1,077.92 | $212.31 | RVU20A |
| 2019-10-01 | $999.84 | $212.65 | RVU19D |
| 2019-07-01 | $999.84 | $212.65 | RVU19C |
| 2019-04-01 | $999.84 | $212.65 | RVU19B |
| 2019-01-01 | $999.84 | $212.65 | RVU19A |
| 2018-10-01 | $951.79 | $213.73 | RVU18D |
| 2018-07-01 | $951.79 | $213.73 | RVU18C |
| 2018-04-01 | $951.79 | $213.73 | RVU18B |
| 2018-01-01 | $951.79 | $213.73 | RVU18AR1 |
| 2017-10-01 | $950.63 | $212.46 | RVU17D |
| 2017-07-01 | $950.63 | $212.46 | RVU17C |
| 2017-04-01 | $950.63 | $212.46 | RVU17B |
| 2017-01-01 | $950.63 | $212.46 | RVU17A |
| 2016-10-01 | $1,031.12 | $223.07 | RVU16D |
| 2016-07-01 | $1,031.12 | $223.07 | RVU16C |
| 2016-04-01 | $1,031.12 | $223.07 | RVU16B |
| 2016-01-01 | $1,031.12 | $223.07 | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the King County, WA rate applies
King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.
- Seattle
- Algona
- Ames Lake
- 50434 in Auburn · multiple payment areas
- Baring
- Beaux Arts Village
- Bellevue
- Black Diamond
50434 billing questions
When should 50434 be used instead of 50433?
Use 50434 when an existing nephrostomy catheter is converted to a nephroureteral catheter. Use 50433 for placement of a nephroureteral catheter rather than conversion of an existing nephrostomy catheter.
Is exchanging a nephrostomy catheter the same service?
No. A routine exchange of a nephrostomy catheter is reported with 50435; 50434 describes converting the existing access to a nephroureteral drainage route.
Can the nephrostogram or imaging guidance be billed separately?
Imaging guidance, related radiological supervision and interpretation, and a nephrostogram or ureterogram performed as part of the conversion are included in 50434.
What should the procedure note establish?
Document the existing nephrostomy access, the catheter manipulation through the ureter, and the final catheter course and position. Include imaging findings that support the conversion when imaging is performed.
How is bilateral conversion reported?
When conversion is performed on both sides, report modifier 50; CMS pays the bilateral procedure at 150%.
How does Medicare handle other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in that session are paid at 50%. The code has a 0-day global period, and Medicare does not pay an assistant at surgery.
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
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