CPT code 50545: Radical nephrectomy, laparoscopic approach2026 Medicare rate & RVUs in Minnesota
Reports laparoscopic removal of a kidney with surrounding tissue, typically as an oncologic operation for renal cancer.
In Minnesota, Medicare pays $1,119.29 for 50545 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50545 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 50545 covers
A urologist typically performs this operation in a hospital operating room, using laparoscopic access to remove the kidney and surrounding perinephric tissue as a radical procedure. It is commonly used for renal cancer when the planned operation removes the whole kidney rather than preserving part of it. The operative report should establish the laparoscopic approach and the extent of tissue removed.
Select this code for the radical operation actually performed, not solely because the diagnosis is cancer. A partial kidney resection, simple nephrectomy, or operation that also removes the ureter may point to a different code. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, 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 Minnesota compares for 50545
Across 109 of 109 payment localities, the facility rate for 50545 runs from $1,097.63 in Arkansas to $1,563.87 in Alaska. Minnesota pays $1,119.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$1,119.29
- Los Angeles, CA · California$1,232.52+$113.23
- Washington, DC area · District of Columbia$1,289.49+$170.20
- Miami, FL · Florida$1,359.63+$240.34
- Chicago, IL · Illinois$1,330.98+$211.69
- Manhattan, NY · New York$1,343.67+$224.38
- Alaska · Alaska$1,563.87+$444.58
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,107.28 |
| ArkansasArkansas | — | $1,097.63 |
| ArizonaArizona | — | $1,162.91 |
| Bakersfield, CACalifornia | — | $1,185.74 |
| Chico, CACalifornia | — | $1,176.35 |
| El Centro, CACalifornia | — | $1,176.88 |
| Fresno, CACalifornia | — | $1,176.35 |
| Hanford, CACalifornia | — | $1,176.35 |
| Madera, CACalifornia | — | $1,176.35 |
| Merced, CACalifornia | — | $1,176.35 |
| Modesto, CACalifornia | — | $1,176.35 |
| Napa, CACalifornia | — | $1,269.57 |
| Oxnard, CACalifornia | — | $1,217.29 |
| Redding, CACalifornia | — | $1,176.35 |
| Rest of CaliforniaCalifornia | — | $1,176.35 |
| Riverside, CACalifornia | — | $1,210.84 |
| Sacramento, CACalifornia | — | $1,209.56 |
| Salinas, CACalifornia | — | $1,204.42 |
| San Diego, CACalifornia | — | $1,214.02 |
| Marin County, CACalifornia | — | $1,314.78 |
| San Francisco, CACalifornia | — | $1,311.17 |
| San Benito County, CACalifornia | — | $1,343.65 |
| Santa Clara County, CACalifornia | — | $1,328.89 |
| San Luis Obispo, CACalifornia | — | $1,187.71 |
| Santa Cruz, CACalifornia | — | $1,211.06 |
| Santa Maria, CACalifornia | — | $1,203.82 |
| Santa Rosa, CACalifornia | — | $1,221.83 |
| Stockton, CACalifornia | — | $1,176.35 |
| Vallejo, CACalifornia | — | $1,264.36 |
| Visalia, CACalifornia | — | $1,176.35 |
| Yuba City, CACalifornia | — | $1,176.35 |
| ColoradoColorado | — | $1,189.84 |
| ConnecticutConnecticut | — | $1,245.37 |
| DelawareDelaware | — | $1,176.58 |
| Fort Lauderdale, FLFlorida | — | $1,275.66 |
| Rest of FloridaFlorida | — | $1,228.20 |
| Atlanta, GAGeorgia | — | $1,214.42 |
| Rest of GeorgiaGeorgia | — | $1,178.26 |
| Hawaii, Guam, HIHawaii | — | $1,177.88 |
| IowaIowa | — | $1,099.90 |
| IdahoIdaho | — | $1,109.29 |
| East St. Louis, ILIllinois | — | $1,272.97 |
| Rest of IllinoisIllinois | — | $1,223.21 |
| Suburban Chicago, ILIllinois | — | $1,281.24 |
| IndianaIndiana | — | $1,112.52 |
| KansasKansas | — | $1,108.35 |
| KentuckyKentucky | — | $1,148.05 |
| New Orleans, LALouisiana | — | $1,185.26 |
| Rest of LouisianaLouisiana | — | $1,151.56 |
| Metropolitan Boston, MAMassachusetts | — | $1,259.43 |
| Rest of MassachusettsMassachusetts | — | $1,191.90 |
| Baltimore area, MDMaryland | — | $1,243.92 |
| Rest of MarylandMaryland | — | $1,189.02 |
| Rest of MaineMaine | — | $1,125.11 |
| Southern Maine, MEMaine | — | $1,144.83 |
| Detroit, MIMichigan | — | $1,250.02 |
| Rest of MichiganMichigan | — | $1,177.12 |
| Metropolitan Kansas City, MOMissouri | — | $1,167.84 |
| Metropolitan St. Louis, MOMissouri | — | $1,173.93 |
| Rest of MissouriMissouri | — | $1,147.18 |
| MississippiMississippi | — | $1,121.95 |
| MontanaMontana | — | $1,186.19 |
| North CarolinaNorth Carolina | — | $1,130.35 |
| North DakotaNorth Dakota | — | $1,123.31 |
| NebraskaNebraska | — | $1,099.99 |
| New HampshireNew Hampshire | — | $1,183.96 |
| Northern New JerseyNew Jersey | — | $1,287.30 |
| Rest of New JerseyNew Jersey | — | $1,253.65 |
| New MexicoNew Mexico | — | $1,185.82 |
| NevadaNevada | — | $1,168.93 |
| NYC suburbs and Long Island, NYNew York | — | $1,379.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,270.52 |
| Queens, NYNew York | — | $1,333.65 |
| Rest of New YorkNew York | — | $1,141.64 |
| OhioOhio | — | $1,164.26 |
| OklahomaOklahoma | — | $1,134.44 |
| Portland, OROregon | — | $1,201.59 |
| Rest of OregonOregon | — | $1,153.80 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,232.42 |
| Rest of PennsylvaniaPennsylvania | — | $1,158.89 |
| Puerto RicoPuerto Rico | — | $1,187.71 |
| Rhode IslandRhode Island | — | $1,199.15 |
| South CarolinaSouth Carolina | — | $1,150.39 |
| South DakotaSouth Dakota | — | $1,115.87 |
| TennesseeTennessee | — | $1,113.18 |
| Austin, TXTexas | — | $1,191.25 |
| Beaumont, TXTexas | — | $1,155.08 |
| Brazoria, TXTexas | — | $1,167.18 |
| Dallas, TXTexas | — | $1,177.60 |
| Fort Worth, TXTexas | — | $1,176.34 |
| Galveston, TXTexas | — | $1,172.81 |
| Houston, TXTexas | — | $1,231.02 |
| Rest of TexasTexas | — | $1,162.62 |
| UtahUtah | — | $1,159.71 |
| VirginiaVirginia | — | $1,150.68 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,187.71 |
| VermontVermont | — | $1,131.29 |
| Rest of WashingtonWashington | — | $1,185.63 |
| King County, WAWashington | — | $1,267.74 |
| WisconsinWisconsin | — | $1,101.80 |
| West VirginiaWest Virginia | — | $1,197.57 |
| WyomingWyoming | — | $1,158.78 |
50545 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 50545 rate is calculated
Each of 50545’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 · 50545
RVUs × geographic indexes × conversion factor
Work24.43
24.43 RVUs× 1.000 GPCI
Practice expense7.91
7.91 RVUs× 1.000 GPCI
Malpractice3.18
3.18 RVUs× 1.000 GPCI
Adjusted RVUs
35.5200
Conversion factor
$33.4009
Medicare rate
$1,186.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,935
- Code
- 50545
- Physician work
- 24.43
- Practice expense
- 7.91
- Malpractice
- 3.18
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.43 | × 1.000 | 24.4300 |
| Practice expense | 7.91 | × 1.029 | 8.1394 |
| Malpractice | 3.18 | × 0.296 | 0.9413 |
| Total RVUs | 33.5107 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$1119.29
Facility: (24.43 × 1 + 7.91 × 1.029 + 3.18 × 0.296) × $33.4009 = $1119.29
Payment rules and modifiers for 50545
50545 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50545
Radical nephrectomy, laparoscopic approach
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50545
Radical nephrectomy, laparoscopic approach
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50545 without 50 · national facility
$1,186.40
Radical nephrectomy, laparoscopic approach
50545-50 · Bilateral: 150%
$1,779.60
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 50545 has changed in Minnesota
50545 · 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 | $1,119.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,119.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,119.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,119.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,228.74 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,228.74 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,228.74 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,228.74 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,255.57 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,255.57 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,255.57 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,255.57 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,235.08 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,265.98 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,265.98 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,265.98 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,265.98 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,284.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,284.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,284.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,284.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,295.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,295.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,295.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,295.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,331.85 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,331.85 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,331.85 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,331.85 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,336.25 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,336.25 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,336.25 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,336.25 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,338.63 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,338.63 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,338.63 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,338.63 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,329.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,329.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,329.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,329.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,318.27 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,318.27 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,318.27 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,318.27 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,320.71 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,320.71 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,314.14 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,314.14 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,309.83 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,309.83 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,309.83 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,309.83 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,259.61 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
50545 billing questions
How does this differ from laparoscopic partial nephrectomy?
This code is for a radical operation that removes the whole kidney with surrounding tissue. Use the partial nephrectomy code when the surgeon removes only part of the kidney.
When would laparoscopic nephrectomy be a better match?
Compare the operative extent: this code represents radical nephrectomy, while 50546 represents laparoscopic nephrectomy without the radical designation. The operative report should support the procedure actually performed.
Can the ureter removal be reported with this code?
When the operation removes the kidney and ureter, compare the documentation with 50548, the laparoscopic nephroureterectomy code. Report the procedure that matches the operative extent rather than treating ureter removal as an automatic separate service.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The period is attached to this major surgery.
How is bilateral surgery handled?
For a bilateral procedure, modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is 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
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