CPT code 50546: Nephrectomy, laparoscopic, partial ureterectomy2026 Medicare rate & RVUs in Alabama

Reports laparoscopic removal of a kidney with partial ureter removal, commonly for a diseased or nonfunctioning kidney when radical or donor nephrectomy is not performed.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In Alabama, Medicare pays $1,002.75 for 50546 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,002.75Hospital or facility

Check a contract rate as a % of Medicare · 50546 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 50546 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 50546 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 50546 covers

A urologist typically performs this operation in a hospital operating room using laparoscopic access to remove the kidney and part of the ureter. It may be selected for a kidney with chronic infection, obstruction, or other disease when removal is indicated but the operative work is not a radical nephrectomy or donor-kidney procurement. The kidney and removed ureteral segment are submitted for examination when clinically indicated.

Select the code from the documented approach and extent of removal. The operative report should establish laparoscopic removal of the kidney and partial ureterectomy, and distinguish that work from partial nephrectomy, radical nephrectomy, or total ureterectomy. This major surgery has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; 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 Alabama compares for 50546

Across 109 of 109 payment localities, the facility rate for 50546 runs from $993.42 in Arkansas to $1,408.28 in Alaska. Alabama pays $1,002.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

50546 in Alabama vs other payment areas
  1. Alabama · this page$1,002.75
  2. Los Angeles, CA · California$1,124.24+$121.49
  3. Washington, DC area · District of Columbia$1,176.55+$173.80
  4. Miami, FL · Florida$1,241.35+$238.60
  5. Chicago, IL · Illinois$1,213.54+$210.79
  6. Manhattan, NY · New York$1,226.14+$223.39
  7. Alaska · Alaska$1,408.28+$405.53

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

Every other payment area

50546 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$993.42
ArizonaArizona—$1,056.63
Bakersfield, CACalifornia—$1,079.80
Chico, CACalifornia—$1,071.16
El Centro, CACalifornia—$1,071.66
Fresno, CACalifornia—$1,071.16
Hanford, CACalifornia—$1,071.16
Madera, CACalifornia—$1,071.16

50546 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
50546 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 50546 in every payment locality

How the 50546 rate is calculated

Each of 50546’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 · 50546

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.32

21.32 RVUs× 1.000 GPCI

Practice expense8.03

8.03 RVUs× 1.000 GPCI

Malpractice2.96

2.96 RVUs× 1.000 GPCI

Adjusted RVUs

32.3100

Conversion factor

$33.4009

Medicare rate

$1,079.18

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,936

Code
50546
Physician work
21.32
Practice expense
8.03
Malpractice
2.96

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Facility calculation for 50546 in Alabama
ComponentRVULocality factorAdjusted
Physician work21.32× 1.00021.3200
Practice expense8.03× 0.8757.0262
Malpractice2.96× 0.5661.6754
Total RVUs30.0216
Conversion factor× 33.4009

Facility rate, Alabama$1002.75

Facility: (21.32 × 1 + 8.03 × 0.875 + 2.96 × 0.566) × $33.4009 = $1002.75

Open 50546 in the RVU calculator

Payment rules and modifiers for 50546

50546 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50546

Nephrectomy, laparoscopic, partial ureterectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 50546

Nephrectomy, laparoscopic, partial ureterectomy

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

50546 without 50 · national facility

$1,079.18

Nephrectomy, laparoscopic, partial ureterectomy

50546-50 · Bilateral: 150%

$1,618.77

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 50546 has changed in Alabama

50546 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,002.75RVU26D
2026-07-01Not available in this setting$1,002.75RVU26C
2026-04-01Not available in this setting$1,002.75RVU26B
2026-01-01Not available in this setting$1,002.75RVU26A
2025-10-01Not available in this setting$1,078.24RVU25D
2025-07-01Not available in this setting$1,078.24RVU25C
2025-04-01Not available in this setting$1,078.24RVU25B
2025-01-01Not available in this setting$1,078.24RVU25A
2024-10-01Not available in this setting$1,102.76RVU24D
2024-07-01Not available in this setting$1,102.76RVU24C
2024-04-01Not available in this setting$1,102.76RVU24B
2024-03-09Not available in this setting$1,102.76RVU24AR
2024-01-01Not available in this setting$1,084.76RVU24A
2023-10-01Not available in this setting$1,132.26RVU23D
2023-07-01Not available in this setting$1,132.26RVU23C
2023-04-01Not available in this setting$1,132.26RVU23B
2023-01-01Not available in this setting$1,132.26RVU23A
2022-10-01Not available in this setting$1,169.11RVU22D
2022-07-01Not available in this setting$1,169.11RVU22C
2022-04-01Not available in this setting$1,169.11RVU22B
2022-01-01Not available in this setting$1,169.11RVU22A
2021-10-01Not available in this setting$1,175.94RVU21D
2021-07-01Not available in this setting$1,175.94RVU21C
2021-04-01Not available in this setting$1,175.94RVU21B
2021-01-01Not available in this setting$1,175.94RVU21A
2020-10-01Not available in this setting$1,185.48RVU20D
2020-07-01Not available in this setting$1,185.48RVU20C
2020-04-01Not available in this setting$1,185.48RVU20B
2020-01-01Not available in this setting$1,185.48RVU20A
2019-10-01Not available in this setting$1,166.35RVU19D
2019-07-01Not available in this setting$1,166.35RVU19C
2019-04-01Not available in this setting$1,166.35RVU19B
2019-01-01Not available in this setting$1,166.35RVU19A
2018-10-01Not available in this setting$1,166.75RVU18D
2018-07-01Not available in this setting$1,166.75RVU18C
2018-04-01Not available in this setting$1,166.75RVU18B
2018-01-01Not available in this settingRate data unavailableRVU18AR1
2017-10-01Not available in this settingRate data unavailableRVU17D
2017-07-01Not available in this settingRate data unavailableRVU17C
2017-04-01Not available in this settingRate data unavailableRVU17B
2017-01-01Not available in this settingRate data unavailableRVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 50546 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

50546 billing questions

How does this differ from laparoscopic radical nephrectomy?

Use 50546 for kidney removal with partial ureterectomy when the operative work is not radical nephrectomy. Code 50545 describes the radical procedure, which has a different extent of removal.

Does this code include the partial ureterectomy?

Yes. The partial ureter removal is part of the service represented by 50546; document the extent in the operative report.

When is 50548 a better choice?

When the laparoscopic nephrectomy includes total ureterectomy, compare the case with 50548. The operative report should make clear how much ureter was removed.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How is bilateral performance handled?

For bilateral performance, modifier 50 is paid at 150% under the CMS rule for this code.

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 50546PPRRVU2026_Oct_nonQPP.csv, line 5,936 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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