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CPT code 50592: Renal tumor ablation, percutaneous radiofrequency2026 Medicare rate & RVUs in North Carolina

Report this service when a clinician treats a renal tumor percutaneously by applying radiofrequency energy through an image-guided probe.

CMS RVU26DEffective Oct 1, 2026One payment locality1.5K Medicare services in 2024

In North Carolina, Medicare pays $2,453.82 for 50592 in the office and $285.19 when it’s performed in a hospital or facility.

$2,453.82Office (non-facility)
$285.19Hospital or facility
−6.4%vs the national office rate ($2,621.97)

Check a contract rate as a % of Medicare · 50592 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 50592 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 50592 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 50592 covers

An interventional radiologist or urologist places an electrode through the skin into a renal tumor and applies radiofrequency energy to destroy it. Imaging guides probe placement and treatment. The procedure is commonly performed in a hospital interventional radiology or operating-room setting. It provides local treatment for selected renal masses when a percutaneous approach is chosen instead of surgical excision. Unlike laparoscopic ablation, access is through the skin rather than ports and direct operative exposure.

Report 50592 for percutaneous radiofrequency treatment of renal tumor(s), not for cryoablation or laparoscopic treatment. The procedure record should identify the renal target and side, percutaneous approach, radiofrequency technique, and treatment performed. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. For same-session procedures, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral treatment with modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; 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 North Carolina compares for 50592

Across 109 of 109 payment localities, the office rate for 50592 runs from $2,274.44 in Arkansas to $3,689.14 in San Benito County, CA. North Carolina pays $2,453.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

50592 in North Carolina vs other payment areas
  1. North Carolina · this page$2,453.82
  2. Los Angeles, CA · California$3,059.52+$605.70
  3. Washington, DC area · District of Columbia$3,060.72+$606.90
  4. Miami, FL · Florida$2,755.01+$301.19
  5. Chicago, IL · Illinois$2,665.24+$211.42
  6. Manhattan, NY · New York$3,035.59+$581.77
  7. Alaska · Alaska$2,873.40+$419.58

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

Every other payment area

50592 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$2,313.78$279.96
ArkansasArkansas$2,274.44$277.81
ArizonaArizona$2,544.70$292.39
Bakersfield, CACalifornia$2,846.02$298.51
Chico, CACalifornia$2,843.91$296.40
El Centro, CACalifornia$2,844.03$296.52
Fresno, CACalifornia$2,843.91$296.40
Hanford, CACalifornia$2,843.91$296.40

50592 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$2,274.44

$3,266.52

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

View every state and territory as a table
50592 office rate range by state
State / territoryOffice rate rangeLocalities
AK$2,873.401
AL$2,313.781
AR$2,274.441
AZ$2,544.701
CA$2,843.91–$3,689.1429
CO$2,772.161
CT$2,814.761
DC$3,060.721
DE$2,592.081
FL$2,528.60–$2,755.013
GA$2,368.76–$2,665.412
GU$2,939.081
HI$2,939.081
IA$2,405.311
ID$2,418.991
IL$2,427.41–$2,705.664
IN$2,435.981
KS$2,381.531
KY$2,355.221
LA$2,346.67–$2,484.362
MA$2,747.14–$3,090.972
MD$2,650.84–$3,060.723
ME$2,422.42–$2,592.002
MI$2,417.41–$2,554.292
MN$2,674.931
MO$2,292.17–$2,507.513
MS$2,284.371
MT$2,621.921
NC$2,453.821
ND$2,608.281
NE$2,423.951
NH$2,716.901
NJ$2,852.21–$3,018.662
NM$2,428.611
NV$2,620.511
NY$2,495.85–$3,106.245
OH$2,414.621
OK$2,361.581
OR$2,605.58–$2,884.282
PA$2,425.09–$2,728.072
PR$2,647.871
RI$2,702.261
SC$2,437.221
SD$2,606.671
TN$2,394.221
TX$2,405.64–$2,758.138
UT$2,476.491
VA$2,574.64–$3,060.722
VI$2,647.871
VT$2,586.731
WA$2,745.67–$3,169.932
WI$2,505.831
WV$2,319.401
WY$2,615.981

See 50592 in every payment locality

How the 50592 rate is calculated

Each of 50592’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 · 50592

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.39

6.39 RVUs× 1.000 GPCI

Practice expense71.42

71.42 RVUs× 1.000 GPCI

Malpractice0.69

0.69 RVUs× 1.000 GPCI

Adjusted RVUs

78.5000

Conversion factor

$33.4009

Medicare rate

$2,621.97

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,953

Code
50592
Physician work
6.39
Practice expense
71.42
Malpractice
0.69

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 50592 in North Carolina
ComponentRVULocality factorAdjusted
Physician work6.39× 1.0006.3900
Practice expense71.42× 0.93366.6349
Malpractice0.69× 0.6390.4409
Total RVUs73.4658
Conversion factor× 33.4009

Office rate, North Carolina$2453.82

Office: (6.39 × 1 + 71.42 × 0.933 + 0.69 × 0.639) × $33.4009 = $2453.82

Facility: (6.39 × 1 + 1.83 × 0.933 + 0.69 × 0.639) × $33.4009 = $285.19

Open 50592 in the RVU calculator

Payment rules and modifiers for 50592

50592 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50592

Renal tumor ablation, percutaneous radiofrequency

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 50592

Renal tumor ablation, percutaneous radiofrequency

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

50592 without 50 · national office

$2,621.97

Renal tumor ablation, percutaneous radiofrequency

50592-50 · Bilateral: 150%

$3,932.95

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

Codes related to 50592

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 50592
CodeHow it relatesOffice range, North Carolina
Used instead
50593Renal ablation, percutaneous cryotherapyPercutaneous renal tumor ablation using cryoablation rather than radiofrequency.$3,281.55
50542Renal mass ablation, laparoscopic approachLaparoscopic approach for renal mass ablation instead of percutaneous probe access.No office rate
50543Partial nephrectomy, laparoscopic approachLaparoscopic partial nephrectomy removes renal tissue rather than ablating the tumor percutaneously.No office rate

How 50592 has changed in North Carolina

50592 · Office / nonfacility

$2453.82

Effective 2026-10-01

The base rate is $64.17 higher than on 2025-10-01, moving from $2389.65 to $2453.82 (2.7%).

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

    $2389.65changed to$2453.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.55 changed to 6.39
    • Practice expense RVU 72.24 changed to 71.42
    • Malpractice RVU 0.65 changed to 0.69
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2554.85changed to$2389.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 75.33 changed to 72.24
    • Malpractice RVU 0.67 changed to 0.65

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $2513.15changed to$2554.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2701.43changed to$2513.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 78.41 changed to 75.33
    • Malpractice RVU 0.65 changed to 0.67
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $2855.23changed to$2701.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 81.32 changed to 78.41
    • Malpractice RVU 0.60 changed to 0.65
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $3064.48changed to$2855.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 87.06 changed to 81.32
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $3073.69changed to$3064.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 84.08 changed to 87.06
    • Malpractice RVU 0.56 changed to 0.59
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $3111.35changed to$3073.69

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 85.27 changed to 84.08
    • Malpractice RVU 0.57 changed to 0.56
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $3175.30changed to$3111.35

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 87.28 changed to 85.27

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1181.51changed to$3175.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 27.87 changed to 87.28
    • Malpractice RVU 0.58 changed to 0.57
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $2421.95changed to$1181.51

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 6.80 changed to 6.55
    • Practice expense RVU 64.92 changed to 27.87
    • Malpractice RVU 0.61 changed to 0.58
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $2999.00changed to$2421.95

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 81.86 changed to 64.92
    • Malpractice RVU 0.69 changed to 0.61

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $2984.08changed to$2999.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $2944.90changed to$2984.08

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 80.69 changed to 81.86
    • Malpractice RVU 0.61 changed to 0.69
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $2995.77changed to$2944.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 87.17 changed to 80.69
    • Malpractice RVU 0.64 changed to 0.61
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $2995.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,453.82$285.19RVU26D
2026-07-01$2,453.82$285.19RVU26C
2026-04-01$2,453.82$285.19RVU26B
2026-01-01$2,453.82$285.19RVU26A
2025-10-01$2,389.65$313.01RVU25D
2025-07-01$2,389.65$313.01RVU25C
2025-04-01$2,389.65$313.01RVU25B
2025-01-01$2,389.65$313.01RVU25A
2024-10-01$2,554.85$319.79RVU24D
2024-07-01$2,554.85$319.79RVU24C
2024-04-01$2,554.85$319.79RVU24B
2024-03-09$2,554.85$319.79RVU24AR
2024-01-01$2,513.15$314.57RVU24A
2023-10-01$2,701.43$327.52RVU23D
2023-07-01$2,701.43$327.52RVU23C
2023-04-01$2,701.43$327.52RVU23B
2023-01-01$2,701.43$327.52RVU23A
2022-10-01$2,855.23$333.60RVU22D
2022-07-01$2,855.23$333.60RVU22C
2022-04-01$2,855.23$333.60RVU22B
2022-01-01$2,855.23$333.60RVU22A
2021-10-01$3,064.48$335.43RVU21D
2021-07-01$3,064.48$335.43RVU21C
2021-04-01$3,064.48$335.43RVU21B
2021-01-01$3,064.48$335.43RVU21A
2020-10-01$3,073.69$346.00RVU20D
2020-07-01$3,073.69$346.00RVU20C
2020-04-01$3,073.69$346.00RVU20B
2020-01-01$3,073.69$346.00RVU20A
2019-10-01$3,111.35$344.62RVU19D
2019-07-01$3,111.35$344.62RVU19C
2019-04-01$3,111.35$344.62RVU19B
2019-01-01$3,111.35$344.62RVU19A
2018-10-01$3,175.30$345.24RVU18D
2018-07-01$3,175.30$345.24RVU18C
2018-04-01$3,175.30$345.24RVU18B
2018-01-01$3,175.30$345.24RVU18AR1
2017-10-01$1,181.51$347.87RVU17D
2017-07-01$1,181.51$347.87RVU17C
2017-04-01$1,181.51$347.87RVU17B
2017-01-01$1,181.51$347.87RVU17A
2016-10-01$2,421.95$361.80RVU16D
2016-07-01$2,421.95$361.80RVU16C
2016-04-01$2,421.95$361.80RVU16B
2016-01-01$2,421.95$361.80RVU16A
2015-10-01$2,999.00$366.32RVU15D
2015-07-01$2,999.00$366.32RVU15C
2015-04-01$2,984.08$364.49RVU15B
2015-01-01$2,984.08$364.49RVU15A
2014-10-01$2,944.90$361.76RVU14D
2014-07-01$2,944.90$361.76RVU14C
2014-04-01$2,944.90$361.76RVU14B
2014-01-01$2,944.90$361.76RVU14A
2013-10-01$2,995.77$345.21RVU13D
2013-07-01$2,995.77$345.21RVU13C
2013-04-01$2,995.77$345.21RVU13B
2013-01-01$2,995.77$345.21RVU13AR

Price 50592 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

50592 billing questions

When should 50592 be chosen instead of 50593?

Use 50592 for percutaneous renal tumor ablation with radiofrequency energy. Use 50593 when the percutaneous ablation method is cryoablation.

How does 50592 differ from laparoscopic renal ablation?

50592 describes treatment through the skin with a percutaneous probe. Code 50542 is for laparoscopic ablation using operative access.

Can imaging guidance be reported separately?

Imaging is used to guide probe placement and treatment, but the guidance integral to the renal ablation is not separately reported.

How is bilateral treatment reported?

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

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can an assistant or co-surgeon be paid for this procedure?

CMS does not pay an assistant at surgery for 50592. 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 50592PPRRVU2026_Oct_nonQPP.csv, line 5,953 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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