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CPT code 50592: Renal tumor ablation, percutaneous radiofrequency2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $2,647.87 for 50592 in the office and $297.93 when it’s performed in a hospital or facility.

$2,647.87Office (non-facility)
$297.93Hospital or facility
+1.0%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $2,647.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

50592 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$2,647.87
  2. Los Angeles, CA · California$3,059.52+$411.65
  3. Washington, DC area · District of Columbia$3,060.72+$412.85
  4. Miami, FL · Florida$2,755.01+$107.14
  5. Chicago, IL · Illinois$2,665.24+$17.37
  6. Manhattan, NY · New York$3,035.59+$387.72
  7. Alaska · Alaska$2,873.40+$225.53

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 50592 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work6.39× 1.0006.3900
Practice expense71.42× 1.01172.2056
Malpractice0.69× 0.9850.6796
Total RVUs79.2753
Conversion factor× 33.4009

Office rate, Puerto Rico$2647.87

Office: (6.39 × 1 + 71.42 × 1.011 + 0.69 × 0.985) × $33.4009 = $2647.87

Facility: (6.39 × 1 + 1.83 × 1.011 + 0.69 × 0.985) × $33.4009 = $297.93

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, Puerto Rico
Used instead
50593Renal ablation, percutaneous cryotherapyPercutaneous renal tumor ablation using cryoablation rather than radiofrequency.$3,540.99
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 Puerto Rico

50592 · Office / nonfacility

$2647.87

Effective 2026-10-01

The base rate is $62.29 higher than on 2025-10-01, moving from $2585.58 to $2647.87 (2.4%).

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

    $2585.58changed to$2647.87

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $2765.03changed to$2585.58

    • 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

    $2719.91changed to$2765.03

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $2921.99changed to$2719.91

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $2901.08changed to$2921.99

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $3083.83changed to$2901.08

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $3310.94changed to$3083.83

    • 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.

  8. January 1, 2021

    RVU21A

    $3315.04changed to$3310.94

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $3350.96changed to$3315.04

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $3420.15changed to$3350.96

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $1104.62changed to$3420.15

    • 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
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $1888.58changed to$1104.62

    • 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 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $2325.38changed to$1888.58

    • 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.

  14. July 1, 2015

    RVU15C

    $2313.81changed to$2325.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $2249.77changed to$2313.81

    • 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 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $2247.58changed to$2249.77

    • 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 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $2247.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$2,647.87$297.93RVU26D
2026-07-01$2,647.87$297.93RVU26C
2026-04-01$2,647.87$297.93RVU26B
2026-01-01$2,647.87$297.93RVU26A
2025-10-01$2,585.58$327.30RVU25D
2025-07-01$2,585.58$327.30RVU25C
2025-04-01$2,585.58$327.30RVU25B
2025-01-01$2,585.58$327.30RVU25A
2024-10-01$2,765.03$334.46RVU24D
2024-07-01$2,765.03$334.46RVU24C
2024-04-01$2,765.03$334.46RVU24B
2024-03-09$2,765.03$334.46RVU24AR
2024-01-01$2,719.91$329.00RVU24A
2023-10-01$2,921.99$340.64RVU23D
2023-07-01$2,901.08$340.23RVU23C
2023-04-01$2,901.08$340.23RVU23B
2023-01-01$2,901.08$340.23RVU23A
2022-10-01$3,083.83$344.82RVU22D
2022-07-01$3,083.83$344.82RVU22C
2022-04-01$3,083.83$344.82RVU22B
2022-01-01$3,083.83$344.82RVU22A
2021-10-01$3,310.94$346.63RVU21D
2021-07-01$3,310.94$346.63RVU21C
2021-04-01$3,310.94$346.63RVU21B
2021-01-01$3,310.94$346.63RVU21A
2020-10-01$3,315.04$358.58RVU20D
2020-07-01$3,315.04$358.58RVU20C
2020-04-01$3,315.04$358.58RVU20B
2020-01-01$3,315.04$358.58RVU20A
2019-10-01$3,350.96$358.37RVU19D
2019-07-01$3,350.96$358.37RVU19C
2019-04-01$3,350.96$358.37RVU19B
2019-01-01$3,350.96$358.37RVU19A
2018-10-01$3,420.15$359.07RVU18D
2018-07-01$3,420.15$359.07RVU18C
2018-04-01$3,420.15$359.07RVU18B
2018-01-01$3,420.15$359.07RVU18AR1
2017-10-01$1,104.62$338.14RVU17D
2017-07-01$1,104.62$338.14RVU17C
2017-04-01$1,104.62$338.14RVU17B
2017-01-01$1,104.62$338.14RVU17A
2016-10-01$1,888.58$326.86RVU16D
2016-07-01$1,888.58$326.86RVU16C
2016-04-01$1,888.58$326.86RVU16B
2016-01-01$1,888.58$326.86RVU16A
2015-10-01$2,325.38$329.64RVU15D
2015-07-01$2,325.38$329.64RVU15C
2015-04-01$2,313.81$328.00RVU15B
2015-01-01$2,313.81$328.00RVU15A
2014-10-01$2,249.77$325.62RVU14D
2014-07-01$2,249.77$325.62RVU14C
2014-04-01$2,249.77$325.62RVU14B
2014-01-01$2,249.77$325.62RVU14A
2013-10-01$2,247.58$308.98RVU13D
2013-07-01$2,247.58$308.98RVU13C
2013-04-01$2,247.58$308.98RVU13B
2013-01-01$2,247.58$308.98RVU13AR

Price 50592 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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