CPT code 50593: Renal ablation, percutaneous cryotherapy2026 Medicare rate & RVUs in New Mexico
Percutaneous renal tumor cryoablation treats a kidney tumor by placing probes through the skin and freezing the target under imaging guidance.
In New Mexico, Medicare pays $3,248.41 for 50593 in the office and $398.73 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50593 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 50593 covers
The physician places one or more cryotherapy probes through the skin into a renal tumor and uses freeze-thaw cycles to destroy the target. Imaging guides probe placement and treatment monitoring as part of the procedure. Urologists and interventional radiologists commonly perform this treatment in a hospital or ambulatory surgery setting for patients with a renal mass selected for percutaneous ablation. A biopsy performed as part of the ablation is included in the service.
Report the code for the percutaneous cryotherapy approach, not for laparoscopic ablation or surgical removal of renal tissue. The operative report should support the treated kidney, tumor target, percutaneous access, cryotherapy, and imaging-guided treatment. The procedure has a 10-day global period, which includes related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; 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 New Mexico compares for 50593
Across 109 of 109 payment localities, the office rate for 50593 runs from $3,041.89 in Arkansas to $4,931.49 in San Benito County, CA. New Mexico pays $3,248.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$3,248.41
- Los Angeles, CA · California$4,090.56+$842.15
- Washington, DC area · District of Columbia$4,092.64+$844.23
- Miami, FL · Florida$3,685.55+$437.14
- Chicago, IL · Illinois$3,565.47+$317.06
- Manhattan, NY · New York$4,059.57+$811.16
- Alaska · Alaska$3,843.86+$595.45
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $3,094.47 | $375.31 |
| ArkansasArkansas | $3,041.89 | $372.44 |
| ArizonaArizona | $3,403.11 | $391.82 |
| Bakersfield, CACalifornia | $3,805.32 | $399.37 |
| Chico, CACalifornia | $3,802.42 | $396.47 |
| El Centro, CACalifornia | $3,802.58 | $396.63 |
| Fresno, CACalifornia | $3,802.42 | $396.47 |
| Hanford, CACalifornia | $3,802.42 | $396.47 |
| Madera, CACalifornia | $3,802.42 | $396.47 |
| Merced, CACalifornia | $3,802.42 | $396.47 |
| Modesto, CACalifornia | $3,802.42 | $396.47 |
| Napa, CACalifornia | $4,522.01 | $426.17 |
| Oxnard, CACalifornia | $4,082.31 | $409.11 |
| Redding, CACalifornia | $3,802.42 | $396.47 |
| Rest of CaliforniaCalifornia | $3,802.42 | $396.47 |
| Riverside, CACalifornia | $3,812.77 | $406.82 |
| Sacramento, CACalifornia | $4,021.34 | $407.18 |
| Salinas, CACalifornia | $4,007.16 | $405.42 |
| San Diego, CACalifornia | $4,124.92 | $408.21 |
| Marin County, CACalifornia | $4,822.77 | $441.03 |
| San Francisco, CACalifornia | $4,821.69 | $439.95 |
| San Benito County, CACalifornia | $4,931.49 | $450.30 |
| Santa Clara County, CACalifornia | $4,927.08 | $445.89 |
| San Luis Obispo, CACalifornia | $3,939.40 | $399.82 |
| Santa Cruz, CACalifornia | $4,182.65 | $406.89 |
| Santa Maria, CACalifornia | $4,028.59 | $405.10 |
| Santa Rosa, CACalifornia | $4,226.66 | $410.51 |
| Stockton, CACalifornia | $3,802.42 | $396.47 |
| Vallejo, CACalifornia | $4,520.45 | $424.61 |
| Visalia, CACalifornia | $3,802.42 | $396.47 |
| Yuba City, CACalifornia | $3,802.42 | $396.47 |
| ColoradoColorado | $3,706.82 | $400.31 |
| ConnecticutConnecticut | $3,764.15 | $417.25 |
| DelawareDelaware | $3,466.44 | $396.11 |
| Fort Lauderdale, FLFlorida | $3,573.48 | $425.46 |
| Rest of FloridaFlorida | $3,382.23 | $411.34 |
| Atlanta, GAGeorgia | $3,564.64 | $407.30 |
| Rest of GeorgiaGeorgia | $3,168.49 | $396.49 |
| Hawaii, Guam, HIHawaii | $3,929.47 | $396.11 |
| IowaIowa | $3,216.53 | $373.06 |
| IdahoIdaho | $3,234.87 | $375.86 |
| East St. Louis, ILIllinois | $3,283.77 | $424.76 |
| Rest of IllinoisIllinois | $3,247.16 | $409.90 |
| Suburban Chicago, ILIllinois | $3,618.95 | $427.43 |
| IndianaIndiana | $3,257.58 | $376.82 |
| KansasKansas | $3,184.89 | $375.60 |
| KentuckyKentucky | $3,150.15 | $387.47 |
| New Orleans, LALouisiana | $3,322.80 | $398.53 |
| Rest of LouisianaLouisiana | $3,138.77 | $388.52 |
| Metropolitan Boston, MAMassachusetts | $4,132.77 | $422.27 |
| Rest of MassachusettsMassachusetts | $3,673.44 | $401.12 |
| Baltimore area, MDMaryland | $3,751.11 | $416.64 |
| Rest of MarylandMaryland | $3,544.94 | $400.03 |
| Rest of MaineMaine | $3,239.60 | $380.59 |
| Southern Maine, MEMaine | $3,466.05 | $386.40 |
| Detroit, MIMichigan | $3,416.70 | $417.85 |
| Rest of MichiganMichigan | $3,233.39 | $396.13 |
| MinnesotaMinnesota | $3,576.47 | $378.73 |
| Metropolitan Kansas City, MOMissouri | $3,311.38 | $393.33 |
| Metropolitan St. Louis, MOMissouri | $3,353.59 | $395.13 |
| Rest of MissouriMissouri | $3,066.01 | $387.24 |
| MississippiMississippi | $3,055.37 | $379.71 |
| MontanaMontana | $3,506.36 | $398.74 |
| North CarolinaNorth Carolina | $3,281.55 | $382.14 |
| North DakotaNorth Dakota | $3,487.58 | $379.96 |
| NebraskaNebraska | $3,241.41 | $373.08 |
| New HampshireNew Hampshire | $3,633.06 | $398.03 |
| Northern New JerseyNew Jersey | $4,036.48 | $431.64 |
| Rest of New JerseyNew Jersey | $3,814.14 | $420.61 |
| NevadaNevada | $3,504.31 | $393.59 |
| NYC suburbs and Long Island, NYNew York | $4,154.18 | $459.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $3,828.72 | $425.88 |
| Queens, NYNew York | $4,118.71 | $445.51 |
| Rest of New YorkNew York | $3,337.73 | $385.49 |
| OhioOhio | $3,229.55 | $392.29 |
| OklahomaOklahoma | $3,158.51 | $383.40 |
| Portland, OROregon | $3,856.52 | $403.95 |
| Rest of OregonOregon | $3,484.26 | $389.07 |
| Metropolitan Philadelphia, PAPennsylvania | $3,648.36 | $413.33 |
| Rest of PennsylvaniaPennsylvania | $3,243.47 | $390.68 |
| Puerto RicoPuerto Rico | $3,540.99 | $399.19 |
| Rhode IslandRhode Island | $3,613.61 | $403.44 |
| South CarolinaSouth Carolina | $3,259.57 | $388.13 |
| South DakotaSouth Dakota | $3,485.36 | $377.74 |
| TennesseeTennessee | $3,201.86 | $377.03 |
| Austin, TXTexas | $3,688.14 | $400.28 |
| Beaumont, TXTexas | $3,217.48 | $389.55 |
| Brazoria, TXTexas | $3,473.09 | $393.44 |
| Dallas, TXTexas | $3,491.78 | $396.59 |
| Fort Worth, TXTexas | $3,460.34 | $396.23 |
| Galveston, TXTexas | $3,480.98 | $395.12 |
| Houston, TXTexas | $3,498.37 | $412.51 |
| Rest of TexasTexas | $3,340.89 | $391.76 |
| UtahUtah | $3,312.06 | $390.90 |
| VirginiaVirginia | $3,442.95 | $388.15 |
| Virgin Islands, VIUnited States Virgin Islands | $3,540.99 | $399.19 |
| VermontVermont | $3,458.90 | $382.35 |
| Rest of WashingtonWashington | $3,671.43 | $399.11 |
| King County, WAWashington | $4,238.18 | $425.13 |
| WisconsinWisconsin | $3,350.68 | $373.58 |
| West VirginiaWest Virginia | $3,102.81 | $402.29 |
| WyomingWyoming | $3,498.18 | $390.56 |
50593 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.
$3,041.89
$4,366.96
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 | $3,843.86 | 1 |
| AL | $3,094.47 | 1 |
| AR | $3,041.89 | 1 |
| AZ | $3,403.11 | 1 |
| CA | $3,802.42–$4,931.49 | 29 |
| CO | $3,706.82 | 1 |
| CT | $3,764.15 | 1 |
| DC | $4,092.64 | 1 |
| DE | $3,466.44 | 1 |
| FL | $3,382.23–$3,685.55 | 3 |
| GA | $3,168.49–$3,564.64 | 2 |
| GU | $3,929.47 | 1 |
| HI | $3,929.47 | 1 |
| IA | $3,216.53 | 1 |
| ID | $3,234.87 | 1 |
| IL | $3,247.16–$3,618.95 | 4 |
| IN | $3,257.58 | 1 |
| KS | $3,184.89 | 1 |
| KY | $3,150.15 | 1 |
| LA | $3,138.77–$3,322.80 | 2 |
| MA | $3,673.44–$4,132.77 | 2 |
| MD | $3,544.94–$4,092.64 | 3 |
| ME | $3,239.60–$3,466.05 | 2 |
| MI | $3,233.39–$3,416.70 | 2 |
| MN | $3,576.47 | 1 |
| MO | $3,066.01–$3,353.59 | 3 |
| MS | $3,055.37 | 1 |
| MT | $3,506.36 | 1 |
| NC | $3,281.55 | 1 |
| ND | $3,487.58 | 1 |
| NE | $3,241.41 | 1 |
| NH | $3,633.06 | 1 |
| NJ | $3,814.14–$4,036.48 | 2 |
| NM | $3,248.41 | 1 |
| NV | $3,504.31 | 1 |
| NY | $3,337.73–$4,154.18 | 5 |
| OH | $3,229.55 | 1 |
| OK | $3,158.51 | 1 |
| OR | $3,484.26–$3,856.52 | 2 |
| PA | $3,243.47–$3,648.36 | 2 |
| PR | $3,540.99 | 1 |
| RI | $3,613.61 | 1 |
| SC | $3,259.57 | 1 |
| SD | $3,485.36 | 1 |
| TN | $3,201.86 | 1 |
| TX | $3,217.48–$3,688.14 | 8 |
| UT | $3,312.06 | 1 |
| VA | $3,442.95–$4,092.64 | 2 |
| VI | $3,540.99 | 1 |
| VT | $3,458.90 | 1 |
| WA | $3,671.43–$4,238.18 | 2 |
| WI | $3,350.68 | 1 |
| WV | $3,102.81 | 1 |
| WY | $3,498.18 | 1 |
How the 50593 rate is calculated
Each of 50593’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 · 50593
RVUs × geographic indexes × conversion factor
Work8.66
8.66 RVUs× 1.000 GPCI
Practice expense95.37
95.37 RVUs× 1.000 GPCI
Malpractice0.95
0.95 RVUs× 1.000 GPCI
Adjusted RVUs
104.9800
Conversion factor
$33.4009
Medicare rate
$3,506.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,954
- Code
- 50593
- Physician work
- 8.66
- Practice expense
- 95.37
- Malpractice
- 0.95
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.66 | × 1.000 | 8.6600 |
| Practice expense | 95.37 | × 0.917 | 87.4543 |
| Malpractice | 0.95 | × 1.201 | 1.1409 |
| Total RVUs | 97.2552 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$3248.41
Office: (8.66 × 1 + 95.37 × 0.917 + 0.95 × 1.201) × $33.4009 = $3248.41
Facility: (8.66 × 1 + 2.33 × 0.917 + 0.95 × 1.201) × $33.4009 = $398.73
Payment rules and modifiers for 50593
50593 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50593
Renal ablation, percutaneous cryotherapy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50593
Renal ablation, percutaneous cryotherapy
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.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50593 without 50 · national office
$3,506.43
Renal ablation, percutaneous cryotherapy
50593-50 · Bilateral: 150%
$5,259.65
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 50593 has changed in New Mexico
50593 · Office / nonfacility
$3248.41
Effective 2026-10-01
The base rate is $83.18 higher than on 2025-10-01, moving from $3165.23 to $3248.41 (2.6%).
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
$3165.23changed to$3248.41
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 8.88 changed to 8.66
- Practice expense RVU 96.84 changed to 95.37
- Malpractice RVU 0.89 changed to 0.95
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$3371.82changed to$3165.23
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 100.59 changed to 96.84
- Malpractice RVU 0.92 changed to 0.89
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$3316.79changed to$3371.82
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$3540.74changed to$3316.79
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 104.84 changed to 100.59
- Malpractice RVU 0.89 changed to 0.92
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$3706.87changed to$3540.74
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 108.61 changed to 104.84
- Malpractice RVU 0.79 changed to 0.89
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$3994.09changed to$3706.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 116.84 changed to 108.61
- Malpractice RVU 0.77 changed to 0.79
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$4078.80changed to$3994.09
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 113.64 changed to 116.84
- Malpractice RVU 0.79 changed to 0.77
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$4199.71changed to$4078.80
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 115.83 changed to 113.64
- Malpractice RVU 0.78 changed to 0.79
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$4299.22changed to$4199.71
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 118.97 changed to 115.83
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$4271.25changed to$4299.22
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 118.69 changed to 118.97
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$4372.00changed to$4271.25
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 9.13 changed to 8.88
- Practice expense RVU 121.90 changed to 118.69
- Malpractice RVU 0.82 changed to 0.78
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$4382.70changed to$4372.00
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 121.62 changed to 121.90
- Malpractice RVU 0.92 changed to 0.82
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$4360.89changed to$4382.70
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$4282.64changed to$4360.89
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 119.32 changed to 121.62
- Malpractice RVU 0.82 changed to 0.92
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$4386.59changed to$4282.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 129.85 changed to 119.32
- Malpractice RVU 0.86 changed to 0.82
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $4386.59
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $3,248.41 | $398.73 | RVU26D |
| 2026-07-01 | $3,248.41 | $398.73 | RVU26C |
| 2026-04-01 | $3,248.41 | $398.73 | RVU26B |
| 2026-01-01 | $3,248.41 | $398.73 | RVU26A |
| 2025-10-01 | $3,165.23 | $430.82 | RVU25D |
| 2025-07-01 | $3,165.23 | $430.82 | RVU25C |
| 2025-04-01 | $3,165.23 | $430.82 | RVU25B |
| 2025-01-01 | $3,165.23 | $430.82 | RVU25A |
| 2024-10-01 | $3,371.82 | $439.99 | RVU24D |
| 2024-07-01 | $3,371.82 | $439.99 | RVU24C |
| 2024-04-01 | $3,371.82 | $439.99 | RVU24B |
| 2024-03-09 | $3,371.82 | $439.99 | RVU24AR |
| 2024-01-01 | $3,316.79 | $432.81 | RVU24A |
| 2023-10-01 | $3,540.74 | $447.13 | RVU23D |
| 2023-07-01 | $3,540.74 | $447.13 | RVU23C |
| 2023-04-01 | $3,540.74 | $447.13 | RVU23B |
| 2023-01-01 | $3,540.74 | $447.13 | RVU23A |
| 2022-10-01 | $3,706.87 | $449.57 | RVU22D |
| 2022-07-01 | $3,706.87 | $449.57 | RVU22C |
| 2022-04-01 | $3,706.87 | $449.57 | RVU22B |
| 2022-01-01 | $3,706.87 | $449.57 | RVU22A |
| 2021-10-01 | $3,994.09 | $453.10 | RVU21D |
| 2021-07-01 | $3,994.09 | $453.10 | RVU21C |
| 2021-04-01 | $3,994.09 | $453.10 | RVU21B |
| 2021-01-01 | $3,994.09 | $453.10 | RVU21A |
| 2020-10-01 | $4,078.80 | $474.17 | RVU20D |
| 2020-07-01 | $4,078.80 | $474.17 | RVU20C |
| 2020-04-01 | $4,078.80 | $474.17 | RVU20B |
| 2020-01-01 | $4,078.80 | $474.17 | RVU20A |
| 2019-10-01 | $4,199.71 | $477.23 | RVU19D |
| 2019-07-01 | $4,199.71 | $477.23 | RVU19C |
| 2019-04-01 | $4,199.71 | $477.23 | RVU19B |
| 2019-01-01 | $4,199.71 | $477.23 | RVU19A |
| 2018-10-01 | $4,299.22 | $477.70 | RVU18D |
| 2018-07-01 | $4,299.22 | $477.70 | RVU18C |
| 2018-04-01 | $4,299.22 | $477.70 | RVU18B |
| 2018-01-01 | $4,299.22 | $477.70 | RVU18AR1 |
| 2017-10-01 | $4,271.25 | $478.19 | RVU17D |
| 2017-07-01 | $4,271.25 | $478.19 | RVU17C |
| 2017-04-01 | $4,271.25 | $478.19 | RVU17B |
| 2017-01-01 | $4,271.25 | $478.19 | RVU17A |
| 2016-10-01 | $4,372.00 | $489.96 | RVU16D |
| 2016-07-01 | $4,372.00 | $489.96 | RVU16C |
| 2016-04-01 | $4,372.00 | $489.96 | RVU16B |
| 2016-01-01 | $4,372.00 | $489.96 | RVU16A |
| 2015-10-01 | $4,382.70 | $496.23 | RVU15D |
| 2015-07-01 | $4,382.70 | $496.23 | RVU15C |
| 2015-04-01 | $4,360.89 | $493.76 | RVU15B |
| 2015-01-01 | $4,360.89 | $493.76 | RVU15A |
| 2014-10-01 | $4,282.64 | $487.67 | RVU14D |
| 2014-07-01 | $4,282.64 | $487.67 | RVU14C |
| 2014-04-01 | $4,282.64 | $487.67 | RVU14B |
| 2014-01-01 | $4,282.64 | $487.67 | RVU14A |
| 2013-10-01 | $4,386.59 | $467.89 | RVU13D |
| 2013-07-01 | $4,386.59 | $467.89 | RVU13C |
| 2013-04-01 | $4,386.59 | $467.89 | RVU13B |
| 2013-01-01 | $4,386.59 | $467.89 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
50593 billing questions
How does this differ from 50592?
Both describe percutaneous renal tumor ablation with imaging guidance. Report 50593 for cryotherapy and 50592 for radiofrequency ablation.
Can the biopsy be billed separately?
A biopsy performed as part of the ablation is included. The documentation should describe the biopsy if performed, but it is not a separate service within this procedure.
How is this different from 50542?
50593 is performed percutaneously with cryotherapy. Code 50542 describes laparoscopic ablation of a renal mass.
What documentation supports reporting this code?
Document the renal tumor and side, percutaneous probe placement, use of cryotherapy, and imaging-guided treatment. Include biopsy details when a biopsy is performed.
How are bilateral procedures and other same-session procedures handled?
For bilateral treatment, modifier 50 is paid at 150%. Under the multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session at 50%.
Are assistant surgeons or co-surgeons allowed?
An assistant at surgery may be paid. 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
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