CPT code 50951: Ureteroscopy, diagnostic examination2026 Medicare rate & RVUs in Beaumont, TX
Reports endoscopic inspection of the ureter for diagnostic evaluation, including an examination with brushing or washing to collect a specimen.
In Beaumont, TX, Medicare pays $375.28 for 50951 in the office and $262.51 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 50951 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 50951 covers
A urologist uses a ureteroscope to inspect the ureter when imaging or symptoms require direct evaluation of the urinary passage. The examination may include collecting cells or fluid by brushing or washing. It is a diagnostic service: when the procedure includes a ureteral biopsy or therapeutic work, select the code that describes that work rather than treating this as a diagnostic-only examination. Ureteroscopy is commonly performed in a hospital or ambulatory surgical setting.
Documentation should identify the ureter examined, the diagnostic reason, the findings, and any specimen collection. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; 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 Beaumont, TX compares for 50951
Across 109 of 109 payment localities, the office rate for 50951 runs from $356.17 in Arkansas to $488.85 in Alaska. Beaumont, TX pays $375.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Beaumont, TX · this page$375.28
- Austin, TX · Texas$401.17+$25.89
- Brazoria, TX · Texas$387.74+$12.46
- Dallas, TX · Texas$390.70+$15.42
- Fort Worth, TX · Texas$389.22+$13.94
- Galveston, TX · Texas$389.25+$13.97
- Houston, TX · Texas$402.43+$27.15
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $381.65 | $264.05 |
| Los Angeles, CACalifornia | $425.65 | $279.06 |
| Washington, DC areaDistrict of Columbia | $438.02 | $292.04 |
| Miami, FLFlorida | $437.25 | $308.25 |
| Chicago, ILIllinois | $426.50 | $301.96 |
| Manhattan, NYNew York | $448.42 | $304.43 |
| AlaskaAlaska | $488.85 | $356.88 |
| AlabamaAlabama | $360.27 | $251.84 |
| ArkansasArkansas | $356.17 | $249.73 |
| ArizonaArizona | $384.11 | $264.03 |
| Bakersfield, CACalifornia | $404.55 | $268.74 |
| Chico, CACalifornia | $402.41 | $266.60 |
| El Centro, CACalifornia | $402.53 | $266.72 |
| Fresno, CACalifornia | $402.41 | $266.60 |
| Hanford, CACalifornia | $402.41 | $266.60 |
| Madera, CACalifornia | $402.41 | $266.60 |
| Merced, CACalifornia | $402.41 | $266.60 |
| Modesto, CACalifornia | $402.41 | $266.60 |
| Napa, CACalifornia | $450.29 | $286.96 |
| Oxnard, CACalifornia | $422.02 | $275.55 |
| Redding, CACalifornia | $402.41 | $266.60 |
| Rest of CaliforniaCalifornia | $402.41 | $266.60 |
| Riverside, CACalifornia | $410.23 | $274.41 |
| Sacramento, CACalifornia | $418.04 | $273.92 |
| Salinas, CACalifornia | $416.37 | $272.75 |
| San Diego, CACalifornia | $422.96 | $274.76 |
| Marin County, CACalifornia | $471.68 | $296.96 |
| San Francisco, CACalifornia | $470.86 | $296.14 |
| San Benito County, CACalifornia | $482.12 | $303.43 |
| Santa Clara County, CACalifornia | $478.77 | $300.09 |
| San Luis Obispo, CACalifornia | $410.13 | $268.98 |
| Santa Cruz, CACalifornia | $424.52 | $273.96 |
| Santa Maria, CACalifornia | $417.06 | $272.57 |
| Santa Rosa, CACalifornia | $428.56 | $276.39 |
| Stockton, CACalifornia | $402.41 | $266.60 |
| Vallejo, CACalifornia | $449.11 | $285.78 |
| Visalia, CACalifornia | $402.41 | $266.60 |
| Yuba City, CACalifornia | $402.41 | $266.60 |
| ColoradoColorado | $401.62 | $269.77 |
| ConnecticutConnecticut | $415.78 | $282.33 |
| DelawareDelaware | $389.50 | $267.07 |
| Fort Lauderdale, FLFlorida | $414.89 | $289.36 |
| Rest of FloridaFlorida | $397.33 | $278.87 |
| Atlanta, GAGeorgia | $401.40 | $275.50 |
| Rest of GeorgiaGeorgia | $378.37 | $267.84 |
| Hawaii, Guam, HIHawaii | $407.58 | $266.68 |
| IowaIowa | $363.38 | $250.00 |
| IdahoIdaho | $366.11 | $252.10 |
| East St. Louis, ILIllinois | $403.16 | $289.16 |
| Rest of IllinoisIllinois | $391.06 | $277.93 |
| Suburban Chicago, ILIllinois | $417.86 | $290.60 |
| IndianaIndiana | $367.67 | $252.80 |
| KansasKansas | $363.98 | $251.96 |
| KentuckyKentucky | $371.18 | $261.01 |
| New Orleans, LALouisiana | $385.82 | $269.21 |
| Rest of LouisianaLouisiana | $371.49 | $261.82 |
| Metropolitan Boston, MAMassachusetts | $433.06 | $285.10 |
| Rest of MassachusettsMassachusetts | $400.79 | $270.30 |
| Baltimore area, MDMaryland | $414.96 | $281.99 |
| Rest of MarylandMaryland | $395.21 | $269.80 |
| Rest of MaineMaine | $369.69 | $255.69 |
| Southern Maine, MEMaine | $382.64 | $259.84 |
| Detroit, MIMichigan | $403.35 | $283.77 |
| Rest of MichiganMichigan | $380.63 | $267.49 |
| MinnesotaMinnesota | $381.40 | $253.89 |
| Metropolitan Kansas City, MOMissouri | $381.63 | $265.28 |
| Metropolitan St. Louis, MOMissouri | $384.57 | $266.60 |
| Rest of MissouriMissouri | $367.75 | $260.93 |
| MississippiMississippi | $361.92 | $255.23 |
| MontanaMontana | $393.08 | $269.16 |
| North CarolinaNorth Carolina | $372.43 | $256.81 |
| North DakotaNorth Dakota | $378.84 | $254.93 |
| NebraskaNebraska | $364.36 | $249.98 |
| New HampshireNew Hampshire | $397.48 | $268.48 |
| Northern New JerseyNew Jersey | $435.41 | $291.67 |
| Rest of New JerseyNew Jersey | $419.55 | $284.23 |
| New MexicoNew Mexico | $383.08 | $269.44 |
| NevadaNevada | $389.29 | $265.25 |
| NYC suburbs and Long Island, NYNew York | $459.78 | $312.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $423.76 | $288.07 |
| Queens, NYNew York | $448.54 | $302.07 |
| Rest of New YorkNew York | $377.02 | $259.30 |
| OhioOhio | $377.72 | $264.58 |
| OklahomaOklahoma | $368.57 | $257.92 |
| Portland, OROregon | $409.92 | $272.24 |
| Rest of OregonOregon | $385.27 | $261.85 |
| Metropolitan Philadelphia, PAPennsylvania | $408.54 | $279.54 |
| Rest of PennsylvaniaPennsylvania | $377.10 | $263.34 |
| Puerto RicoPuerto Rico | $394.74 | $269.46 |
| Rhode IslandRhode Island | $400.05 | $272.05 |
| South CarolinaSouth Carolina | $375.89 | $261.39 |
| South DakotaSouth Dakota | $377.16 | $253.24 |
| TennesseeTennessee | $365.67 | $253.03 |
| UtahUtah | $379.91 | $263.43 |
| VirginiaVirginia | $383.01 | $261.20 |
| Virgin Islands, VIUnited States Virgin Islands | $394.74 | $269.46 |
| VermontVermont | $379.45 | $256.78 |
| Rest of WashingtonWashington | $399.35 | $268.87 |
| King County, WAWashington | $438.93 | $286.88 |
| WisconsinWisconsin | $368.95 | $250.24 |
| West VirginiaWest Virginia | $380.00 | $272.31 |
| WyomingWyoming | $386.88 | $262.96 |
50951 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.
$356.17
$488.85
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 | $488.85 | 1 |
| AL | $360.27 | 1 |
| AR | $356.17 | 1 |
| AZ | $384.11 | 1 |
| CA | $402.41–$482.12 | 29 |
| CO | $401.62 | 1 |
| CT | $415.78 | 1 |
| DC | $438.02 | 1 |
| DE | $389.50 | 1 |
| FL | $397.33–$437.25 | 3 |
| GA | $378.37–$401.40 | 2 |
| GU | $407.58 | 1 |
| HI | $407.58 | 1 |
| IA | $363.38 | 1 |
| ID | $366.11 | 1 |
| IL | $391.06–$426.50 | 4 |
| IN | $367.67 | 1 |
| KS | $363.98 | 1 |
| KY | $371.18 | 1 |
| LA | $371.49–$385.82 | 2 |
| MA | $400.79–$433.06 | 2 |
| MD | $395.21–$438.02 | 3 |
| ME | $369.69–$382.64 | 2 |
| MI | $380.63–$403.35 | 2 |
| MN | $381.40 | 1 |
| MO | $367.75–$384.57 | 3 |
| MS | $361.92 | 1 |
| MT | $393.08 | 1 |
| NC | $372.43 | 1 |
| ND | $378.84 | 1 |
| NE | $364.36 | 1 |
| NH | $397.48 | 1 |
| NJ | $419.55–$435.41 | 2 |
| NM | $383.08 | 1 |
| NV | $389.29 | 1 |
| NY | $377.02–$459.78 | 5 |
| OH | $377.72 | 1 |
| OK | $368.57 | 1 |
| OR | $385.27–$409.92 | 2 |
| PA | $377.10–$408.54 | 2 |
| PR | $394.74 | 1 |
| RI | $400.05 | 1 |
| SC | $375.89 | 1 |
| SD | $377.16 | 1 |
| TN | $365.67 | 1 |
| TX | $375.28–$402.43 | 8 |
| UT | $379.91 | 1 |
| VA | $383.01–$438.02 | 2 |
| VI | $394.74 | 1 |
| VT | $379.45 | 1 |
| WA | $399.35–$438.93 | 2 |
| WI | $368.95 | 1 |
| WV | $380.00 | 1 |
| WY | $386.88 | 1 |
How the 50951 rate is calculated
Each of 50951’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 · 50951
RVUs × geographic indexes × conversion factor
Work5.68
5.68 RVUs× 1.000 GPCI
Practice expense5.37
5.37 RVUs× 1.000 GPCI
Malpractice0.72
0.72 RVUs× 1.000 GPCI
Adjusted RVUs
11.7700
Conversion factor
$33.4009
Medicare rate
$393.13
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Beaumont, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,005
- Code
- 50951
- Physician work
- 5.68
- Practice expense
- 5.37
- Malpractice
- 0.72
GPCI2026.csv
97
- Locality
- Beaumont, TX
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.68 | × 1.000 | 5.6800 |
| Practice expense | 5.37 | × 0.910 | 4.8867 |
| Malpractice | 0.72 | × 0.929 | 0.6689 |
| Total RVUs | 11.2356 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Beaumont, TX$375.28
Office: (5.68 × 1 + 5.37 × 0.91 + 0.72 × 0.929) × $33.4009 = $375.28
Facility: (5.68 × 1 + 1.66 × 0.91 + 0.72 × 0.929) × $33.4009 = $262.51
Payment rules and modifiers for 50951
The CMS indicators that decide how 50951 is paid alongside other services.
CMS payment indicators · 50951
Ureteroscopy, diagnostic examination
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50951 without 50 · national office
$393.13
Ureteroscopy, diagnostic examination
50951-50 · Bilateral: 150%
$589.70
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 50951 has changed in Beaumont, TX
50951 · Office / nonfacility
$375.28
Effective 2026-10-01
The base rate is $21.83 higher than on 2025-10-01, moving from $353.45 to $375.28 (6.2%).
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
$353.45changed to$375.28
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.83 changed to 5.68
- Practice expense RVU 4.90 changed to 5.37
- Malpractice RVU 0.71 changed to 0.72
- Practice expense GPCI 0.903 changed to 0.910
- Malpractice GPCI 0.947 changed to 0.929
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$360.74changed to$353.45
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.79 changed to 4.90
- Malpractice RVU 0.72 changed to 0.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$354.86changed to$360.74
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$360.99changed to$354.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.66 changed to 4.79
- Malpractice RVU 0.69 changed to 0.72
- Practice expense GPCI 0.924 changed to 0.903
- Malpractice GPCI 0.749 changed to 0.947
January 1, 2023
RVU23A
$364.97changed to$360.99
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.60 changed to 4.66
- Malpractice RVU 0.68 changed to 0.69
- Practice expense GPCI 0.944 changed to 0.924
- Malpractice GPCI 0.550 changed to 0.749
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$368.85changed to$364.97
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.62 changed to 4.60
- Malpractice RVU 0.69 changed to 0.68
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$373.67changed to$368.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.36 changed to 4.62
- Malpractice RVU 0.65 changed to 0.69
- Practice expense GPCI 0.934 changed to 0.944
- Malpractice GPCI 0.695 changed to 0.550
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$376.95changed to$373.67
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.42 changed to 4.36
- Practice expense GPCI 0.924 changed to 0.934
- Malpractice GPCI 0.839 changed to 0.695
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$376.23changed to$376.95
- Conversion factor 35.9996 changed to 36.0391
- Malpractice RVU 0.64 changed to 0.65
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$372.36changed to$376.23
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.34 changed to 4.42
- Malpractice RVU 0.65 changed to 0.64
- Practice expense GPCI 0.913 changed to 0.924
- Malpractice GPCI 0.897 changed to 0.839
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$368.87changed to$372.36
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.27 changed to 4.34
- Practice expense GPCI 0.902 changed to 0.913
- Malpractice GPCI 0.955 changed to 0.897
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$369.89changed to$368.87
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.25 changed to 4.27
- Malpractice RVU 0.66 changed to 0.65
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$368.05changed to$369.89
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$361.95changed to$368.05
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.19 changed to 4.25
- Malpractice RVU 0.54 changed to 0.66
- Practice expense GPCI 0.899 changed to 0.902
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$351.90changed to$361.95
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.46 changed to 4.19
- Malpractice RVU 0.56 changed to 0.54
- Practice expense GPCI 0.896 changed to 0.899
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $351.90
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $375.28 | $262.51 | RVU26D |
| 2026-07-01 | $375.28 | $262.51 | RVU26C |
| 2026-04-01 | $375.28 | $262.51 | RVU26B |
| 2026-01-01 | $375.28 | $262.51 | RVU26A |
| 2025-10-01 | $353.45 | $285.10 | RVU25D |
| 2025-07-01 | $353.45 | $285.10 | RVU25C |
| 2025-04-01 | $353.45 | $285.10 | RVU25B |
| 2025-01-01 | $353.45 | $285.10 | RVU25A |
| 2024-10-01 | $360.74 | $291.91 | RVU24D |
| 2024-07-01 | $360.74 | $291.91 | RVU24C |
| 2024-04-01 | $360.74 | $291.91 | RVU24B |
| 2024-03-09 | $360.74 | $291.91 | RVU24AR |
| 2024-01-01 | $354.86 | $287.15 | RVU24A |
| 2023-10-01 | $360.99 | $290.85 | RVU23D |
| 2023-07-01 | $360.99 | $290.85 | RVU23C |
| 2023-04-01 | $360.99 | $290.85 | RVU23B |
| 2023-01-01 | $360.99 | $290.85 | RVU23A |
| 2022-10-01 | $364.97 | $292.12 | RVU22D |
| 2022-07-01 | $364.97 | $292.12 | RVU22C |
| 2022-04-01 | $364.97 | $292.12 | RVU22B |
| 2022-01-01 | $364.97 | $292.12 | RVU22A |
| 2021-10-01 | $368.85 | $294.73 | RVU21D |
| 2021-07-01 | $368.85 | $294.73 | RVU21C |
| 2021-04-01 | $368.85 | $294.73 | RVU21B |
| 2021-01-01 | $368.85 | $294.73 | RVU21A |
| 2020-10-01 | $373.67 | $305.92 | RVU20D |
| 2020-07-01 | $373.67 | $305.92 | RVU20C |
| 2020-04-01 | $373.67 | $305.92 | RVU20B |
| 2020-01-01 | $373.67 | $305.92 | RVU20A |
| 2019-10-01 | $376.95 | $310.02 | RVU19D |
| 2019-07-01 | $376.95 | $310.02 | RVU19C |
| 2019-04-01 | $376.95 | $310.02 | RVU19B |
| 2019-01-01 | $376.95 | $310.02 | RVU19A |
| 2018-10-01 | $376.23 | $310.04 | RVU18D |
| 2018-07-01 | $376.23 | $310.04 | RVU18C |
| 2018-04-01 | $376.23 | $310.04 | RVU18B |
| 2018-01-01 | $376.23 | $310.04 | RVU18AR1 |
| 2017-10-01 | $372.36 | $308.80 | RVU17D |
| 2017-07-01 | $372.36 | $308.80 | RVU17C |
| 2017-04-01 | $372.36 | $308.80 | RVU17B |
| 2017-01-01 | $372.36 | $308.80 | RVU17A |
| 2016-10-01 | $368.87 | $307.18 | RVU16D |
| 2016-07-01 | $368.87 | $307.18 | RVU16C |
| 2016-04-01 | $368.87 | $307.18 | RVU16B |
| 2016-01-01 | $368.87 | $307.18 | RVU16A |
| 2015-10-01 | $369.89 | $308.63 | RVU15D |
| 2015-07-01 | $369.89 | $308.63 | RVU15C |
| 2015-04-01 | $368.05 | $307.10 | RVU15B |
| 2015-01-01 | $368.05 | $307.10 | RVU15A |
| 2014-10-01 | $361.95 | $302.69 | RVU14D |
| 2014-07-01 | $361.95 | $302.69 | RVU14C |
| 2014-04-01 | $361.95 | $302.69 | RVU14B |
| 2014-01-01 | $361.95 | $302.69 | RVU14A |
| 2013-10-01 | $351.90 | $290.93 | RVU13D |
| 2013-07-01 | $351.90 | $290.93 | RVU13C |
| 2013-04-01 | $351.90 | $290.93 | RVU13B |
| 2013-01-01 | $351.90 | $290.93 | RVU13AR |
Where the Beaumont, TX rate applies
Beaumont, TX is a Medicare payment area, not a city. Our Census mapping connects it to 13 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- Beaumont
- Beauxart Gardens
- Bevil Oaks
- Central Gardens
- China
- Fannett
- Groves
- Hamshire
50951 billing questions
When should this code be used instead of a ureteroscopy code for biopsy?
Use this code for diagnostic inspection, including brushing or washing to collect a specimen. If tissue is obtained by biopsy, choose the code describing ureteroscopy with biopsy.
Can brushing or washing be part of the diagnostic service?
Yes. Collection of cells or fluid by brushing or washing may accompany the diagnostic examination.
Can this code be reported with a ureteroscopy treatment code in the same session?
When therapeutic work is performed, report the code that describes that work rather than separately reporting a diagnostic examination for the same ureteroscopic service. If separate procedures are performed in one session, the CMS multiple-procedure reduction applies.
How should bilateral ureteroscopic examinations be reported?
For a bilateral procedure, use modifier 50; CMS pays the bilateral service at 150%.
What documentation supports this code?
Record the diagnostic indication, the ureter examined, endoscopic findings, and whether brushing or washing was used to collect a specimen.
Can an assistant or co-surgeon be billed?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery 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
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