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CPT 50130: Stone removalMedicare rate & RVUs

Reports open surgical access to the renal pelvis to remove a calculus, typically when the operative plan calls for direct pyelotomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities33 Medicare services in 2024

Medicare pays $926.21 for 50130 nationally in a facility.

Medicare rate · 50130

Stone removal

Swap in your local Medicare rate.

Work RVUs
18.35
Total RVUs
27.73
Global days
090

National rate · 2026

$926.21

Facility setting, before claim adjustments.

See every locality for 50130 →

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 10 sections
  1. Medicare rate
  2. What 50130 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 50130 covers

A urologist opens the renal pelvis surgically and removes a calculus. The service is performed in an operating room, generally in a hospital facility, when the planned treatment requires direct open access to the collecting system. The operative report should establish the pyelotomy approach and removal of the stone; exploration alone or drainage without stone removal describes a different service.

Report this code for the open stone-removal procedure, with documentation identifying the treated side, operative approach, and calculus removal. It has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.

Where 50130 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

50130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$862.69
Alaska*Unavailable$1,212.51
ArizonaUnavailable$907.59
ArkansasUnavailable$854.92
AtlantaUnavailable$947.64
AustinUnavailable$932.05
BakersfieldUnavailable$929.54
Baltimore/Surr. CntysUnavailable$971.81
BeaumontUnavailable$899.51
BrazoriaUnavailable$911.66

50130 rates by state

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

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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
50130 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

How the 50130 rate is calculated

Each of 50130’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 · 50130

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 18.35Practice expense 7.02Malpractice 2.36

27.7300 adjusted RVUs×$33.4009 conversion factor=$926.21

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 50130

50130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50130

Stone removal

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 · 50130

Stone removal

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

50130 without 50 · national facility

$926.21

Stone removal

50130-50 · Bilateral: 150%

$1,389.32

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

50130 compared with similar codes

Compare codes

50130 vs 50120 vs 50125 vs 50080 vs 50590: national Medicare rates

Swap in your local Medicare rate.

  • 50130
    Stone removal · 18.35 wRVU
    —
  • 50120
    Pyelotomy · 16.78 wRVU
    —
  • 50125
    Pyelotomy · 17.37 wRVU
    —
  • 50080
    Percutaneous stone removal · 12.1 wRVU
    —
  • 50590
    Kidney stone treatment · 9.53 wRVU
    $760.20

How to choose

50120Pyelotomy
50130 includes removal of a calculus through open pyelotomy. Choose 50120 when the service is pyelotomy with exploration and the operative report does not document stone removal.
50125Pyelotomy
50125 describes pyelotomy with creation of drainage through a pyelostomy. This code identifies open pyelotomy with calculus removal.
50080Percutaneous stone removal
50080 uses a percutaneous approach for stone removal. This code is for direct open access to the renal pelvis.
50590Kidney stone treatment
50590 describes extracorporeal shock-wave treatment of a kidney stone. This code represents open surgical removal through pyelotomy.

Codes related to 50130

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

Codes related to 50130
CodeHow it relatesNational office range
Same family
50120PyelotomyPyelotomy with exploration; distinguish it from a documented open calculus removal.No office rate
50125PyelotomyPyelotomy with drainage by pyelostomy rather than stone removal as the defining service.No office rate
Used instead
50080Percutaneous stone removalPercutaneous stone-removal approach for a different operative method.No office rate
50081Kidney stone removalPercutaneous complex stone-removal approach rather than open pyelotomy.No office rate
50590Kidney stone treatmentShock-wave treatment of a kidney stone rather than open surgical removal.$683.76–$953.31

50130 billing questions

How is this distinguished from 50120?

Use 50130 when the open pyelotomy includes removal of a calculus. Code 50120 describes pyelotomy with exploration rather than the documented stone-removal service.

Can stone removal and pyelostomy drainage be reported together?

Code 50125 describes pyelotomy with drainage by pyelostomy. Select the code that matches the documented operative service; do not report drainage as a substitute for documented calculus removal.

How is bilateral stone removal reported?

For a bilateral procedure, modifier 50 is paid at 150% under the CMS facts for this code. The operative documentation should establish treatment of both sides.

Does the global period include routine postoperative care?

Yes. 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 made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What happens when other procedures are performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction of 50%.

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 50130PPRRVU2026_Oct_nonQPP.csv, line 5,880 (RVU26D)

Open CMS sourceHow we calculate rates

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