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Billing code 50562: Renal endoscopyMedicare rate & RVUs

Reports endoscopic resection of a renal tumor through a nephrotomy or pyelotomy, rather than biopsy, lesion treatment, or stone removal.

CMS RVU26DEffective Oct 1, 2026109 payment localities62 Medicare services in 2024

Medicare pays $512.37 for 50562 nationally in a facility.

Medicare rate · 50562

Renal endoscopy

Work RVUs
10.63
Total RVUs
15.34
Global days
090

National rate · 2026

$512.37

Facility setting, before claim adjustments.

See every locality for 50562 →Billed by an NP, PA or therapist? →

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 50562 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 50562 covers

A urologist uses an endoscope through an opening made into the kidney or renal pelvis to resect a tumor, such as a lesion in the renal pelvis or calyces. The work is performed in an operating room and includes the endoscopic approach and tumor resection. It is distinct from taking a biopsy alone or treating a lesion without resecting it.

Select this code when the operative report supports both the nephrotomy or pyelotomy route and tumor resection. Document the tumor site and the work performed; a biopsy or stone extraction alone supports a different service. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this descriptor and anatomy.

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 50562 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

50562 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$478.77
Alaska*Unavailable$676.94
ArizonaUnavailable$502.40
ArkansasUnavailable$474.68
AtlantaUnavailable$524.29
AustinUnavailable$514.45
BakersfieldUnavailable$512.26
Baltimore/Surr. CntysUnavailable$536.93
BeaumontUnavailable$499.07
BrazoriaUnavailable$504.28

50562 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
50562 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 50562 rate is calculated

Each of 50562’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 · 50562

RVUs × geographic indexes × conversion factor

Work10.63

10.63 RVUs× 1.000 GPCI

Practice expense3.36

3.36 RVUs× 1.000 GPCI

Malpractice1.35

1.35 RVUs× 1.000 GPCI

Adjusted RVUs

15.3400

Conversion factor

$33.4009

Medicare rate

$512.37

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

Payment rules and modifiers for 50562

50562 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50562

Renal endoscopy

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)0The 150% bilateral adjustment doesn’t apply.
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 · 50562

Renal endoscopy

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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 51 · payment effect

With and without the modifier

50562 without 51 · national facility

$512.37

Renal endoscopy

50562-51 · Second procedure: 50%

$256.19

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

50562 compared with similar codes

Compare codes · National

4 codes, side by side

  • 50562

    Renal endoscopy10.63 wRVU

    Not priced

  • 50555

    Kidney endoscopy6.36 wRVU

    $429.54

  • 50557

    Renal endoscopy6.44 wRVU

    $436.88

  • 50561

    Renal endoscopy7.39 wRVU

    $495.00

How to choose

50555Kidney endoscopy
Use for renal endoscopy with biopsy when tissue is sampled without tumor resection. Report 50562 when the tumor is resected through the nephrotomy or pyelotomy.
50557Renal endoscopy
This sibling code describes endoscopic treatment of a renal lesion; 50562 is the choice when the operative work includes tumor resection.
50561Renal endoscopy
This code is for endoscopic removal of a calculus. A renal tumor resection through a nephrotomy or pyelotomy is reported with 50562.

Codes related to 50562

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

Codes related to 50562
CodeHow it relatesNational office range
Same family
50555Kidney endoscopyRenal endoscopy in this family with biopsy, rather than tumor resection.$389.50–$535.78
50557Renal endoscopyRenal endoscopy with lesion treatment, rather than tumor resection.$396.08–$544.60
50561Renal endoscopyRenal endoscopy with calculus removal, rather than tumor resection.$448.98–$618.07

50562 billing questions

How is this different from renal endoscopy with biopsy?

This code is for resection of a renal tumor through a nephrotomy or pyelotomy. A biopsy without tumor resection is a different service.

Can the endoscopic approach be billed separately?

The endoscopic approach and tumor resection are included in this service. Do not separately report the same operative steps as diagnostic renal endoscopy.

What modifier guidance applies?

Modifier 50 is inappropriate for this descriptor and anatomy. Medicare may pay an assistant at surgery; co-surgeon payment requires supporting documentation.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are multiple procedures in the same session paid?

The highest-valued procedure is paid in full, and the other procedures are paid at 50%. Medicare does not permit team-surgery payment 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
RVUs for 50562PPRRVU2026_Oct_nonQPP.csv, line 5,945 (RVU26D)

Open CMS sourceHow we calculate rates

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