Use 50572 when renal endoscopy through nephrotomy or pyelotomy includes ureteral catheterization, with or without dilation. 50570 is the related endoscopy variant without that distinguishing work.
On this page
CMS RVU26D · Effective 2026-10-01
50572 Renal endoscopy Medicare reimbursement rates
Reports renal endoscopy through a nephrotomy or pyelotomy when the urologist also catheterizes the ureter, with or without ureteral dilation. Compare 50572 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 50572?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 50572 pays more and less
Urology
About 50572: Renal endoscopy with ureteral catheterization
Reports renal endoscopy through a nephrotomy or pyelotomy when the urologist also catheterizes the ureter, with or without ureteral dilation.
A urologist performs this procedure by passing an endoscope into the kidney through a surgical opening in the kidney or renal pelvis, while catheterizing the ureter; ureteral dilation may also be performed. It is an operative service used to inspect the renal collecting system and access the ureter, rather than a scope examination performed through the bladder and urethra. The operative report should identify the access route and document the ureteral catheterization and any dilation.
Report the code when the documented work includes renal endoscopy through nephrotomy or pyelotomy and ureteral catheterization. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 50572
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.07 · 72%
- Practice expense (office) RVU2.53 · 18%
- Malpractice RVU1.30 · 9%
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.
50572 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
50574 identifies a renal endoscopy service with biopsy. This code is distinguished by ureteral catheterization, not biopsy.
50555 is identified as a renal endoscopy and biopsy variant. Select 50572 for the catheterization service when the operative report supports that work.
See how rates vary across the country
50572 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 50572 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $434.86 |
| Alaska* | Office Unavailable | Facility $618.44 |
| Arizona | Office Unavailable | Facility $455.40 |
| Arkansas | Office Unavailable | Facility $431.30 |
| Atlanta | Office Unavailable | Facility $475.36 |
| Austin | Office Unavailable | Facility $464.90 |
| Bakersfield | Office Unavailable | Facility $461.80 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $486.11 |
| Beaumont | Office Unavailable | Facility $453.58 |
| Brazoria | Office Unavailable | Facility $456.65 |
| Chicago | Office Unavailable | Facility $523.28 |
| Chico | Office Unavailable | Facility $457.96 |
| Colorado | Office Unavailable | Facility $464.21 |
| Connecticut | Office Unavailable | Facility $486.62 |
| Dallas | Office Unavailable | Facility $460.80 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $502.38 |
| Delaware | Office Unavailable | Facility $460.55 |
| Detroit | Office Unavailable | Facility $491.10 |
| East St. Louis | Office Unavailable | Facility $501.54 |
| El Centro | Office Unavailable | Facility $458.17 |
| Fort Lauderdale | Office Unavailable | Facility $500.46 |
| Fort Worth | Office Unavailable | Facility $460.52 |
| Fresno | Office Unavailable | Facility $457.96 |
| Galveston | Office Unavailable | Facility $458.90 |
| Hanford-Corcoran | Office Unavailable | Facility $457.96 |
| Hawaii, Guam | Office Unavailable | Facility $457.57 |
| Houston | Office Unavailable | Facility $482.70 |
| Idaho | Office Unavailable | Facility $434.63 |
| Indiana | Office Unavailable | Facility $435.79 |
| Iowa | Office Unavailable | Facility $430.91 |
| Kansas | Office Unavailable | Facility $434.62 |
| Kentucky | Office Unavailable | Facility $451.20 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $478.94 |
| Madera | Office Unavailable | Facility $457.96 |
| Manhattan | Office Unavailable | Facility $524.93 |
| Merced | Office Unavailable | Facility $457.96 |
| Metropolitan Boston | Office Unavailable | Facility $489.68 |
| Metropolitan Kansas City | Office Unavailable | Facility $458.12 |
| Metropolitan Philadelphia | Office Unavailable | Facility $482.17 |
| Metropolitan St. Louis | Office Unavailable | Facility $460.30 |
| Miami | Office Unavailable | Facility $534.13 |
| Minnesota | Office Unavailable | Facility $436.15 |
| Mississippi | Office Unavailable | Facility $441.19 |
| Modesto | Office Unavailable | Facility $457.96 |
| Montana** | Office Unavailable | Facility $464.19 |
| Napa | Office Unavailable | Facility $490.97 |
| Nebraska | Office Unavailable | Facility $430.76 |
| Nevada** | Office Unavailable | Facility $457.11 |
| New Hampshire | Office Unavailable | Facility $462.31 |
| New Mexico | Office Unavailable | Facility $465.99 |
| New Orleans | Office Unavailable | Facility $465.19 |
| North Carolina | Office Unavailable | Facility $442.94 |
| North Dakota** | Office Unavailable | Facility $438.48 |
| Northern Nj | Office Unavailable | Facility $501.94 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $538.98 |
| Ohio | Office Unavailable | Facility $457.27 |
| Oklahoma | Office Unavailable | Facility $445.55 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $472.70 |
| Portland | Office Unavailable | Facility $467.92 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $496.55 |
| Puerto Rico | Office Unavailable | Facility $464.55 |
| Queens | Office Unavailable | Facility $520.37 |
| Redding | Office Unavailable | Facility $457.96 |
| Rest Of California | Office Unavailable | Facility $457.96 |
| Rest Of Florida | Office Unavailable | Facility $482.40 |
| Rest Of Georgia | Office Unavailable | Facility $463.48 |
| Rest Of Illinois | Office Unavailable | Facility $481.37 |
| Rest Of Louisiana | Office Unavailable | Facility $452.73 |
| Rest Of Maine | Office Unavailable | Facility $441.10 |
| Rest Of Maryland | Office Unavailable | Facility $465.09 |
| Rest Of Massachusetts | Office Unavailable | Facility $465.32 |
| Rest Of Michigan | Office Unavailable | Facility $462.52 |
| Rest Of Missouri | Office Unavailable | Facility $451.48 |
| Rest Of New Jersey | Office Unavailable | Facility $489.71 |
| Rest Of New York | Office Unavailable | Facility $447.15 |
| Rest Of Oregon | Office Unavailable | Facility $451.04 |
| Rest Of Pennsylvania | Office Unavailable | Facility $454.95 |
| Rest Of Texas | Office Unavailable | Facility $455.75 |
| Rest Of Washington | Office Unavailable | Facility $462.75 |
| Rhode Island | Office Unavailable | Facility $468.76 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $472.06 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $470.01 |
| Salinas | Office Unavailable | Facility $467.99 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $471.04 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $507.38 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $505.91 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $518.47 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $512.44 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $461.59 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $469.36 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $467.57 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $473.48 |
| Seattle (King Cnty) | Office Unavailable | Facility $492.33 |
| South Carolina | Office Unavailable | Facility $451.34 |
| South Dakota** | Office Unavailable | Facility $435.44 |
| Southern Maine | Office Unavailable | Facility $447.49 |
| Stockton | Office Unavailable | Facility $457.96 |
| Suburban Chicago | Office Unavailable | Facility $502.43 |
| Tennessee | Office Unavailable | Facility $436.48 |
| Utah | Office Unavailable | Facility $454.77 |
| Vallejo | Office Unavailable | Facility $488.84 |
| Vermont | Office Unavailable | Facility $441.98 |
| Virgin Islands | Office Unavailable | Facility $464.55 |
| Virginia | Office Unavailable | Facility $450.07 |
| Visalia | Office Unavailable | Facility $457.96 |
| West Virginia | Office Unavailable | Facility $471.92 |
| Wisconsin | Office Unavailable | Facility $430.68 |
| Wyoming** | Office Unavailable | Facility $452.98 |
| Yuba City | Office Unavailable | Facility $457.96 |
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50572 billing questions
How is this different from 50570?
This code includes ureteral catheterization during renal endoscopy through nephrotomy or pyelotomy, with or without ureteral dilation. Choose 50570 when the documented service does not include that catheterization.
When does 50574 apply instead?
50574 is the renal endoscopy variant identified for biopsy. Report this code for the ureteral catheterization service when that is the documented work, rather than selecting a biopsy variant.
How are related endoscopies priced when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together. The operative documentation should distinguish the procedures and their work.
Can modifier 50 be used for bilateral performance?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
What postoperative care is included?
The 0-day global period includes same-day preoperative and postoperative care. Document the renal access, endoscopic work, ureteral catheterization, and any dilation.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
