Billing code 50695: Ureteral stentMedicare rate & RVUs
Reports percutaneous placement of a ureteral stent through an established nephrostomy tract, including associated imaging guidance and radiological supervision and interpretation.
Medicare pays $1,272.91 for 50695 nationally in the office and $293.26 in a hospital or facility. Local office rates run $1,116.49–$1,740.53.
Medicare rate · 50695
Ureteral stent
Swap in your local Medicare rate.
- Work RVUs
- 6.63
- Total RVUs
- 38.11
- Global days
- 000
National rate · 2026
$1,272.91
Office setting, before claim adjustments.
See every locality for 50695 → · 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
What 50695 covers
An interventional radiologist or urologist uses an established nephrostomy tract to advance a stent into the ureter, commonly to bypass an obstruction and provide internal urinary drainage. The procedure is typically performed in a hospital or interventional radiology setting. The existing tract distinguishes this service from percutaneous stent placement that requires new access.
Report the service when documentation supports placement through the existing tract. Diagnostic nephrostography or ureterography, when performed, imaging guidance, and associated radiological supervision and interpretation are included. 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 receive the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; 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.
Where 50695 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1116.49 to $1740.53
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,134.15 | $276.96 |
| Alaska* | $1,439.79 | $396.46 |
| Arizona | $1,237.63 | $288.35 |
| Arkansas | $1,116.49 | $274.98 |
| Atlanta | $1,294.78 | $299.46 |
| Austin | $1,330.26 | $293.79 |
| Bakersfield | $1,366.51 | $292.81 |
| Baltimore/Surr. Cntys | $1,357.10 | $305.93 |
| Beaumont | $1,178.73 | $287.25 |
| Brazoria | $1,260.21 | $289.38 |
| Chicago | $1,310.31 | $325.76 |
| Chico | $1,364.33 | $290.64 |
| Colorado | $1,336.15 | $293.80 |
| Connecticut | $1,361.45 | $306.37 |
| Dallas | $1,267.42 | $291.69 |
| Dc + Md/Va Suburbs | $1,470.48 | $316.46 |
| Delaware | $1,259.29 | $291.39 |
| Detroit | $1,253.21 | $307.84 |
| East St. Louis | $1,214.74 | $313.46 |
| El Centro | $1,364.45 | $290.76 |
| Fort Lauderdale | $1,305.43 | $313.05 |
| Fort Worth | $1,257.45 | $291.52 |
| Fresno | $1,364.33 | $290.64 |
| Galveston | $1,263.41 | $290.62 |
| Hanford-Corcoran | $1,364.33 | $290.64 |
| Hawaii, Guam | $1,403.73 | $289.87 |
| Houston | $1,276.40 | $303.61 |
| Idaho | $1,178.19 | $276.91 |
| Indiana | $1,185.69 | $277.56 |
| Iowa | $1,171.25 | $274.87 |
| Kansas | $1,162.48 | $276.88 |
| Kentucky | $1,156.81 | $285.91 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,462.10 | $303.17 |
| Madera | $1,364.33 | $290.64 |
| Manhattan | $1,467.47 | $329.12 |
| Merced | $1,364.33 | $290.64 |
| Metropolitan Boston | $1,478.76 | $309.06 |
| Metropolitan Kansas City | $1,209.67 | $289.78 |
| Metropolitan Philadelphia | $1,323.61 | $303.79 |
| Metropolitan St. Louis | $1,223.62 | $291.00 |
| Miami | $1,351.31 | $331.49 |
| Minnesota | $1,286.02 | $277.96 |
| Mississippi | $1,123.86 | $280.38 |
| Modesto | $1,364.33 | $290.64 |
| Montana** | $1,272.86 | $293.21 |
| Napa | $1,602.02 | $310.84 |
| Nebraska | $1,179.02 | $274.81 |
| Nevada** | $1,269.98 | $289.35 |
| New Hampshire | $1,312.08 | $292.27 |
| New Mexico | $1,192.37 | $294.03 |
| New Orleans | $1,215.50 | $293.65 |
| North Carolina | $1,195.49 | $281.48 |
| North Dakota** | $1,258.82 | $279.17 |
| Northern Nj | $1,452.91 | $316.52 |
| Nyc Suburbs/Long Island | $1,501.65 | $336.85 |
| Ohio | $1,183.68 | $289.27 |
| Oklahoma | $1,157.65 | $282.83 |
| Oxnard-Thousand Oaks-Ventura | $1,457.22 | $299.27 |
| Portland | $1,384.46 | $296.07 |
| Poughkpsie/N Nyc Suburbs | $1,385.49 | $312.77 |
| Puerto Rico | $1,283.86 | $293.43 |
| Queens | $1,484.61 | $326.67 |
| Redding | $1,364.33 | $290.64 |
| Rest Of California | $1,364.33 | $290.64 |
| Rest Of Florida | $1,239.62 | $303.07 |
| Rest Of Georgia | $1,166.46 | $292.62 |
| Rest Of Illinois | $1,196.85 | $302.43 |
| Rest Of Louisiana | $1,153.72 | $286.73 |
| Rest Of Maine | $1,181.72 | $280.45 |
| Rest Of Maryland | $1,285.51 | $294.11 |
| Rest Of Massachusetts | $1,326.11 | $294.54 |
| Rest Of Michigan | $1,186.55 | $292.13 |
| Rest Of Missouri | $1,130.46 | $286.01 |
| Rest Of New Jersey | $1,378.62 | $308.84 |
| Rest Of New York | $1,214.48 | $283.81 |
| Rest Of Oregon | $1,261.75 | $286.02 |
| Rest Of Pennsylvania | $1,187.33 | $288.01 |
| Rest Of Texas | $1,218.19 | $288.51 |
| Rest Of Washington | $1,324.59 | $293.02 |
| Rhode Island | $1,308.47 | $296.49 |
| Riverside-San Bernardino-Ontario | $1,372.07 | $298.38 |
| Sacramento-Roseville-Folsom | $1,437.40 | $298.07 |
| Salinas | $1,432.18 | $296.77 |
| San Diego-Chula Vista-Carlsbad | $1,470.13 | $298.47 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,702.49 | $321.19 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,701.69 | $320.38 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,740.53 | $327.87 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,737.23 | $324.58 |
| San Luis Obispo-Paso Robles | $1,408.53 | $292.71 |
| Santa Cruz-Watsonville | $1,487.52 | $297.25 |
| Santa Maria-Santa Barbara | $1,438.71 | $296.44 |
| Santa Rosa-Petaluma | $1,502.87 | $299.87 |
| Seattle (King Cnty) | $1,512.94 | $310.91 |
| South Carolina | $1,191.24 | $286.05 |
| South Dakota** | $1,257.16 | $277.51 |
| Southern Maine | $1,254.91 | $284.08 |
| Stockton | $1,364.33 | $290.64 |
| Suburban Chicago | $1,320.52 | $314.42 |
| Tennessee | $1,168.40 | $277.90 |
| Utah | $1,208.82 | $287.96 |
| Vallejo | $1,600.85 | $309.68 |
| Vermont | $1,250.92 | $281.06 |
| Virgin Islands | $1,283.86 | $293.43 |
| Virginia | $1,248.46 | $285.47 |
| Visalia | $1,364.33 | $290.64 |
| West Virginia | $1,148.49 | $297.18 |
| Wisconsin | $1,213.33 | $274.83 |
| Wyoming** | $1,266.74 | $287.09 |
| Yuba City | $1,364.33 | $290.64 |
50695 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.
$1,116.49
$1,552.43
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 | $1,439.79 | 1 |
| AL | $1,134.15 | 1 |
| AR | $1,116.49 | 1 |
| AZ | $1,237.63 | 1 |
| CA | $1,364.33–$1,740.53 | 29 |
| CO | $1,336.15 | 1 |
| CT | $1,361.45 | 1 |
| DC | $1,470.48 | 1 |
| DE | $1,259.29 | 1 |
| FL | $1,239.62–$1,351.31 | 3 |
| GA | $1,166.46–$1,294.78 | 2 |
| GU | $1,403.73 | 1 |
| HI | $1,403.73 | 1 |
| IA | $1,171.25 | 1 |
| ID | $1,178.19 | 1 |
| IL | $1,196.85–$1,320.52 | 4 |
| IN | $1,185.69 | 1 |
| KS | $1,162.48 | 1 |
| KY | $1,156.81 | 1 |
| LA | $1,153.72–$1,215.50 | 2 |
| MA | $1,326.11–$1,478.76 | 2 |
| MD | $1,285.51–$1,470.48 | 3 |
| ME | $1,181.72–$1,254.91 | 2 |
| MI | $1,186.55–$1,253.21 | 2 |
| MN | $1,286.02 | 1 |
| MO | $1,130.46–$1,223.62 | 3 |
| MS | $1,123.86 | 1 |
| MT | $1,272.86 | 1 |
| NC | $1,195.49 | 1 |
| ND | $1,258.82 | 1 |
| NE | $1,179.02 | 1 |
| NH | $1,312.08 | 1 |
| NJ | $1,378.62–$1,452.91 | 2 |
| NM | $1,192.37 | 1 |
| NV | $1,269.98 | 1 |
| NY | $1,214.48–$1,501.65 | 5 |
| OH | $1,183.68 | 1 |
| OK | $1,157.65 | 1 |
| OR | $1,261.75–$1,384.46 | 2 |
| PA | $1,187.33–$1,323.61 | 2 |
| PR | $1,283.86 | 1 |
| RI | $1,308.47 | 1 |
| SC | $1,191.24 | 1 |
| SD | $1,257.16 | 1 |
| TN | $1,168.40 | 1 |
| TX | $1,178.73–$1,330.26 | 8 |
| UT | $1,208.82 | 1 |
| VA | $1,248.46–$1,470.48 | 2 |
| VI | $1,283.86 | 1 |
| VT | $1,250.92 | 1 |
| WA | $1,324.59–$1,512.94 | 2 |
| WI | $1,213.33 | 1 |
| WV | $1,148.49 | 1 |
| WY | $1,266.74 | 1 |
How the 50695 rate is calculated
Each of 50695’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 · 50695
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.63Practice expense 30.77Malpractice 0.71
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50695
The CMS indicators that decide how 50695 is paid alongside other services.
CMS payment indicators · 50695
Ureteral stent
| 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) | 1 | Not paid (statutory restriction). |
| 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
50695 without 50 · national office
$1,272.91
Ureteral stent
50695-50 · Bilateral: 150%
$1,909.37
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).
50695 compared with similar codes
Compare codes
50695 vs 50693 vs 50694 vs 50688 vs 52332: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50693Ureteral stent
- Use 50695 when the stent is placed through an existing nephrostomy tract. Code 50693 involves new access without creating a nephrostomy tract.
- 50694Ureteral stent placement
- Code 50694 describes new access with creation of a nephrostomy tract; 50695 uses a tract that is already established.
- 50688Ureteral stent exchange
- Code 50688 reports changing a ureteral tube or stent through a tract. Code 50695 reports placement of a ureteral stent through the existing tract.
- 52332Ureteral stent
- Code 52332 is for cystoscopic, retrograde stent insertion. Code 50695 is percutaneous and uses an existing nephrostomy tract.
50695 billing questions
How does this differ from codes 50693 and 50694?
This code is for stent placement through an existing nephrostomy tract. Codes 50693 and 50694 describe placement using new access, with 50694 involving creation of a nephrostomy tract.
Can the imaging guidance and nephrostogram be billed separately?
No. Imaging guidance, associated radiological supervision and interpretation, and diagnostic nephrostography or ureterography when performed are included in this service.
How is this distinguished from code 50688?
This code reports stent placement through the existing tract. Code 50688 is for changing a ureteral tube or stent through a tract, rather than placing the stent.
Can modifier 50 be used for bilateral placement?
Yes. CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is 150%.
What documentation supports reporting this code?
Document that the nephrostomy tract was already established, the ureteral stent was placed percutaneously through it, and the procedure findings and guidance used. Include any diagnostic nephrostogram or ureterogram performed.
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
Fee sheets
Put 50695 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →