No office rate
50045 includes incision into the kidney for exploration. Use 50010 when renal exploration is performed without that nephrotomy.
On this page
CMS RVU26D · Effective 2026-10-01
50045 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$832.33
Base rate per service
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.
Urology surgery
About 50045: Open nephrotomy with renal exploration
Reports open incision into the kidney for direct exploration when the operation requires inspection of renal tissue or the collecting system.
A urologist performs this open operation by making an incision into the kidney to inspect renal tissue or the collecting system. It is distinct from exploration around the kidney that does not require opening the kidney, and from procedures whose defining work is drainage or removal of a calculus. The service is performed in an operating room, generally in a hospital or other surgical facility.
Report the code when the operative record supports nephrotomy with exploration, rather than simply renal exposure or a more specific procedure such as drainage or stone removal. The record should identify the incision into the kidney and the exploration performed. Medicare assigns a 90-day global period, including the day before surgery 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 others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 50045
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU16.40 · 65%
- Practice expense (office) RVU6.62 · 26%
- Malpractice RVU2.11 · 8%
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.
50045 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
50040 describes nephrostomy or nephrotomy with drainage. 50045 is for nephrotomy with exploration, not drainage as the defining work.
No office rate
50060 is directed at removal of a renal calculus. 50045 describes exploration through a kidney incision rather than calculus removal.
No office rate
50065 describes a secondary surgical operation for a calculus; 50045 describes nephrotomy with exploration, without that calculus-specific purpose.
The same code, a different location
How does Delaware compare?
50045 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 50045
Office
Unavailable
Facility
$781.14
No comparable office rate is available.
Arkansas
Arkansas · 50045
Office
Unavailable
Facility
$774.01
No comparable office rate is available.
Arizona
Arizona · 50045
Office
Unavailable
Facility
$822.36
No comparable office rate is available.
Bakersfield
California · 50045
Office
Unavailable
Facility
$843.44
No comparable office rate is available.
Chico
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
El Centro
California · 50045
Office
Unavailable
Facility
$837.56
No comparable office rate is available.
Fresno
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Hanford-Corcoran
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Madera
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Merced
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Modesto
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Napa
California · 50045
Office
Unavailable
Facility
$909.51
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 50045
Office
Unavailable
Facility
$868.38
No comparable office rate is available.
Redding
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Rest Of California
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 50045
Office
Unavailable
Facility
$860.09
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 50045
Office
Unavailable
Facility
$862.43
No comparable office rate is available.
Salinas
California · 50045
Office
Unavailable
Facility
$858.80
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 50045
Office
Unavailable
Facility
$866.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 50045
Office
Unavailable
Facility
$943.93
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 50045
Office
Unavailable
Facility
$941.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 50045
Office
Unavailable
Facility
$964.65
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 50045
Office
Unavailable
Facility
$954.86
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 50045
Office
Unavailable
Facility
$846.71
No comparable office rate is available.
Santa Cruz-Watsonville
California · 50045
Office
Unavailable
Facility
$865.71
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 50045
Office
Unavailable
Facility
$858.71
No comparable office rate is available.
Santa Rosa-Petaluma
California · 50045
Office
Unavailable
Facility
$873.51
No comparable office rate is available.
Stockton
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Vallejo
California · 50045
Office
Unavailable
Facility
$906.06
No comparable office rate is available.
Visalia
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Yuba City
California · 50045
Office
Unavailable
Facility
$837.20
No comparable office rate is available.
Colorado
Colorado · 50045
Office
Unavailable
Facility
$844.65
No comparable office rate is available.
Connecticut
Connecticut · 50045
Office
Unavailable
Facility
$882.15
No comparable office rate is available.
Fort Lauderdale
Florida · 50045
Office
Unavailable
Facility
$899.18
No comparable office rate is available.
Rest Of Florida
Florida · 50045
Office
Unavailable
Facility
$865.08
No comparable office rate is available.
Atlanta
Georgia · 50045
Office
Unavailable
Facility
$858.71
No comparable office rate is available.
Rest Of Georgia
Georgia · 50045
Office
Unavailable
Facility
$829.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 50045
Office
Unavailable
Facility
$839.99
No comparable office rate is available.
Iowa
Iowa · 50045
Office
Unavailable
Facility
$778.07
No comparable office rate is available.
Idaho
Idaho · 50045
Office
Unavailable
Facility
$784.53
No comparable office rate is available.
East St. Louis
Illinois · 50045
Office
Unavailable
Facility
$893.14
No comparable office rate is available.
Rest Of Illinois
Illinois · 50045
Office
Unavailable
Facility
$859.81
No comparable office rate is available.
Suburban Chicago
Illinois · 50045
Office
Unavailable
Facility
$903.58
No comparable office rate is available.
Indiana
Indiana · 50045
Office
Unavailable
Facility
$787.00
No comparable office rate is available.
Kansas
Kansas · 50045
Office
Unavailable
Facility
$783.18
No comparable office rate is available.
Kentucky
Kentucky · 50045
Office
Unavailable
Facility
$808.83
No comparable office rate is available.
New Orleans
Louisiana · 50045
Office
Unavailable
Facility
$835.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 50045
Office
Unavailable
Facility
$810.98
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 50045
Office
Unavailable
Facility
$896.97
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 50045
Office
Unavailable
Facility
$845.54
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 50045
Office
Unavailable
Facility
$880.97
No comparable office rate is available.
Rest Of Maryland
Maryland · 50045
Office
Unavailable
Facility
$841.72
No comparable office rate is available.
Rest Of Maine
Maine · 50045
Office
Unavailable
Facility
$795.04
No comparable office rate is available.
Southern Maine
Maine · 50045
Office
Unavailable
Facility
$811.37
No comparable office rate is available.
Detroit
Michigan · 50045
Office
Unavailable
Facility
$879.97
No comparable office rate is available.
Rest Of Michigan
Michigan · 50045
Office
Unavailable
Facility
$829.22
No comparable office rate is available.
Minnesota
Minnesota · 50045
Office
Unavailable
Facility
$796.16
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 50045
Office
Unavailable
Facility
$824.26
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 50045
Office
Unavailable
Facility
$828.89
No comparable office rate is available.
Rest Of Missouri
Missouri · 50045
Office
Unavailable
Facility
$807.02
No comparable office rate is available.
Mississippi
Mississippi · 50045
Office
Unavailable
Facility
$790.24
No comparable office rate is available.
Montana**
Montana · 50045
Office
Unavailable
Facility
$839.22
No comparable office rate is available.
North Carolina
North Carolina · 50045
Office
Unavailable
Facility
$799.11
No comparable office rate is available.
North Dakota**
North Dakota · 50045
Office
Unavailable
Facility
$797.50
No comparable office rate is available.
Nebraska
Nebraska · 50045
Office
Unavailable
Facility
$778.50
No comparable office rate is available.
New Hampshire
New Hampshire · 50045
Office
Unavailable
Facility
$839.62
No comparable office rate is available.
Northern Nj
New Jersey · 50045
Office
Unavailable
Facility
$914.05
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 50045
Office
Unavailable
Facility
$888.45
No comparable office rate is available.
New Mexico
New Mexico · 50045
Office
Unavailable
Facility
$835.18
No comparable office rate is available.
Nevada**
Nevada · 50045
Office
Unavailable
Facility
$827.82
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 50045
Office
Unavailable
Facility
$976.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 50045
Office
Unavailable
Facility
$899.82
No comparable office rate is available.
Queens
New York · 50045
Office
Unavailable
Facility
$945.82
No comparable office rate is available.
Rest Of New York
New York · 50045
Office
Unavailable
Facility
$807.38
No comparable office rate is available.
Ohio
Ohio · 50045
Office
Unavailable
Facility
$820.69
No comparable office rate is available.
Oklahoma
Oklahoma · 50045
Office
Unavailable
Facility
$799.99
No comparable office rate is available.
Portland
Oregon · 50045
Office
Unavailable
Facility
$854.63
No comparable office rate is available.
Rest Of Oregon
Oregon · 50045
Office
Unavailable
Facility
$817.55
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 50045
Office
Unavailable
Facility
$871.89
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 50045
Office
Unavailable
Facility
$817.36
No comparable office rate is available.
Puerto Rico
Puerto Rico · 50045
Office
Unavailable
Facility
$840.74
No comparable office rate is available.
Rhode Island
Rhode Island · 50045
Office
Unavailable
Facility
$849.46
No comparable office rate is available.
South Carolina
South Carolina · 50045
Office
Unavailable
Facility
$811.99
No comparable office rate is available.
South Dakota**
South Dakota · 50045
Office
Unavailable
Facility
$792.57
No comparable office rate is available.
Tennessee
Tennessee · 50045
Office
Unavailable
Facility
$786.61
No comparable office rate is available.
Austin
Texas · 50045
Office
Unavailable
Facility
$845.25
No comparable office rate is available.
Beaumont
Texas · 50045
Office
Unavailable
Facility
$814.46
No comparable office rate is available.
Brazoria
Texas · 50045
Office
Unavailable
Facility
$826.25
No comparable office rate is available.
Dallas
Texas · 50045
Office
Unavailable
Facility
$833.40
No comparable office rate is available.
Fort Worth
Texas · 50045
Office
Unavailable
Facility
$832.11
No comparable office rate is available.
Galveston
Texas · 50045
Office
Unavailable
Facility
$830.08
No comparable office rate is available.
Houston
Texas · 50045
Office
Unavailable
Facility
$868.70
No comparable office rate is available.
Rest Of Texas
Texas · 50045
Office
Unavailable
Facility
$821.25
No comparable office rate is available.
Utah
Utah · 50045
Office
Unavailable
Facility
$818.91
No comparable office rate is available.
Virginia
Virginia · 50045
Office
Unavailable
Facility
$814.89
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 50045
Office
Unavailable
Facility
$840.74
No comparable office rate is available.
Vermont
Vermont · 50045
Office
Unavailable
Facility
$802.34
No comparable office rate is available.
Rest Of Washington
Washington · 50045
Office
Unavailable
Facility
$841.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 50045
Office
Unavailable
Facility
$904.05
No comparable office rate is available.
Wisconsin
Wisconsin · 50045
Office
Unavailable
Facility
$781.31
No comparable office rate is available.
West Virginia
West Virginia · 50045
Office
Unavailable
Facility
$840.77
No comparable office rate is available.
Wyoming**
Wyoming · 50045
Office
Unavailable
Facility
$821.04
No comparable office rate is available.
See how rates vary across the country
50045 · 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 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 50045 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$915.56
$832.33 × 110% = $915.56
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 50045 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,868
- Code
- 50045
- Physician work
- 16.40
- Practice expense
- 6.62
- Malpractice
- 2.11
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.40 | × 1.005 | 16.4820 |
| Practice expense | 6.62 | × 0.988 | 6.5406 |
| Malpractice | 2.11 | × 0.899 | 1.8969 |
| Total RVUs | 24.9194 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$832.33
Open 50045 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.4 | 1.005 |
| Practice expense | 6.62 | 0.988 |
| Malpractice | 2.11 | 0.899 |
(16.4 × 1.005 + 6.62 × 0.988 + 2.11 × 0.899) × $33.4009 = $832.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
50045 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $832.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $832.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $832.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $832.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $904.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $904.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $904.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $904.55 | RVU25A |
50045 billing questions
How does this differ from renal exploration without nephrotomy?
Use 50045 when the surgeon incises the kidney and explores it. Code 50010 describes renal exploration without that defining kidney incision.
Should 50045 be reported when the kidney is opened for drainage?
When drainage is the defining work, compare 50040, which describes nephrostomy or nephrotomy with drainage. The operative report should support the service actually performed.
Is stone removal included in this code?
The code describes exploration through a kidney incision, not a procedure defined by calculus removal. For nephrolithotomy, compare the stone-removal codes, including 50060 and 50065.
What postoperative care is included?
Medicare assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How are bilateral procedures and additional same-session procedures paid?
Bilateral reporting with modifier 50 is paid at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and team surgery is 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.
5,86550010,,Renal exploration,A,,11.97,5.70,NA,5.70,,1.53,19.20,19.20,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86650020,,Drg perirnl/renal absc open,A,,17.63,7.53,NA,7.53,,2.27,27.43,27.43,0,090,0.08,0.83,0.09,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86750040,,Nfros nfrot w/drg,A,,16.26,6.59,NA,6.59,,2.09,24.94,24.94,0,090,0.08,0.83,0.09,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86850045,,Nephrotomy w/exploration,A,,16.40,6.62,NA,6.62,,2.11,25.13,25.13,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,8695005F,,Pt counsld on exam for moles,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87050060,,Nl removal calculus,A,,20.43,7.46,NA,7.46,,2.62,30.51,30.51,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87150065,,Nl sec surg operj calculus,A,,21.76,7.73,NA,7.73,,2.79,32.28,32.28,0,090,0.08,0.83,0.09,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503