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CMS RVU26D · Effective 2026-10-01

50570 Renal endoscopy Medicare reimbursement rates in Alabama

Reports endoscopic inspection of the kidney’s collecting system through a nephrotomy or pyelotomy, with irrigation, instillation, or ureteral dilation when performed. Compare 50570 office and facility rates across CMS payment localities in Alabama.

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 50570 in Alabama?

Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$402.73

1 of 1 localities have a supported rate.

Payment area: Alabama

One mapped payment locality.

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.

Find 50570 in your payment locality →

Urology procedure

About 50570: Renal endoscopy through surgical incision

Reports endoscopic inspection of the kidney’s collecting system through a nephrotomy or pyelotomy, with irrigation, instillation, or ureteral dilation when performed.

A urologist uses an endoscope to examine the renal collecting system through an incision into the kidney or renal pelvis. The service may include irrigation, instillation, or dilation of the ureter. It is performed in an operative setting when access is through a nephrotomy or pyelotomy, rather than through the urethra or an existing nephrostomy tract.

Select this code when the documented access route and endoscopic examination match that approach; record the incision used, structures examined, and any irrigation, instillation, or dilation performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 50570

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 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 RVU9.29 · 72%
  • Practice expense (office) RVU2.38 · 18%
  • Malpractice RVU1.21 · 9%

35

Medicare services in 2024 · #5568 by national volume

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.

50570 compared with similar codes

Office rates for Alabama, from the same CMS release.

50551

Renal endoscopy

Established nephrostomy or pyelostomy

$345.49

50570 is for endoscopy through a nephrotomy or pyelotomy. Use 50551 when the renal endoscope is introduced through nephrostomy access.

50574

Kidney endoscopy

With biopsy

No office rate

50574 identifies renal endoscopy with biopsy. Do not select 50570 alone when a biopsy service is performed and the biopsy-specific code applies.

50576

Kidney endoscopy

Calculus removal

No office rate

50576 describes renal endoscopy with treatment. 50570 describes the endoscopic examination and its stated access route, not a treatment service.

50562

Renal endoscopy

Tumor resection

No office rate

50562 identifies renal endoscopy with tumor resection. Use it when tumor resection is performed rather than reporting examination alone under 50570.

Compare 50570 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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

  • Alabama →

    Office / nonfacility

    Unavailable

    Facility

    $402.73

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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 50570 in Alabama.

PPRRVU2026_Oct_nonQPP.csv

5,946

Code
50570
Physician work
9.29
Practice expense
2.38
Malpractice
1.21

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Facility calculation for 50570 in Alabama
ComponentRVULocality factorAdjusted
Physician work9.29× 1.0009.2900
Practice expense2.38× 0.8752.0825
Malpractice1.21× 0.5660.6849
Total RVUs12.0574
Conversion factor× 33.4009

Facility rate, Alabama$402.73

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.291
Practice expense2.380.875
Malpractice1.210.566

(9.29 × 1 + 2.38 × 0.875 + 1.21 × 0.566) × $33.4009 = $402.73

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.

50570 billing questions

How is this code different from renal endoscopy through a nephrostomy?

Choose this code when the endoscope enters through a nephrotomy or pyelotomy. A nephrostomy access route points to the corresponding nephrostomy-based renal endoscopy code instead.

Does this code include biopsy or treatment of a lesion?

This code describes endoscopic examination, with irrigation, instillation, or ureteral dilation when performed. Use the applicable renal endoscopy code when biopsy or treatment is performed and specified by that code.

Can the procedure be reported bilaterally?

CMS lists this as a bilateral procedure. Modifier 50 is paid at 150% under the stated Medicare rule.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; each other procedure is subject to the standard multiple procedure reduction and paid at 50%.

What documentation supports reporting this code?

Document the nephrotomy or pyelotomy access, the renal structures examined, and any irrigation, instillation, or ureteral dilation performed. The record should distinguish this access route from urethral or nephrostomy access.

May an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeons or team surgery 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 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.

RVUs for 50570PPRRVU2026_Oct_nonQPP.csv, line 5,946 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet