$425.55
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.
On this page
CMS RVU26D · Effective 2026-10-01
50562 Renal endoscopy Medicare reimbursement rates in Delaware
Reports endoscopic resection of a renal tumor through a nephrotomy or pyelotomy, rather than biopsy, lesion treatment, or stone removal. Compare 50562 office and facility rates across CMS payment localities in Delaware.
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 50562 in Delaware?
Delaware 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
$508.24
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Urologic surgery
About 50562: Endoscopic renal tumor resection
Reports endoscopic resection of a renal tumor through a nephrotomy or pyelotomy, rather than biopsy, lesion treatment, or stone removal.
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.
CMS billing rules for 50562
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU10.63 · 69%
- Practice expense (office) RVU3.36 · 22%
- Malpractice RVU1.35 · 9%
62
Medicare services in 2024 · #5224 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.
50562 compared with similar codes
Office rates for Delaware, from the same CMS release.
$432.83
This sibling code describes endoscopic treatment of a renal lesion; 50562 is the choice when the operative work includes tumor resection.
$490.40
This code is for endoscopic removal of a calculus. A renal tumor resection through a nephrotomy or pyelotomy is reported with 50562.
Compare 50562 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
Delaware →
Office / nonfacility
Unavailable
Facility
$508.24
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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 50562 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,945
- Code
- 50562
- Physician work
- 10.63
- Practice expense
- 3.36
- Malpractice
- 1.35
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.63 | × 1.005 | 10.6831 |
| Practice expense | 3.36 | × 0.988 | 3.3197 |
| Malpractice | 1.35 | × 0.899 | 1.2137 |
| Total RVUs | 15.2165 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$508.24
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.63 | 1.005 |
| Practice expense | 3.36 | 0.988 |
| Malpractice | 1.35 | 0.899 |
(10.63 × 1.005 + 3.36 × 0.988 + 1.35 × 0.899) × $33.4009 = $508.24
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.
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 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.
5,94250555,,Kidney endoscopy & biopsy,A,,6.36,5.68,,1.80,,0.82,12.86,8.98,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50551,33.4009,09,0,99,0.00,0.00,0.00
5,94350557,,Kidney endoscopy & treatment,A,,6.44,5.81,,1.82,,0.83,13.08,9.09,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50551,33.4009,09,0,99,0.00,0.00,0.00
5,94450561,,Kidney endoscopy & treatment,A,,7.39,6.47,,2.02,,0.96,14.82,10.37,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50551,33.4009,09,0,99,0.00,0.00,0.00
5,94550562,,Renal scope w/tumor resect,A,,10.63,3.36,NA,3.36,,1.35,15.34,15.34,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,94650570,,Kidney endoscopy,A,,9.29,2.38,NA,2.38,,1.21,12.88,12.88,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,94750572,,Kidney endoscopy,A,,10.07,2.53,NA,2.53,,1.30,13.90,13.90,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,94850574,,Kidney endoscopy & biopsy,A,,10.73,2.67,NA,2.67,,1.37,14.77,14.77,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
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