No office rate
50543 describes laparoscopic removal of part of the kidney. Use 50545 when the operative report supports radical removal of the whole kidney and surrounding tissue.
On this page
CMS RVU26D · Effective 2026-10-01
50545 Radical nephrectomy Medicare reimbursement rates in Florida
Reports laparoscopic removal of a kidney with surrounding tissue, typically as an oncologic operation for renal cancer. Compare 50545 office and facility rates across CMS payment localities in Florida.
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 50545 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1228.20–$1359.63
3 of 3 localities have a 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 50545 pays more and less in Florida
Urologic surgery
About 50545: Laparoscopic radical kidney removal
Reports laparoscopic removal of a kidney with surrounding tissue, typically as an oncologic operation for renal cancer.
A urologist typically performs this operation in a hospital operating room, using laparoscopic access to remove the kidney and surrounding perinephric tissue as a radical procedure. It is commonly used for renal cancer when the planned operation removes the whole kidney rather than preserving part of it. The operative report should establish the laparoscopic approach and the extent of tissue removed.
Select this code for the radical operation actually performed, not solely because the diagnosis is cancer. A partial kidney resection, simple nephrectomy, or operation that also removes the ureter may point to a different code. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50545
- 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 RVU24.43 · 69%
- Practice expense (office) RVU7.91 · 22%
- Malpractice RVU3.18 · 9%
7.6K
Medicare services in 2024 · #1616 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.
50545 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Both codes describe laparoscopic kidney removal, but 50545 identifies a radical operation. Choose based on the documented extent and nature of the procedure.
No office rate
50548 is for laparoscopic removal of the kidney with the ureter. Use 50545 when the documented procedure is radical nephrectomy without that nephroureterectomy scope.
No office rate
50542 reports laparoscopic ablation of a renal mass; 50545 reports removal of the kidney and surrounding tissue.
Compare 50545 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1275.66
Miami →
Office / nonfacility
Unavailable
Facility
$1359.63
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1228.20
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50545 billing questions
How does this differ from laparoscopic partial nephrectomy?
This code is for a radical operation that removes the whole kidney with surrounding tissue. Use the partial nephrectomy code when the surgeon removes only part of the kidney.
When would laparoscopic nephrectomy be a better match?
Compare the operative extent: this code represents radical nephrectomy, while 50546 represents laparoscopic nephrectomy without the radical designation. The operative report should support the procedure actually performed.
Can the ureter removal be reported with this code?
When the operation removes the kidney and ureter, compare the documentation with 50548, the laparoscopic nephroureterectomy code. Report the procedure that matches the operative extent rather than treating ureter removal as an automatic separate service.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The period is attached to this major surgery.
How is bilateral surgery handled?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; 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.
5,93250542,,Laparo ablate renal mass,A,,20.83,7.73,NA,7.73,,2.72,31.28,31.28,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93350543,,Laparo partial nephrectomy,A,,26.72,9.63,NA,9.63,,3.46,39.81,39.81,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93450544,,Laparoscopy pyeloplasty,A,,22.79,7.29,NA,7.29,,2.95,33.03,33.03,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93550545,,Laparo radical nephrectomy,A,,24.43,7.91,NA,7.91,,3.18,35.52,35.52,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93650546,,Laparoscopic nephrectomy,A,,21.32,8.03,NA,8.03,,2.96,32.31,32.31,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93750547,,Laparo removal donor kidney,A,,25.68,14.12,NA,14.12,,6.31,46.11,46.11,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93850548,,Laparo remove w/ureter,A,,24.73,7.71,NA,7.71,,3.22,35.66,35.66,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00