No office rate
Use 50945 for laparoscopic surgical extraction through an opening in the ureter. Use 52352 when the stone is removed or manipulated through a ureteroscope.
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CMS RVU26D · Effective 2026-10-01
50945 Ureterolithotomy Medicare reimbursement rates in Florida
Laparoscopic ureterolithotomy removes a ureteral calculus through a surgically created ureteral opening when endoscopic stone treatment is not the operative approach. Compare 50945 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 50945 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
$895.79–$990.47
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 50945 pays more and less in Florida
Urology surgery
About 50945: Laparoscopic ureteral stone removal
Laparoscopic ureterolithotomy removes a ureteral calculus through a surgically created ureteral opening when endoscopic stone treatment is not the operative approach.
A urologist uses laparoscopic access to expose the ureter, open it, and remove a stone directly. This approach is used for ureteral calculi when the operative plan is surgical extraction through the ureter wall rather than treatment from inside the urinary tract with a ureteroscope. The service is generally performed in a hospital or other facility operating room; the operative report should establish the laparoscopic approach and document the ureterotomy and stone removal.
Report this code for the laparoscopic ureterolithotomy, not for ureteroscopic stone treatment. The major-surgery global period includes the day-before preoperative visit 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 other procedures are subject to the standard 50% reduction. Modifier 50 applies to bilateral procedures, paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50945
- 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 RVU17.52 · 67%
- Practice expense (office) RVU6.19 · 24%
- Malpractice RVU2.25 · 9%
37
Medicare services in 2024 · #5540 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.
50945 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
52356 describes ureteroscopic laser lithotripsy with stent placement. It is not the laparoscopic ureterotomy and direct extraction represented by 50945.
50949
No office rateUnlisted laps px ureter
50949 is an unlisted laparoscopic ureter procedure. Use 50945 when the documented service is specifically laparoscopic ureterolithotomy.
Compare 50945 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
$930.50
Miami →
Office / nonfacility
Unavailable
Facility
$990.47
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$895.79
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50945 billing questions
How does this differ from ureteroscopic stone removal?
This code describes laparoscopic access and direct stone extraction through an opening in the ureter. Codes such as 52352 or 52356 describe treatment performed endoscopically through the urinary tract.
Is the ureterotomy part of the reported service?
Yes. The laparoscopic opening of the ureter to reach and remove the calculus is integral to the ureterolithotomy.
What documentation supports reporting this code?
The operative report should identify the laparoscopic approach, the ureteral stone, and the direct surgical extraction through a ureteral opening.
How are bilateral procedures handled?
For a bilateral procedure, modifier 50 applies; CMS pays the service at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
5,99850920,,Closure ureter/skin fistula,A,,15.41,6.41,NA,6.41,,1.98,23.80,23.80,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99950930,,Closure ureter/bowel fistula,A,,19.69,7.30,NA,7.30,,2.53,29.52,29.52,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00050940,,Release of ureter,A,,15.53,6.44,NA,6.44,,2.00,23.97,23.97,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00150945,,Laparoscopy ureterolithotomy,A,,17.52,6.19,NA,6.19,,2.25,25.96,25.96,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00250947,,Laparo new ureter/bladder,A,,25.14,8.48,NA,8.48,,3.32,36.94,36.94,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00350948,,Laparo new ureter/bladder,A,,23.22,7.63,NA,7.63,,3.02,33.87,33.87,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00450949,,Unlisted laps px ureter,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00