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CMS RVU26D · Effective 2026-10-01

50562 Renal endoscopy Medicare reimbursement rates in Georgia

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 Georgia.

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 Georgia?

Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$508.91–$524.29

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $15.38 per service.

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 50562 in your payment locality →

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 Georgia, from the same CMS release.

50555

Kidney endoscopy

With biopsy

$414.30–$438.71

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.

50557

Renal endoscopy

Lesion fulguration or resection

$421.25–$446.21

This sibling code describes endoscopic treatment of a renal lesion; 50562 is the choice when the operative work includes tumor resection.

50561

Renal endoscopy

Foreign body or calculus removal

$477.82–$505.64

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.

2 of 2 payment localities

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

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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.

RVUs for 50562PPRRVU2026_Oct_nonQPP.csv, line 5,945 (RVU26D)