FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

50572 Renal endoscopy Medicare reimbursement rates in Guam

Reports renal endoscopy through a nephrotomy or pyelotomy when the urologist also catheterizes the ureter, with or without ureteral dilation. Compare 50572 office and facility rates across CMS payment localities in Guam.

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 50572 in Guam?

Guam 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

$457.57

1 of 1 localities have a supported rate.

Payment area: Hawaii, Guam

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 50572 in your payment locality →

Urology

About 50572: Renal endoscopy with ureteral catheterization

Reports renal endoscopy through a nephrotomy or pyelotomy when the urologist also catheterizes the ureter, with or without ureteral dilation.

A urologist performs this procedure by passing an endoscope into the kidney through a surgical opening in the kidney or renal pelvis, while catheterizing the ureter; ureteral dilation may also be performed. It is an operative service used to inspect the renal collecting system and access the ureter, rather than a scope examination performed through the bladder and urethra. The operative report should identify the access route and document the ureteral catheterization and any dilation.

Report the code when the documented work includes renal endoscopy through nephrotomy or pyelotomy and ureteral catheterization. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 50572

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
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 RVU10.07 · 72%
  • Practice expense (office) RVU2.53 · 18%
  • Malpractice RVU1.30 · 9%

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.

50572 compared with similar codes

Office rates for Guam, from the same CMS release.

50570

Renal endoscopy

Through nephrotomy or pyelotomy

No office rate

Use 50572 when renal endoscopy through nephrotomy or pyelotomy includes ureteral catheterization, with or without dilation. 50570 is the related endoscopy variant without that distinguishing work.

50574

Kidney endoscopy

With biopsy

No office rate

50574 identifies a renal endoscopy service with biopsy. This code is distinguished by ureteral catheterization, not biopsy.

50555

Kidney endoscopy

With biopsy

$444.00

50555 is identified as a renal endoscopy and biopsy variant. Select 50572 for the catheterization service when the operative report supports that work.

Compare 50572 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

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

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 50572 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

5,947

Code
50572
Physician work
10.07
Practice expense
2.53
Malpractice
1.30

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Facility calculation for 50572 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work10.07× 1.00010.0700
Practice expense2.53× 1.1372.8766
Malpractice1.30× 0.5790.7527
Total RVUs13.6993
Conversion factor× 33.4009

Facility rate, Hawaii, Guam$457.57

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work10.071
Practice expense2.531.137
Malpractice1.30.579

(10.07 × 1 + 2.53 × 1.137 + 1.3 × 0.579) × $33.4009 = $457.57

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.

50572 billing questions

How is this different from 50570?

This code includes ureteral catheterization during renal endoscopy through nephrotomy or pyelotomy, with or without ureteral dilation. Choose 50570 when the documented service does not include that catheterization.

When does 50574 apply instead?

50574 is the renal endoscopy variant identified for biopsy. Report this code for the ureteral catheterization service when that is the documented work, rather than selecting a biopsy variant.

How are related endoscopies priced when performed together?

CMS endoscopy family pricing applies when related endoscopies are performed together. The operative documentation should distinguish the procedures and their work.

Can modifier 50 be used for bilateral performance?

Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

What postoperative care is included?

The 0-day global period includes same-day preoperative and postoperative care. Document the renal access, endoscopic work, ureteral catheterization, and any dilation.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are 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.

RVUs for 50572PPRRVU2026_Oct_nonQPP.csv, line 5,947 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet