No office rate
50970 represents diagnostic ureteroscopy. Use 50976 when the procedure includes the therapeutic service supported by its code descriptor, not inspection alone.
On this page
CMS RVU26D · Effective 2026-10-01
50976 Ureteroscopy Medicare reimbursement rates in Hawaii
Reports endoscopic treatment performed within the ureter, rather than ureteroscopic inspection or biopsy alone, when the documented service matches this code. Compare 50976 office and facility rates across CMS payment localities in Hawaii.
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 50976 in Hawaii?
Hawaii 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
$402.18
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.
Urology
About 50976: Ureteroscopic treatment procedure
Reports endoscopic treatment performed within the ureter, rather than ureteroscopic inspection or biopsy alone, when the documented service matches this code.
A urologist uses a ureteroscope to perform a therapeutic procedure within the ureter. The endoscope provides direct visualization and access through the urinary tract; the clinical record should identify the condition treated and the work performed. This service is typically provided in an operating room or endoscopy setting when ureteroscopic treatment is required, rather than for inspection or tissue sampling alone.
Report 50976 when the operative documentation supports the therapeutic service represented by this code. It has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy family pricing. For bilateral services, 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 50976
- 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 RVU8.80 · 72%
- Practice expense (office) RVU2.27 · 19%
- Malpractice RVU1.14 · 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.
50976 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
50974 is for ureteroscopy with biopsy. It is not the choice for a therapeutic procedure merely because tissue is inspected during treatment.
No office rate
50972 describes ureteroscopy with a catheter service. Distinguish it from 50976 by the actual work documented in the operative report.
Compare 50976 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$402.18
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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 50976 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,013
- Code
- 50976
- Physician work
- 8.80
- Practice expense
- 2.27
- Malpractice
- 1.14
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.80 | × 1.000 | 8.8000 |
| Practice expense | 2.27 | × 1.137 | 2.5810 |
| Malpractice | 1.14 | × 0.579 | 0.6601 |
| Total RVUs | 12.0411 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$402.18
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.8 | 1 |
| Practice expense | 2.27 | 1.137 |
| Malpractice | 1.14 | 0.579 |
(8.8 × 1 + 2.27 × 1.137 + 1.14 × 0.579) × $33.4009 = $402.18
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.
50976 billing questions
How does 50976 differ from diagnostic ureteroscopy?
50976 represents ureteroscopic treatment, while 50970 is the diagnostic ureteroscopy code. The operative note should support treatment beyond inspection.
Should 50976 be used when the ureter is biopsied?
Use the biopsy code, 50974, when the service is ureteroscopic tissue sampling. Report 50976 when the documented service is the therapeutic procedure represented by that code.
How are related ureteroscopic procedures paid when performed together?
CMS applies endoscopy family pricing when related endoscopies are performed together. Same-day preoperative and postoperative care is included in the 0-day global period.
How should bilateral treatment be reported?
For bilateral services, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. 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.
6,01050970,,Ureter endoscopy,A,,6.95,1.88,NA,1.88,,0.90,9.73,9.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,01150972,,Ureter endoscopy & catheter,A,,6.71,1.83,NA,1.83,,0.87,9.41,9.41,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,01250974,,Ureter endoscopy & biopsy,A,,8.93,2.30,NA,2.30,,1.15,12.38,12.38,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50970,33.4009,09,0,99,0.00,0.00,0.00
6,01350976,,Ureter endoscopy & treatment,A,,8.80,2.27,NA,2.27,,1.14,12.21,12.21,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50970,33.4009,09,0,99,0.00,0.00,0.00
6,01450980,,Ureter endoscopy & treatment,A,,6.67,1.82,NA,1.82,,0.86,9.35,9.35,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,0155100F,,Rsk fx ref w/n 24 hrs xray,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,01651020,,Cystotomy/cystostomy w/fulg,A,,7.50,4.56,NA,4.56,,0.98,13.04,13.04,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014