No office rate
Use 50065 when nephrolithotomy is performed as a secondary surgical operation. This code describes open renal calculus removal without that secondary-operation distinction.
On this page
CMS RVU26D · Effective 2026-10-01
50060 Kidney stone surgery Medicare reimbursement rates in Indiana
Open nephrotomy to remove a renal calculus is reported when the surgeon directly enters the kidney rather than using a percutaneous stone-removal approach. Compare 50060 office and facility rates across CMS payment localities in Indiana.
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 50060 in Indiana?
Indiana 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
$955.89
1 of 1 localities have a supported rate.
Payment area: Indiana
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 surgery
About 50060: Open renal calculus removal
Open nephrotomy to remove a renal calculus is reported when the surgeon directly enters the kidney rather than using a percutaneous stone-removal approach.
A urologist performs an open operation that enters the kidney through a surgical incision to remove a renal calculus. The service is performed in an operating room, generally in a facility setting. It represents direct open access to the kidney, not stone treatment through a percutaneous tract. The operative report should identify the side, the approach, and the calculus removal performed.
Select this code for open renal stone removal, distinguishing a secondary surgical operation or a large staghorn calculus when those circumstances support another code. The record should support the operative method and any details relevant to that distinction. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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%. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 50060
- 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 RVU20.43 · 67%
- Practice expense (office) RVU7.46 · 24%
- Malpractice RVU2.62 · 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.
50060 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
50075 identifies removal of a large staghorn calculus. Use this code for open renal stone removal when that specific circumstance is not the applicable selection.
No office rate
50080 describes percutaneous nephrolithotomy for a less complex stone presentation. This code involves open access to the kidney.
No office rate
50081 describes percutaneous nephrolithotomy for a more complex or larger stone presentation. This code describes an open nephrotomy approach.
Compare 50060 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
Indiana →
Office / nonfacility
Unavailable
Facility
$955.89
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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 50060 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,870
- Code
- 50060
- Physician work
- 20.43
- Practice expense
- 7.46
- Malpractice
- 2.62
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.43 | × 1.000 | 20.4300 |
| Practice expense | 7.46 | × 0.927 | 6.9154 |
| Malpractice | 2.62 | × 0.486 | 1.2733 |
| Total RVUs | 28.6187 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$955.89
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.43 | 1 |
| Practice expense | 7.46 | 0.927 |
| Malpractice | 2.62 | 0.486 |
(20.43 × 1 + 7.46 × 0.927 + 2.62 × 0.486) × $33.4009 = $955.89
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.
50060 billing questions
How does this differ from percutaneous nephrolithotomy?
This code describes open access through a surgical incision into the kidney. Codes 50080 and 50081 describe percutaneous stone removal, with selection based on the applicable stone complexity and size criteria.
When should 50065 be considered instead?
Code 50065 is for nephrolithotomy performed as a secondary surgical operation. The operative documentation should establish that circumstance rather than a primary open stone-removal procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
For bilateral procedures, modifier 50 applies; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What should the operative report document?
Document the side, open approach, and removal of the renal calculus. Include details that support whether the case involved a secondary operation or a large staghorn calculus.
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.
5,86750040,,Nfros nfrot w/drg,A,,16.26,6.59,NA,6.59,,2.09,24.94,24.94,0,090,0.08,0.83,0.09,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86850045,,Nephrotomy w/exploration,A,,16.40,6.62,NA,6.62,,2.11,25.13,25.13,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,8695005F,,Pt counsld on exam for moles,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
5,87050060,,Nl removal calculus,A,,20.43,7.46,NA,7.46,,2.62,30.51,30.51,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87150065,,Nl sec surg operj calculus,A,,21.76,7.73,NA,7.73,,2.79,32.28,32.28,0,090,0.08,0.83,0.09,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87250070,,Nl comp cgen kdn abnormality,A,,21.30,7.63,NA,7.63,,2.74,31.67,31.67,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,87350075,,Nl rmvl lg staghorn calculus,A,,26.41,9.02,NA,9.02,,3.39,38.82,38.82,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915