$2,405.31
Choose 50593 when the renal tumor is treated percutaneously with cryotherapy; 50592 is for percutaneous radiofrequency ablation.
On this page
CMS RVU26D · Effective 2026-10-01
50593 Renal ablation Medicare reimbursement rates in Iowa
Percutaneous renal tumor cryoablation treats a kidney tumor by placing probes through the skin and freezing the target under imaging guidance. Compare 50593 office and facility rates across CMS payment localities in Iowa.
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 50593 in Iowa?
Iowa 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
$3216.53
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$373.06
1 of 1 localities have a supported rate.
Payment area: Iowa
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 procedure
About 50593: Percutaneous renal tumor cryoablation
Percutaneous renal tumor cryoablation treats a kidney tumor by placing probes through the skin and freezing the target under imaging guidance.
The physician places one or more cryotherapy probes through the skin into a renal tumor and uses freeze-thaw cycles to destroy the target. Imaging guides probe placement and treatment monitoring as part of the procedure. Urologists and interventional radiologists commonly perform this treatment in a hospital or ambulatory surgery setting for patients with a renal mass selected for percutaneous ablation. A biopsy performed as part of the ablation is included in the service.
Report the code for the percutaneous cryotherapy approach, not for laparoscopic ablation or surgical removal of renal tissue. The operative report should support the treated kidney, tumor target, percutaneous access, cryotherapy, and imaging-guided treatment. The procedure has a 10-day global period, which includes related postoperative visits during that period. For bilateral treatment, modifier 50 is paid at 150%. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 50593
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.66 · 8%
- Practice expense (office) RVU95.37 · 91%
- Malpractice RVU0.95 · 1%
3.9K
Medicare services in 2024 · #2007 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.
50593 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
50542 describes laparoscopic ablation of a renal mass. This code is for percutaneous cryotherapy.
No office rate
50543 is laparoscopic partial nephrectomy, involving removal of renal tissue. This code describes percutaneous tumor destruction by freezing.
No office rate
50545 describes laparoscopic removal of the kidney. This code treats the renal tumor percutaneously without that approach.
Compare 50593 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
Iowa →
Office / nonfacility
$3216.53
Facility
$373.06
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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 50593 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
5,954
- Code
- 50593
- Physician work
- 8.66
- Practice expense
- 95.37
- Malpractice
- 0.95
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.66 | × 1.000 | 8.6600 |
| Practice expense | 95.37 | × 0.915 | 87.2636 |
| Malpractice | 0.95 | × 0.397 | 0.3771 |
| Total RVUs | 96.3007 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$3216.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.66 | 1 |
| Practice expense | 95.37 | 0.915 |
| Malpractice | 0.95 | 0.397 |
(8.66 × 1 + 95.37 × 0.915 + 0.95 × 0.397) × $33.4009 = $3216.53
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.66 | 1 |
| Practice expense | 2.33 | 0.915 |
| Malpractice | 0.95 | 0.397 |
(8.66 × 1 + 2.33 × 0.915 + 0.95 × 0.397) × $33.4009 = $373.06
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.
50593 billing questions
How does this differ from 50592?
Both describe percutaneous renal tumor ablation with imaging guidance. Report 50593 for cryotherapy and 50592 for radiofrequency ablation.
Can the biopsy be billed separately?
A biopsy performed as part of the ablation is included. The documentation should describe the biopsy if performed, but it is not a separate service within this procedure.
How is this different from 50542?
50593 is performed percutaneously with cryotherapy. Code 50542 describes laparoscopic ablation of a renal mass.
What documentation supports reporting this code?
Document the renal tumor and side, percutaneous probe placement, use of cryotherapy, and imaging-guided treatment. Include biopsy details when a biopsy is performed.
How are bilateral procedures and other same-session procedures handled?
For bilateral treatment, modifier 50 is paid at 150%. Under the multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session at 50%.
Are assistant surgeons or co-surgeons allowed?
An assistant at surgery may be paid. 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.
5,95150580,,Kidney endoscopy & treatment,A,,11.54,2.84,NA,2.84,,1.48,15.86,15.86,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,95250590,,Fragmenting of kidney stone,A,,9.53,12.00,,4.84,,1.23,22.76,15.60,0,090,0.08,0.83,0.09,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,95350592,,Perc rf ablate renal tumor,A,,6.39,71.42,,1.83,,0.69,78.50,8.91,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,95450593,,Perc cryo ablate renal tum,A,,8.66,95.37,,2.33,,0.95,104.98,11.94,0,010,0.10,0.80,0.10,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,95550600,,Exploration of ureter,A,,16.74,6.27,NA,6.27,,2.15,25.16,25.16,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,95650605,,Insert ureteral support,A,,16.37,7.79,NA,7.79,,3.86,28.02,28.02,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,95750606,,Endoluminal bx urtr rnl plvs,A,,3.08,10.76,,0.29,,0.40,14.24,3.77,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136