No office rate
Choose 50541 for laparoscopic treatment of a renal cyst; choose 50542 when the treated target is a renal mass.
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CMS RVU26D · Effective 2026-10-01
50541 Renal cyst ablation Medicare reimbursement rates in Massachusetts
Reported for laparoscopic operative treatment of a symptomatic renal cyst, typically by opening or unroofing the cyst and treating its wall. Compare 50541 office and facility rates across CMS payment localities in Massachusetts.
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 50541 in Massachusetts?
Massachusetts 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
$825.81–$874.42
2 of 2 localities have a supported rate.
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.
Urologic surgery
About 50541: Laparoscopic renal cyst ablation
Reported for laparoscopic operative treatment of a symptomatic renal cyst, typically by opening or unroofing the cyst and treating its wall.
A urologist typically performs this operation in a hospital or ambulatory surgical setting using laparoscopic access to treat a renal cyst. It is generally selected when a cyst is causing symptoms such as flank discomfort or interfering with urinary drainage and operative treatment is planned. The surgeon opens or unroofs the cyst and treats the remaining wall to reduce the chance of fluid reaccumulating; the operative report should establish the cyst’s renal location and the laparoscopic treatment performed.
Report the service for laparoscopic cyst treatment, not for treating a solid renal mass or removing part of the kidney. Document the indication, laterality, operative approach, and treatment performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. When both kidneys are treated, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50541
- 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 RVU16.44 · 67%
- Practice expense (office) RVU5.99 · 24%
- Malpractice RVU2.15 · 9%
529
Medicare services in 2024 · #3506 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.
50541 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
50543 is for laparoscopic partial nephrectomy involving removal of kidney tissue. 50541 describes laparoscopic treatment of a cyst without that partial-nephrectomy service.
50549
No office rateUnlisted laps px renal
50549 is the unlisted laparoscopic renal procedure code. Use 50541 when the documented operation is specifically laparoscopic renal cyst ablation.
Compare 50541 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$874.42
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$825.81
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50541 billing questions
How does this differ from 50542?
50541 is for laparoscopic treatment of a renal cyst. Use 50542 when the target is a renal mass rather than a cyst.
When would 50543 be more appropriate?
50543 describes laparoscopic partial nephrectomy, in which part of the kidney is removed. It is not the cyst-ablation code when the operative treatment is opening or unroofing a cyst.
What documentation supports 50541?
The operative report should identify the renal cyst, the clinical reason for treatment, the laparoscopic approach, and the treatment performed. Record laterality, especially when both kidneys are treated.
Can modifier 50 be used for bilateral treatment?
Yes. CMS identifies this as a bilateral procedure; with modifier 50, payment is at 150%.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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.
5,92850525,,Close nephrovisceral fistula,A,,23.78,11.14,NA,11.14,,6.36,41.28,41.28,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,92950526,,Close nephrovisceral fistula,A,,25.65,11.60,NA,11.60,,6.85,44.10,44.10,0,090,0.08,0.83,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93050540,,Revision of horseshoe kidney,A,,20.57,7.49,NA,7.49,,2.64,30.70,30.70,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93150541,,Laparo ablate renal cyst,A,,16.44,5.99,NA,5.99,,2.15,24.58,24.58,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93250542,,Laparo ablate renal mass,A,,20.83,7.73,NA,7.73,,2.72,31.28,31.28,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93350543,,Laparo partial nephrectomy,A,,26.72,9.63,NA,9.63,,3.46,39.81,39.81,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93450544,,Laparoscopy pyeloplasty,A,,22.79,7.29,NA,7.29,,2.95,33.03,33.03,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00