$384.36–$415.29
50551 is for diagnostic kidney endoscopy. Choose this code only when the service includes the therapeutic work specified for it.
On this page
CMS RVU26D · Effective 2026-10-01
50580 Kidney endoscopy Medicare reimbursement rates in Massachusetts
Reports an endoscopic kidney treatment performed by a urologist when the documented procedure fits this therapeutic renal endoscopy code rather than a diagnostic or separately specified intervention. Compare 50580 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 50580 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
$530.90–$558.51
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.
Urology
About 50580: Endoscopic renal treatment
Reports an endoscopic kidney treatment performed by a urologist when the documented procedure fits this therapeutic renal endoscopy code rather than a diagnostic or separately specified intervention.
A urologist performs endoscopic treatment involving the kidney or renal collecting system, typically in a hospital or ambulatory surgery center. The scope permits treatment at the renal site during the procedure; this code is distinct from renal endoscopy reported for diagnostic examination alone and from codes that specify biopsy, stone removal, or tumor resection. The operative report should identify the treated site and the therapeutic work performed.
Report the code when the documented service matches its specific therapeutic scope, not simply because a kidney endoscope was used. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. For bilateral procedures, modifier 50 is paid at 150%. An assistant at surgery is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 50580
- 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 RVU11.54 · 73%
- Practice expense (office) RVU2.84 · 18%
- Malpractice RVU1.48 · 9%
20
Medicare services in 2024 · #5925 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.
50580 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$444.98–$480.30
Both are therapeutic kidney endoscopy codes, but they are distinct CPT entries. Match the code to the specific procedure documented rather than treating the descriptors as interchangeable.
No office rate
50576 is another kidney endoscopy and treatment code. Select between the codes using the procedure details and applicable full CPT descriptor.
$778.20–$846.49
50590 treats kidney stones with extracorporeal shock-wave fragmentation; this code represents endoscopic kidney treatment.
Compare 50580 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
$558.51
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$530.90
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.
50580 billing questions
Can this code be used for a diagnostic renal endoscopy?
No. The code represents therapeutic kidney endoscopy; use a diagnostic renal endoscopy code when no treatment is performed.
How does this differ from 50551?
50551 represents diagnostic kidney endoscopy. This code is for a therapeutic procedure, so the operative report must support treatment rather than examination alone.
How are related endoscopies priced when performed together?
CMS endoscopy-family pricing applies when related endoscopies are performed together. The code's payment is subject to that family pricing.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can modifier 50 be reported for bilateral treatment?
For a bilateral procedure, modifier 50 is paid at 150% under the CMS rule for this code.
When is an assistant at surgery payable?
Only when documentation supports medical necessity. CMS does not permit co-surgeons or team surgery for this code.
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.
5,94850574,,Kidney endoscopy & biopsy,A,,10.73,2.67,NA,2.67,,1.37,14.77,14.77,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,94950575,,Kidney endoscopy,A,,13.61,3.26,NA,3.26,,1.75,18.62,18.62,0,000,0.00,0.00,0.00,3,1,1,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,95050576,,Kidney endoscopy & treatment,A,,10.70,2.66,NA,2.66,,1.36,14.72,14.72,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,95150580,,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