No office rate
This code describes laparoscopic partial nephrectomy. Code 50240 is the open approach for partial nephrectomy.
On this page
CMS RVU26D · Effective 2026-10-01
50543 Partial nephrectomy Medicare reimbursement rates in Missouri
Reports laparoscopic removal of part of a kidney, commonly to excise a renal mass while preserving functioning kidney tissue. Compare 50543 office and facility rates across CMS payment localities in Missouri.
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 50543 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1282.30–$1314.48
3 of 3 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.
Where 50543 pays more and less in Missouri
Urologic surgery
About 50543: Laparoscopic partial kidney removal
Reports laparoscopic removal of part of a kidney, commonly to excise a renal mass while preserving functioning kidney tissue.
A urologic surgeon uses a laparoscopic approach to remove a portion of the kidney, typically to excise a localized renal mass while retaining the remaining kidney. The operative work includes managing the kidney and the excision site as part of the partial nephrectomy. This code distinguishes kidney-preserving resection from laparoscopic ablation of a renal mass and from removal of the entire kidney.
Select the code when the operative report supports laparoscopic partial rather than complete removal or ablation. Documentation should identify the kidney treated, the laparoscopic approach, the portion removed, and the indication and findings supporting the resection. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 50543
- 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 RVU26.72 · 67%
- Practice expense (office) RVU9.63 · 24%
- Malpractice RVU3.46 · 9%
8.3K
Medicare services in 2024 · #1572 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.
50543 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Use 50543 for laparoscopic excision of part of the kidney; 50542 describes laparoscopic ablation of a renal mass.
No office rate
Use 50543 when a portion of the kidney is removed and the remainder preserved. Code 50545 is for laparoscopic radical nephrectomy.
No office rate
Code 50543 is for partial kidney removal; 50546 describes laparoscopic nephrectomy rather than this kidney-preserving resection.
Compare 50543 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$1307.41
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$1314.48
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$1282.30
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50543 billing questions
How is this different from laparoscopic renal mass ablation?
Report 50543 when the surgeon removes part of the kidney. Code 50542 describes laparoscopic ablation of a renal mass rather than partial nephrectomy.
When should the surgeon report radical nephrectomy instead?
Use 50545 when the laparoscopic operation removes the kidney radically rather than preserving the remaining kidney after partial excision.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral surgery reported?
The CMS rule specifies modifier 50 for a bilateral procedure, with payment at 150%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What documentation supports 50543 rather than a complete nephrectomy?
The operative report should establish the laparoscopic approach and that only a portion of the kidney was removed, including the treated side and operative findings.
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.
5,93050540,,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
5,93550545,,Laparo radical nephrectomy,A,,24.43,7.91,NA,7.91,,3.18,35.52,35.52,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93650546,,Laparoscopic nephrectomy,A,,21.32,8.03,NA,8.03,,2.96,32.31,32.31,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00