No office rate
50020 is selected for open drainage of a renal or perirenal abscess. 50010 is selected when renal exploration is the defining service.
On this page
CMS RVU26D · Effective 2026-10-01
50020 Abscess drainage Medicare reimbursement rates in Nebraska
Open drainage of an abscess in or around the kidney, reported when the surgeon surgically exposes and drains the infected collection. Compare 50020 office and facility rates across CMS payment localities in Nebraska.
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 50020 in Nebraska?
Nebraska 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
$849.66
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Urologic surgery
About 50020: Open renal or perirenal abscess drainage
Open drainage of an abscess in or around the kidney, reported when the surgeon surgically exposes and drains the infected collection.
A urologist typically performs this operation in an operating room to surgically expose and drain a purulent collection within the kidney or in the tissue surrounding it. The service is defined by open operative drainage of the abscess, rather than drainage through an image-guided catheter or a procedure directed at a renal calculus. The operative report should identify the abscess location and describe the open drainage performed.
Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50020
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.63 · 64%
- Practice expense (office) RVU7.53 · 27%
- Malpractice RVU2.27 · 8%
18
Medicare services in 2024 · #5980 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.
50020 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$775.58
49405 describes image-guided catheter drainage of a peritoneal or retroperitoneal collection; 50020 is open operative drainage of a renal or perirenal abscess.
No office rate
50040 covers nephrostomy or nephrotomy with drainage. Choose 50020 when the operation is specifically open drainage of a renal or perirenal abscess.
Compare 50020 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$849.66
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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 50020 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
5,866
- Code
- 50020
- Physician work
- 17.63
- Practice expense
- 7.53
- Malpractice
- 2.27
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.63 | × 1.000 | 17.6300 |
| Practice expense | 7.53 | × 0.923 | 6.9502 |
| Malpractice | 2.27 | × 0.378 | 0.8581 |
| Total RVUs | 25.4383 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$849.66
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.63 | 1 |
| Practice expense | 7.53 | 0.923 |
| Malpractice | 2.27 | 0.378 |
(17.63 × 1 + 7.53 × 0.923 + 2.27 × 0.378) × $33.4009 = $849.66
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.
50020 billing questions
How is 50020 distinguished from renal exploration?
Report 50020 when open drainage of a renal or perirenal abscess is the operative service. Renal exploration is a different selection when exploration, rather than abscess drainage alone, defines the procedure.
Can image-guided drainage be reported as 50020?
No. 50020 describes open operative drainage; image-guided catheter drainage is a different approach and may point to a drainage code such as 49405, depending on the service performed.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Should modifier 50 be used for bilateral abscesses?
No. CMS identifies bilateral adjustment as inappropriate for 50020; modifier 50 should not be used.
How are assistants and co-surgeons handled?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are payable only with supporting documentation, and team surgery is 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.
5,86349906,,Free omental flap microvasc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86449999,,Unlisted px abd pertm&omn,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86550010,,Renal exploration,A,,11.97,5.70,NA,5.70,,1.53,19.20,19.20,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,86650020,,Drg perirnl/renal absc open,A,,17.63,7.53,NA,7.53,,2.27,27.43,27.43,0,090,0.08,0.83,0.09,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068