No office rate
50200 is for a percutaneous needle approach. 50205 applies when surgical exposure is used to obtain the kidney biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
50200 Renal biopsy Medicare reimbursement rates in Nebraska
Reports percutaneous needle sampling of kidney tissue for diagnostic evaluation, including biopsies of native or transplanted kidneys. Compare 50200 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 50200 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
$455.71
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$103.33
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.
Renal procedure
About 50200: Percutaneous renal needle biopsy
Reports percutaneous needle sampling of kidney tissue for diagnostic evaluation, including biopsies of native or transplanted kidneys.
Code 50200 describes obtaining kidney tissue through the skin with a biopsy needle for diagnostic examination. Nephrologists and interventional radiologists commonly perform the procedure, often using ultrasound or CT to guide needle placement. Typical cases include sampling a native kidney to investigate unexplained renal dysfunction, proteinuria, or hematuria, or sampling a transplanted kidney when tissue evaluation is needed. The specimen is sent for pathology assessment.
Choose 50200 when the kidney is sampled percutaneously; a biopsy requiring surgical exposure is a different service. Document the kidney sampled, percutaneous approach, indication, and tissue obtained. Imaging guidance and pathology may be separately reportable when performed, documented, and permitted by applicable coding edits. The code has a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral procedures reported with modifier 50, CMS pays 150%. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 50200
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.32 · 16%
- Practice expense (office) RVU12.17 · 83%
- Malpractice RVU0.24 · 2%
31.1K
Medicare services in 2024 · #961 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.
50200 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$60.14
76942 represents ultrasound guidance for needle placement, not kidney tissue sampling. It may accompany 50200 when guidance is performed and separately reportable.
$115.39
77012 represents CT guidance for needle placement, not the biopsy itself. Use it only when CT guidance is performed and separately reportable.
Compare 50200 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
$455.71
Facility
$103.33
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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 50200 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
5,882
- Code
- 50200
- Physician work
- 2.32
- Practice expense
- 12.17
- Malpractice
- 0.24
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.32 | × 1.000 | 2.3200 |
| Practice expense | 12.17 | × 0.923 | 11.2329 |
| Malpractice | 0.24 | × 0.378 | 0.0907 |
| Total RVUs | 13.6436 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$455.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.32 | 1 |
| Practice expense | 12.17 | 0.923 |
| Malpractice | 0.24 | 0.378 |
(2.32 × 1 + 12.17 × 0.923 + 0.24 × 0.378) × $33.4009 = $455.71
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.32 | 1 |
| Practice expense | 0.74 | 0.923 |
| Malpractice | 0.24 | 0.378 |
(2.32 × 1 + 0.74 × 0.923 + 0.24 × 0.378) × $33.4009 = $103.33
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.
50200 billing questions
When should 50200 be used instead of 50205?
Use 50200 for kidney tissue obtained through a percutaneous needle approach. Use 50205 when the kidney is surgically exposed for the biopsy.
Can imaging guidance be reported with 50200?
Ultrasound or CT guidance may be separately reportable when it is performed and documented. Check the applicable coding edits and reporting requirements for the guidance code.
Is the pathology examination included in 50200?
50200 reports obtaining the tissue, not the pathologist’s examination. A pathology service may be separately reported when performed and supported by the record.
How is a biopsy of both kidneys reported?
For a bilateral procedure reported with modifier 50, CMS pays 150%. Document that both kidneys were sampled.
What same-day care is included in the payment?
The 0-day global period includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
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.
5,87950125,,Pyelotomy w/drg pyelostomy,A,,17.37,6.82,NA,6.82,,2.22,26.41,26.41,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,88050130,,Pyelotomy w/removal calculus,A,,18.35,7.02,NA,7.02,,2.36,27.73,27.73,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,8815015F,,Doc fx & test/txmnt for op,M,,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
5,88250200,,Renal biopsy perq,A,,2.32,12.17,,0.74,,0.24,14.73,3.30,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,88350205,,Renal bx surg exposure kdn,A,,11.98,6.39,NA,6.39,,2.98,21.35,21.35,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,8845020F,,Txmnts 2 phys/qhp by 1 mon,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
5,88550220,,Remove kidney open,A,,18.21,7.59,NA,7.59,,3.04,28.84,28.84,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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