$349.33
50551 represents renal endoscopy for inspection and related diagnostic work; 50561 includes removal of a calculus or foreign body.
On this page
CMS RVU26D · Effective 2026-10-01
50561 Renal endoscopy Medicare reimbursement rates in Nebraska
Percutaneous renal endoscopy with removal of a calculus or foreign body is reported when the surgeon treats the material through nephrostomy or nephrotomy access. Compare 50561 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 50561 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
$458.42
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$321.23
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.
Urology
About 50561: Percutaneous renal endoscopy with stone removal
Percutaneous renal endoscopy with removal of a calculus or foreign body is reported when the surgeon treats the material through nephrostomy or nephrotomy access.
The surgeon advances an endoscope into the kidney through an established nephrostomy tract or a surgical opening in the kidney, then removes a calculus or foreign body under direct visualization. This approach may be used for a renal stone or retained material when treatment through percutaneous renal access is performed. Urologists typically perform the service in a hospital operating room, often with the patient under anesthesia.
Report 50561 for the endoscopic removal service, not for diagnostic inspection alone or when the documented procedure is tumor resection. The operative report should identify the renal access route and the material removed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, 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 50561
- 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 RVU7.39 · 50%
- Practice expense (office) RVU6.47 · 44%
- Malpractice RVU0.96 · 6%
134
Medicare services in 2024 · #4647 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.
50561 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$397.89
50555 is the biopsy-focused renal endoscopy service. Choose 50561 when the documented work removes a calculus or foreign body instead.
No office rate
50562 addresses endoscopic tumor resection. 50561 is for removal of a calculus or foreign body, not tumor resection.
$703.79
50590 describes kidney-stone fragmentation. 50561 is reported for endoscopic removal through renal access; select based on the procedure actually performed.
Compare 50561 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
$458.42
Facility
$321.23
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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 50561 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
5,944
- Code
- 50561
- Physician work
- 7.39
- Practice expense
- 6.47
- Malpractice
- 0.96
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.39 | × 1.000 | 7.3900 |
| Practice expense | 6.47 | × 0.923 | 5.9718 |
| Malpractice | 0.96 | × 0.378 | 0.3629 |
| Total RVUs | 13.7247 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$458.42
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.39 | 1 |
| Practice expense | 6.47 | 0.923 |
| Malpractice | 0.96 | 0.378 |
(7.39 × 1 + 6.47 × 0.923 + 0.96 × 0.378) × $33.4009 = $458.42
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.39 | 1 |
| Practice expense | 2.02 | 0.923 |
| Malpractice | 0.96 | 0.378 |
(7.39 × 1 + 2.02 × 0.923 + 0.96 × 0.378) × $33.4009 = $321.23
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.
50561 billing questions
When is 50561 different from diagnostic renal endoscopy?
50561 includes endoscopic removal of a calculus or foreign body through renal access. Use a diagnostic renal endoscopy code when inspection is performed without that removal.
Does this code include removal of a renal tumor?
No. A documented endoscopic tumor resection is represented by a distinct renal endoscopy code, such as 50562, rather than 50561.
How should bilateral treatment be reported?
For bilateral procedures, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon be reported?
CMS pays an assistant at surgery only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
What same-day care is included in the payment?
The 0-day global period includes preoperative and postoperative care on the procedure date. Related endoscopies performed together are subject to endoscopy-family pricing.
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.
5,94150553,,Kidney endoscopy,A,,5.83,5.48,,1.70,,0.75,12.06,8.28,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,94250555,,Kidney endoscopy & biopsy,A,,6.36,5.68,,1.80,,0.82,12.86,8.98,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50551,33.4009,09,0,99,0.00,0.00,0.00
5,94350557,,Kidney endoscopy & treatment,A,,6.44,5.81,,1.82,,0.83,13.08,9.09,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50551,33.4009,09,0,99,0.00,0.00,0.00
5,94450561,,Kidney endoscopy & treatment,A,,7.39,6.47,,2.02,,0.96,14.82,10.37,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50551,33.4009,09,0,99,0.00,0.00,0.00
5,94550562,,Renal scope w/tumor resect,A,,10.63,3.36,NA,3.36,,1.35,15.34,15.34,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,94650570,,Kidney endoscopy,A,,9.29,2.38,NA,2.38,,1.21,12.88,12.88,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,94750572,,Kidney endoscopy,A,,10.07,2.53,NA,2.53,,1.30,13.90,13.90,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
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