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CMS RVU26D · Effective 2026-10-01

50010 Renal exploration Medicare reimbursement rates in Nevada

Open surgical inspection of a kidney is reported when operative evaluation is needed without a more definitive renal procedure such as drainage or stone removal. Compare 50010 office and facility rates across CMS payment localities in Nevada.

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 50010 in Nevada?

Nevada 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

$632.95

1 of 1 localities have a supported rate.

Payment area: Nevada**

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.

Find 50010 in your payment locality →

Urologic surgery

About 50010: Open renal exploration

Open surgical inspection of a kidney is reported when operative evaluation is needed without a more definitive renal procedure such as drainage or stone removal.

A urologist uses open surgery to expose and inspect the kidney when operative evaluation is needed to investigate a renal finding. The procedure is distinct from an operation that opens the kidney to explore its interior, drains an abscess, establishes drainage, or removes a stone. It is generally performed in an operating room rather than an office setting.

Report the service when the operative record supports renal exploration and no more specific renal procedure better describes the work. Document the indication, operative approach, findings, and any definitive treatment performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 50010

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 RVU11.97 · 62%
  • Practice expense (office) RVU5.70 · 30%
  • Malpractice RVU1.53 · 8%

80

Medicare services in 2024 · #5052 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.

50010 compared with similar codes

Office rates for Nevada, from the same CMS release.

50045

Renal exploration

Through kidney incision

No office rate

Use 50010 for open exposure and inspection without an incision into the kidney. Use 50045 when the surgeon opens the kidney as part of exploration.

50020

Abscess drainage

Open approach

No office rate

50020 describes open drainage of a perirenal or renal abscess. 50010 is for exploration when abscess drainage is not the definitive service.

50060

Kidney stone surgery

Open nephrotomy approach

No office rate

50060 describes open stone removal. 50010 is not the choice when the operation removes a renal calculus.

Compare 50010 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

Office and facility base rates · shared scale starting at $0

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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 50010 in Nevada**.

PPRRVU2026_Oct_nonQPP.csv

5,865

Code
50010
Physician work
11.97
Practice expense
5.70
Malpractice
1.53

GPCI2026.csv

73

Locality
Nevada**
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 50010 in Nevada**
ComponentRVULocality factorAdjusted
Physician work11.97× 1.00011.9700
Practice expense5.70× 1.0015.7057
Malpractice1.53× 0.8331.2745
Total RVUs18.9502
Conversion factor× 33.4009

Facility rate, Nevada**$632.95

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.971
Practice expense5.71.001
Malpractice1.530.833

(11.97 × 1 + 5.7 × 1.001 + 1.53 × 0.833) × $33.4009 = $632.95

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.

50010 billing questions

How is 50010 different from 50045?

50010 describes open exposure and inspection of the kidney. Choose 50045 when the surgeon makes an incision into the kidney as part of the exploration.

Can 50010 be reported when the surgeon drains a renal abscess?

When open drainage of a perirenal or renal abscess is performed, 50020 describes that definitive service rather than exploration alone.

Does the 90-day global period include postoperative visits?

Yes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.

How is 50010 handled when other procedures occur in the same session?

Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

Can 50010 be billed bilaterally or with an assistant?

For a bilateral service, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeons require 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.

RVUs for 50010PPRRVU2026_Oct_nonQPP.csv, line 5,865 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet