Billing code 50693: Ureteral stentMedicare rate & RVUs in Nevada
Report 50693 for initial percutaneous placement of a ureteral stent, with imaging guidance and associated radiological supervision included in the service.
Medicare pays $945.04 for 50693 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 50693 covers
This service places a ureteral stent through percutaneous access, typically through the kidney and into the ureter, to relieve or bypass an obstruction. Interventional radiologists commonly perform it in a hospital or outpatient procedural setting, including for obstruction related to a stone, stricture, or tumor. The service includes imaging guidance and associated radiological supervision and interpretation; a diagnostic nephrostogram or ureterogram is included when performed.
Use 50693 for the initial percutaneous stent placement, not for changing an existing ureteral tube or stent. The record should establish the indication, treated side, percutaneous approach, and placement performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. With multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 identifies bilateral performance and pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
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.
50693 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $945.04 | $174.05 |
How the 50693 rate is calculated
Each of 50693’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 50693
RVUs × geographic indexes × conversion factor
Work3.86
3.86 RVUs× 1.000 GPCI
Practice expense24.06
24.06 RVUs× 1.000 GPCI
Malpractice0.42
0.42 RVUs× 1.000 GPCI
Adjusted RVUs
28.3400
Conversion factor
$33.4009
Medicare rate
$946.58
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50693
The CMS indicators that decide how 50693 is paid alongside other services.
CMS payment indicators · 50693
Ureteral stent
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50693 without 50 · national office
$946.58
Ureteral stent
50693-50 · Bilateral: 150%
$1,419.87
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
50693 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 50694Ureteral stent placement
- 50693 is for initial percutaneous stent placement; 50694 is the related code for subsequent placement.
- 50695Ureteral stent
- 50695 describes conversion of a nephrostomy catheter to a ureteral stent, rather than initial stent placement.
- 50688Ureteral stent exchange
- Use 50688 for changing an existing ureteral tube or stent. Code 50693 describes initial percutaneous placement.
50693 billing questions
How does 50693 differ from 50694?
50693 describes the initial percutaneous ureteral stent placement. The related 50694 code describes a subsequent placement in this code family.
Are imaging guidance and the nephrostogram separately reported?
Imaging guidance and associated radiological supervision and interpretation are included. A diagnostic nephrostogram or ureterogram is also included when performed as part of the service.
Can modifier 50 be used for bilateral placement?
Yes. CMS identifies 50693 as bilateral, with modifier 50 paid at 150%.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
What documentation supports reporting 50693?
Document the obstruction or other indication, the side treated, the percutaneous approach, and the stent placement. Include any diagnostic imaging performed as part of the procedure.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is subject to a statutory restriction. CMS does not permit co-surgeons or team surgery for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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