No office rate
This code is for diagnostic renal endoscopy; 50574 is the related choice when the endoscopy includes biopsy.
On this page
CMS RVU26D · Effective 2026-10-01
50575 Kidney endoscopy Medicare reimbursement rates in Ohio
Report diagnostic renal endoscopy for endoscopic examination of the kidney when the encounter does not include a separately classified biopsy or therapeutic maneuver. Compare 50575 office and facility rates across CMS payment localities in Ohio.
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 50575 in Ohio?
Ohio 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
$612.92
1 of 1 localities have a supported rate.
Payment area: Ohio
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 50575: Diagnostic renal endoscopy
Report diagnostic renal endoscopy for endoscopic examination of the kidney when the encounter does not include a separately classified biopsy or therapeutic maneuver.
This service covers endoscopic examination of the kidney through a nephrotomy or nephrostomy access route. A urologist typically performs it in a facility setting to inspect the renal collecting system, such as when evaluating a finding seen on imaging or assessing the kidney through an existing access tract. Irrigation or instillation may accompany the examination; a biopsy, stone removal, or tumor treatment changes the service being reported.
Select the diagnostic code when the documented work is examination rather than tissue sampling or treatment. The operative note should identify the access route, the area examined, and any additional work performed. 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 reporting, modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 50575
- 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
- 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 RVU13.61 · 73%
- Practice expense (office) RVU3.26 · 18%
- Malpractice RVU1.75 · 9%
55
Medicare services in 2024 · #5304 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.
50575 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Use this code for diagnostic examination alone. 50576 describes renal endoscopy that includes treatment.
No office rate
Use 50562 when the endoscopic service includes renal tumor resection, rather than diagnostic examination alone.
Compare 50575 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
Ohio →
Office / nonfacility
Unavailable
Facility
$612.92
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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 50575 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
5,949
- Code
- 50575
- Physician work
- 13.61
- Practice expense
- 3.26
- Malpractice
- 1.75
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.61 | × 1.000 | 13.6100 |
| Practice expense | 3.26 | × 0.913 | 2.9764 |
| Malpractice | 1.75 | × 1.008 | 1.7640 |
| Total RVUs | 18.3504 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$612.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.61 | 1 |
| Practice expense | 3.26 | 0.913 |
| Malpractice | 1.75 | 1.008 |
(13.61 × 1 + 3.26 × 0.913 + 1.75 × 1.008) × $33.4009 = $612.92
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.
50575 billing questions
When should this code be chosen over a renal endoscopy code for biopsy?
Use this code for diagnostic examination without biopsy. When tissue is sampled endoscopically, compare the service with the renal endoscopy biopsy codes, including 50574.
Can diagnostic endoscopy be reported with an endoscopic treatment code?
When the same endoscopic session includes treatment, report the code that describes the treatment performed rather than separately reporting the diagnostic examination. CMS applies endoscopy-family pricing when related endoscopies are performed together.
What documentation supports reporting this service?
Document the renal access route, the portion of the collecting system examined, the diagnostic purpose, and whether biopsy or treatment was performed.
How is bilateral performance reported?
For a bilateral procedure, report modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are not permitted for this code under the stated CMS rules.
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.
5,94650570,,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
5,94850574,,Kidney endoscopy & biopsy,A,,10.73,2.67,NA,2.67,,1.37,14.77,14.77,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,94950575,,Kidney endoscopy,A,,13.61,3.26,NA,3.26,,1.75,18.62,18.62,0,000,0.00,0.00,0.00,3,1,1,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,95050576,,Kidney endoscopy & treatment,A,,10.70,2.66,NA,2.66,,1.36,14.72,14.72,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,95150580,,Kidney endoscopy & treatment,A,,11.54,2.84,NA,2.84,,1.48,15.86,15.86,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50570,33.4009,09,0,99,0.00,0.00,0.00
5,95250590,,Fragmenting of kidney stone,A,,9.53,12.00,,4.84,,1.23,22.76,15.60,0,090,0.08,0.83,0.09,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703