No office rate
Choose 50610 when the treated stone is in the lower third of the ureter; 50620 identifies the middle third.
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CMS RVU26D · Effective 2026-10-01
50620 Ureterolithotomy Medicare reimbursement rates in Ohio
Open removal of a calculus from the middle ureter through ureterotomy, reported when operative treatment targets a stone in that ureteral segment. Compare 50620 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 50620 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
$793.81
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.
Urologic surgery
About 50620: Middle-third ureteral stone removal
Open removal of a calculus from the middle ureter through ureterotomy, reported when operative treatment targets a stone in that ureteral segment.
Code 50620 represents open ureterolithotomy for a calculus in the middle third of the ureter: the surgeon exposes the ureter, opens it, removes the stone, and manages the incision. A urologist typically performs the operation in an operating room when treatment involves direct surgical access rather than endoscopic extraction or fragmentation. The operative report should establish the stone’s ureteral location and document the ureterotomy and stone removal.
Select this code for a stone in the middle ureter; use the corresponding sibling code when the treated stone is in the lower or upper third. Documentation should identify the stone location, laterality, approach, and work performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others are subject to the standard reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50620
- 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 RVU16.02 · 66%
- Practice expense (office) RVU6.21 · 26%
- Malpractice RVU2.06 · 8%
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.
50620 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
Choose 50630 when the treated stone is in the upper third of the ureter; 50620 identifies the middle third.
No office rate
Code 52352 describes ureteroscopic calculus extraction or manipulation. Code 50620 is for open ureterolithotomy.
No office rate
Code 52353 describes endoscopic lithotripsy of a calculus; 50620 describes open removal through ureterotomy.
Compare 50620 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
$793.81
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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 50620 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
5,960
- Code
- 50620
- Physician work
- 16.02
- Practice expense
- 6.21
- Malpractice
- 2.06
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.02 | × 1.000 | 16.0200 |
| Practice expense | 6.21 | × 0.913 | 5.6697 |
| Malpractice | 2.06 | × 1.008 | 2.0765 |
| Total RVUs | 23.7662 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$793.81
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.02 | 1 |
| Practice expense | 6.21 | 0.913 |
| Malpractice | 2.06 | 1.008 |
(16.02 × 1 + 6.21 × 0.913 + 2.06 × 1.008) × $33.4009 = $793.81
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.
50620 billing questions
How does 50620 differ from 50610 and 50630?
The distinction is the ureteral segment containing the treated stone: 50620 is for the middle third, while 50610 and 50630 represent the lower and upper thirds, respectively.
Is 50620 used for endoscopic stone removal?
No. Code 50620 describes open ureterolithotomy. Ureteroscopic stone extraction or manipulation may instead be reported with 52352, while endoscopic lithotripsy may be reported with 52353 when that is the procedure performed.
What documentation supports selecting 50620?
The operative report should describe the stone in the middle third of the ureter and document direct surgical access, ureterotomy, and stone removal.
What care is included in the global period?
The 90-day major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral 50620 reported under CMS payment rules?
Report bilateral treatment with modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be paid for 50620?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; 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.
5,95750606,,Endoluminal bx urtr rnl plvs,A,,3.08,10.76,,0.29,,0.40,14.24,3.77,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,9585060F,,Fndngs mammo 2pt w/in 3 days,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
5,95950610,,Removal of ureter stone,A,,16.82,6.37,NA,6.37,,2.16,25.35,25.35,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96050620,,Removal of ureter stone,A,,16.02,6.21,NA,6.21,,2.06,24.29,24.29,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,9615062F,,Mammo result com to pt 5 day,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
5,96250630,,Removal of ureter stone,A,,15.80,6.16,NA,6.16,,2.04,24.00,24.00,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96350650,,Removal of ureter,A,,18.35,7.04,NA,7.04,,2.49,27.88,27.88,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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