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CMS RVU26D · Effective 2026-10-01

50574 Kidney endoscopy Medicare reimbursement rates in Oklahoma

Reports renal endoscopy with tissue sampling when a urologist examines the kidney and obtains a biopsy during the endoscopic procedure. Compare 50574 office and facility rates across CMS payment localities in Oklahoma.

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 50574 in Oklahoma?

Oklahoma 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

$473.58

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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 50574 in your payment locality →

Urology

About 50574: Renal endoscopy with biopsy

Reports renal endoscopy with tissue sampling when a urologist examines the kidney and obtains a biopsy during the endoscopic procedure.

A urologist uses an endoscope to examine the kidney and obtain tissue for diagnostic evaluation, such as sampling abnormal or suspicious tissue found during the procedure. The operative record should identify the kidney, the access route, the area examined, and the biopsy site or sites. This service is generally performed in an operative or procedural setting where the endoscopic approach and specimen collection can be documented.

Select this code when the documented renal endoscopy includes biopsy, using the specific access approach described by the code rather than choosing by the biopsy alone. The operative note should support both the endoscopic examination and tissue sampling; pathology documentation can identify the submitted specimen. The procedure has 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 a bilateral procedure, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 50574

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 RVU10.73 · 73%
  • Practice expense (office) RVU2.67 · 18%
  • Malpractice RVU1.37 · 9%

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.

50574 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

50551

Renal endoscopy

Established nephrostomy or pyelostomy

$353.51

Use a diagnostic renal endoscopy code when the service is examination only. This code includes tissue sampling during the endoscopy.

50555

Kidney endoscopy

With biopsy

$403.13

Both codes describe renal endoscopy with biopsy in CMS short descriptors. Check the complete code descriptors and operative documentation to select the correct access approach.

50562

Renal endoscopy

Tumor resection

No office rate

This code represents endoscopic tumor resection, not biopsy sampling alone. Choose it when the documented service removes the tumor endoscopically.

Compare 50574 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 50574 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

5,948

Code
50574
Physician work
10.73
Practice expense
2.67
Malpractice
1.37

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Facility calculation for 50574 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work10.73× 1.00010.7300
Practice expense2.67× 0.8932.3843
Malpractice1.37× 0.7771.0645
Total RVUs14.1788
Conversion factor× 33.4009

Facility rate, Oklahoma$473.58

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
Work10.731
Practice expense2.670.893
Malpractice1.370.777

(10.73 × 1 + 2.67 × 0.893 + 1.37 × 0.777) × $33.4009 = $473.58

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.

50574 billing questions

How is this code distinguished from 50555?

Both short descriptors identify renal endoscopy with biopsy. Use the code whose full descriptor matches the access approach documented in the operative report.

When is diagnostic renal endoscopy alone not enough?

When tissue is actually obtained during the endoscopic service, the biopsy distinguishes this service from a diagnostic-only renal endoscopy. Document the sampled site and specimen.

Is same-day care separately included?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

How are related renal endoscopies priced when performed together?

CMS endoscopy family pricing applies when related endoscopies are performed together. Document each service performed and the distinct work supported by the operative note.

Can modifier 50 be reported for bilateral performance?

Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted 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 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 50574PPRRVU2026_Oct_nonQPP.csv, line 5,948 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet