$385.27–$409.92
50951 is for diagnostic ureter endoscopy; 50961 is for endoscopy with treatment.
On this page
CMS RVU26D · Effective 2026-10-01
50961 Ureteroscopy Medicare reimbursement rates in Oregon
Reports endoscopic treatment performed within the ureter using a ureteroscope, rather than diagnostic inspection or biopsy alone. Compare 50961 office and facility rates across CMS payment localities in Oregon.
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 50961 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$396.88–$422.12
2 of 2 localities have a supported rate.
Facility setting
$271.46–$282.22
2 of 2 localities have a supported rate.
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 50961: Ureteroscopic treatment procedure
Reports endoscopic treatment performed within the ureter using a ureteroscope, rather than diagnostic inspection or biopsy alone.
A urologist advances a ureteroscope through the urinary tract to treat a problem within the ureter. The service is performed endoscopically, commonly in a hospital or ambulatory surgical setting. Code 50961 is distinguished by treatment during ureteral endoscopy; the particular intervention documented must support this code rather than a diagnostic-only or biopsy service.
Report the code when the operative note identifies the ureteroscopic treatment performed and the treated side. The code 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 bilateral treatment, modifier 50 is paid at 150%. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 50961
- 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 RVU5.89 · 49%
- Practice expense (office) RVU5.48 · 45%
- Malpractice RVU0.76 · 6%
29
Medicare services in 2024 · #5691 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.
50961 compared with similar codes
Office rates for Oregon, from the same CMS release.
$435.01–$462.28
50955 identifies ureteroscopic biopsy. Report 50961 when the documented service is treatment rather than biopsy alone.
$439.01–$466.60
Both are ureter endoscopy and treatment codes. Select the code whose full CPT description matches the specific procedure documented.
Compare 50961 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$422.12
Facility
$282.22
Rest Of Oregon →
Office / nonfacility
$396.88
Facility
$271.46
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50961 billing questions
How does 50961 differ from diagnostic ureteroscopy?
50961 describes treatment during ureteral endoscopy. Use a diagnostic endoscopy code when the service is inspection rather than treatment.
Is biopsy alone reported with 50961?
No. The nearby biopsy code 50955 identifies ureteral endoscopy with biopsy; documentation should support the service actually performed.
What is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
How is bilateral treatment reported?
Modifier 50 applies to a bilateral procedure and is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be billed?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
What happens when related endoscopies are performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together.
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.
6,00650953,,Endoscopy of ureter,A,,6.07,5.63,,1.75,,0.79,12.49,8.61,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50951,33.4009,09,0,99,0.00,0.00,0.00
6,00750955,,Ureter endoscopy & biopsy,A,,6.57,5.88,,1.85,,0.85,13.30,9.27,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50951,33.4009,09,0,99,0.00,0.00,0.00
6,00850957,,Ureter endoscopy & treatment,A,,6.61,5.96,,1.86,,0.85,13.42,9.32,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50951,33.4009,09,0,99,0.00,0.00,0.00
6,00950961,,Ureter endoscopy & treatment,A,,5.89,5.48,,1.71,,0.76,12.13,8.36,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50951,33.4009,09,0,99,0.00,0.00,0.00
6,01050970,,Ureter endoscopy,A,,6.95,1.88,NA,1.88,,0.90,9.73,9.73,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,01150972,,Ureter endoscopy & catheter,A,,6.71,1.83,NA,1.83,,0.87,9.41,9.41,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,01250974,,Ureter endoscopy & biopsy,A,,8.93,2.30,NA,2.30,,1.15,12.38,12.38,0,000,0.00,0.00,0.00,3,1,0,0,0,9,50970,33.4009,09,0,99,0.00,0.00,0.00