$873.26–$991.85
Both use new percutaneous access, but 50693 is selected when the tract is dilated; 50694 is for placement without tract dilation.
On this page
CMS RVU26D · Effective 2026-10-01
50694 Ureteral stent placement Medicare reimbursement rates in Texas
Reports percutaneous placement of a ureteral stent through newly created access without tract dilation, including associated imaging guidance and radiological interpretation. Compare 50694 office and facility rates across CMS payment localities in Texas.
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 50694 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$981.08–$1109.60
8 of 8 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.
Where 50694 pays more and less in Texas
8 payment localities
$981.08 to $1109.60
Urology procedure
About 50694: Percutaneous ureteral stent placement without dilation
Reports percutaneous placement of a ureteral stent through newly created access without tract dilation, including associated imaging guidance and radiological interpretation.
A urologist or interventional radiologist creates percutaneous access to the urinary collecting system, advances a stent through the ureter, and positions it to provide drainage. This approach may be used when ureteral obstruction or impaired drainage requires a stent and access must be established through the skin. The code includes imaging guidance, associated radiological supervision and interpretation, and diagnostic nephrostogram or ureterogram when performed.
Choose this code when the stent is placed through new percutaneous access without tract dilation. Use the sibling code for new access with tract dilation when dilation is performed, or the existing-tract sibling when placement uses an established nephrostomy tract. Document the access route, whether the tract was dilated, stent placement, and imaging performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 50694
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- 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 RVU5.12 · 16%
- Practice expense (office) RVU26.09 · 82%
- Malpractice RVU0.55 · 2%
619
Medicare services in 2024 · #3363 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.
50694 compared with similar codes
Office rates for Texas, from the same CMS release.
$1,178.73–$1,330.26
50695 uses an existing nephrostomy tract. Select 50694 when new percutaneous access is created and the tract is not dilated.
No office rate
50605 describes stent insertion through an open ureterotomy. Use 50694 for percutaneous placement through newly created access without tract dilation.
Compare 50694 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $1109.60 | Facility $229.68 |
| Beaumont | Office $981.08 | Facility $224.25 |
| Brazoria | Office $1050.30 | Facility $226.10 |
| Dallas | Office $1056.26 | Facility $227.90 |
| Fort Worth | Office $1047.78 | Facility $227.74 |
| Galveston | Office $1052.92 | Facility $227.06 |
| Houston | Office $1062.99 | Facility $237.13 |
| Rest Of Texas | Office $1014.59 | Facility $225.32 |
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50694 billing questions
How is 50694 distinguished from 50693?
Both involve new percutaneous access. Report 50694 when the tract is not dilated; 50693 is the sibling for new access with tract dilation.
How is 50694 distinguished from 50695?
50694 uses newly created access without tract dilation. 50695 is used when the stent is placed through an existing nephrostomy tract.
Can imaging guidance and the nephrostogram be reported separately?
The code includes imaging guidance and associated radiological supervision and interpretation, as well as a diagnostic nephrostogram or ureterogram when performed.
How should bilateral placement be reported?
CMS lists this as a bilateral procedure; reporting with modifier 50 is paid at 150%.
What same-session payment reduction should billers expect?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.
What documentation supports choosing 50694?
Document percutaneous creation of new access, stent placement, and that tract dilation was not performed. Include the imaging and any diagnostic nephrostogram or ureterogram performed.
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.
5,96750688,,Change of ureter tube/stent,A,,1.17,0.83,NA,0.83,,0.13,2.13,2.13,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96850690,,Injection for ureter x-ray,A,,1.13,2.25,,0.61,,0.12,3.50,1.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96950693,,Plmt ureteral stent prq,A,,3.86,24.06,,1.00,,0.42,28.34,5.28,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97050694,,Plmt ureteral stent prq,A,,5.12,26.09,,1.19,,0.55,31.76,6.86,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97150695,,Plmt ureteral stent prq,A,,6.63,30.77,,1.44,,0.71,38.11,8.78,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97250700,,Revision of ureter,A,,16.27,6.59,NA,6.59,,2.09,24.95,24.95,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97350705,,Ureteral embolization/occl,A,,3.93,48.58,,0.36,,0.49,53.00,4.78,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00