$873.26–$991.85
Use 50695 when the stent is placed through an existing nephrostomy tract. Code 50693 involves new access without creating a nephrostomy tract.
On this page
CMS RVU26D · Effective 2026-10-01
50695 Ureteral stent Medicare reimbursement rates in Texas
Reports percutaneous placement of a ureteral stent through an established nephrostomy tract, including associated imaging guidance and radiological supervision and interpretation. Compare 50695 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 50695 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
$1178.73–$1330.26
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 50695 pays more and less in Texas
8 payment localities
$1178.73 to $1330.26
Urologic intervention
About 50695: Percutaneous ureteral stent placement through existing tract
Reports percutaneous placement of a ureteral stent through an established nephrostomy tract, including associated imaging guidance and radiological supervision and interpretation.
An interventional radiologist or urologist uses an established nephrostomy tract to advance a stent into the ureter, commonly to bypass an obstruction and provide internal urinary drainage. The procedure is typically performed in a hospital or interventional radiology setting. The existing tract distinguishes this service from percutaneous stent placement that requires new access.
Report the service when documentation supports placement through the existing tract. Diagnostic nephrostography or ureterography, when performed, imaging guidance, and associated radiological supervision and interpretation are included. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. Bilateral reporting with 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 50695
- 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 RVU6.63 · 17%
- Practice expense (office) RVU30.77 · 81%
- Malpractice RVU0.71 · 2%
686
Medicare services in 2024 · #3283 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.
50695 compared with similar codes
Office rates for Texas, from the same CMS release.
$981.08–$1,109.60
Code 50694 describes new access with creation of a nephrostomy tract; 50695 uses a tract that is already established.
No office rate
Code 50688 reports changing a ureteral tube or stent through a tract. Code 50695 reports placement of a ureteral stent through the existing tract.
$347.70–$387.16
Code 52332 is for cystoscopic, retrograde stent insertion. Code 50695 is percutaneous and uses an existing nephrostomy tract.
Compare 50695 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 $1330.26 | Facility $293.79 |
| Beaumont | Office $1178.73 | Facility $287.25 |
| Brazoria | Office $1260.21 | Facility $289.38 |
| Dallas | Office $1267.42 | Facility $291.69 |
| Fort Worth | Office $1257.45 | Facility $291.52 |
| Galveston | Office $1263.41 | Facility $290.62 |
| Houston | Office $1276.40 | Facility $303.61 |
| Rest Of Texas | Office $1218.19 | Facility $288.51 |
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50695 billing questions
How does this differ from codes 50693 and 50694?
This code is for stent placement through an existing nephrostomy tract. Codes 50693 and 50694 describe placement using new access, with 50694 involving creation of a nephrostomy tract.
Can the imaging guidance and nephrostogram be billed separately?
No. Imaging guidance, associated radiological supervision and interpretation, and diagnostic nephrostography or ureterography when performed are included in this service.
How is this distinguished from code 50688?
This code reports stent placement through the existing tract. Code 50688 is for changing a ureteral tube or stent through a tract, rather than placing the stent.
Can modifier 50 be used for bilateral placement?
Yes. CMS identifies this as a bilateral procedure; when reported with modifier 50, payment is 150%.
What documentation supports reporting this code?
Document that the nephrostomy tract was already established, the ureteral stent was placed percutaneously through it, and the procedure findings and guidance used. Include 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.
5,96850690,,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
5,97450706,,Balloon dilate urtrl strix,A,,3.71,19.62,,0.53,,0.41,23.74,4.65,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00