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CMS RVU26D · Effective 2026-10-01

50125 Pyelotomy Medicare reimbursement rates in Wyoming

Reports open access to the renal pelvis with creation of a drainage route when the surgeon needs sustained drainage from the upper urinary tract. Compare 50125 office and facility rates across CMS payment localities in Wyoming.

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 50125 in Wyoming?

Wyoming 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

$862.84

1 of 1 localities have a supported rate.

Payment area: Wyoming**

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 50125 in your payment locality →

Urology surgery

About 50125: Open renal pelvis drainage procedure

Reports open access to the renal pelvis with creation of a drainage route when the surgeon needs sustained drainage from the upper urinary tract.

A urologist performs this open operation by entering the renal pelvis and creating a pyelostomy to provide drainage. It is distinct from simply opening the pelvis to inspect it or removing a calculus through the incision. The operative report should identify the side, the renal pelvis work, and the drainage route created. This service is generally performed in an operating room rather than as an office procedure.

The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. For bilateral performance, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

CMS billing rules for 50125

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 RVU17.37 · 66%
  • Practice expense (office) RVU6.82 · 26%
  • Malpractice RVU2.22 · 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.

50125 compared with similar codes

Office rates for Wyoming, from the same CMS release.

50120

Pyelotomy

Exploration only

No office rate

Choose 50120 for opening and exploring the renal pelvis without creating the drainage route described here.

50130

Stone removal

Open pyelotomy approach

No office rate

Choose 50130 when the operative work removes a calculus through the renal pelvis; this code centers on creating a drainage route.

50040

Renal drainage

Open nephrotomy approach

No office rate

50040 describes open nephrostomy or nephrotomy with drainage at the kidney. This code identifies drainage established through the renal pelvis.

50432

Nephrostomy placement

New percutaneous access

$860.35

50432 is for percutaneous placement of a nephrostomy catheter. This code describes open surgical renal pelvis work with a pyelostomy.

Compare 50125 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 50125 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

5,879

Code
50125
Physician work
17.37
Practice expense
6.82
Malpractice
2.22

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Facility calculation for 50125 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work17.37× 1.00017.3700
Practice expense6.82× 1.0006.8200
Malpractice2.22× 0.7401.6428
Total RVUs25.8328
Conversion factor× 33.4009

Facility rate, Wyoming**$862.84

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
Work17.371
Practice expense6.821
Malpractice2.220.74

(17.37 × 1 + 6.82 × 1 + 2.22 × 0.74) × $33.4009 = $862.84

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.

50125 billing questions

How does this differ from 50120?

50120 describes opening the renal pelvis for exploration. This code is selected when the operation also establishes a pyelostomy drainage route.

When would 50130 be more appropriate?

50130 describes an operation that removes a calculus through the renal pelvis. This code describes creation of a drainage route, not calculus removal as its defining work.

What should the operative note document?

Document the side, the renal pelvis incision, and the pyelostomy or other drainage route established. Include any separately performed procedures and their distinct work.

How is bilateral performance reported?

When the procedure is performed on both sides, report modifier 50; CMS pays bilateral performance at 150%.

How does the multiple-procedure reduction affect payment?

When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%.

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 50125PPRRVU2026_Oct_nonQPP.csv, line 5,879 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet