No office rate
50541 describes laparoscopic ablation of a renal cyst. Choose 50542 for ablation of a renal mass.
On this page
CMS RVU26D · Effective 2026-10-01
50542 Renal mass ablation Medicare reimbursement rates in Wyoming
Reports laparoscopic destruction of one or more renal masses, such as a tumor treated with cryoablation or radiofrequency ablation. Compare 50542 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 50542 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
$1021.16
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.
Urologic surgery
About 50542: Laparoscopic renal mass ablation
Reports laparoscopic destruction of one or more renal masses, such as a tumor treated with cryoablation or radiofrequency ablation.
A urologic surgeon uses laparoscopic access to destroy a renal mass while preserving the kidney when the treatment plan calls for ablation rather than excision. Common techniques include cryoablation and radiofrequency ablation. The procedure is generally performed in an operating room, and intraoperative ultrasound guidance is included when used. This code is for a renal mass, not a renal cyst or a tumor removed by partial nephrectomy.
Report the service when the operative documentation identifies the renal mass, laparoscopic approach, ablation performed, and treated side or sides. The code covers ablation of one or more masses in the procedure. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50542
- 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 RVU20.83 · 67%
- Practice expense (office) RVU7.73 · 25%
- Malpractice RVU2.72 · 9%
76
Medicare services in 2024 · #5097 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.
50542 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
50543 is for laparoscopic partial nephrectomy, which removes renal tissue containing the mass. 50542 destroys the mass without describing its excision.
$2,615.98
50592 is for percutaneous renal tumor ablation. 50542 applies when the surgeon performs the ablation laparoscopically.
Compare 50542 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1021.16
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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 50542 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,932
- Code
- 50542
- Physician work
- 20.83
- Practice expense
- 7.73
- Malpractice
- 2.72
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.83 | × 1.000 | 20.8300 |
| Practice expense | 7.73 | × 1.000 | 7.7300 |
| Malpractice | 2.72 | × 0.740 | 2.0128 |
| Total RVUs | 30.5728 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1021.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.83 | 1 |
| Practice expense | 7.73 | 1 |
| Malpractice | 2.72 | 0.74 |
(20.83 × 1 + 7.73 × 1 + 2.72 × 0.74) × $33.4009 = $1021.16
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.
50542 billing questions
How does this differ from laparoscopic partial nephrectomy?
Use 50542 when the renal mass is destroyed in place. Use 50543 when the surgeon removes the mass with a portion of kidney.
Can this code be used for a renal cyst?
No. Laparoscopic ablation of a renal cyst is reported with 50541; 50542 is for a renal mass.
Is intraoperative ultrasound separately reported?
The code includes intraoperative ultrasound guidance when performed. Do not separately report that guidance as though it were outside the ablation service.
How is bilateral ablation reported?
For a bilateral procedure, report modifier 50; CMS pays the service at 150%.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedure or procedures. The 90-day global period includes related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
5,92950526,,Close nephrovisceral fistula,A,,25.65,11.60,NA,11.60,,6.85,44.10,44.10,0,090,0.08,0.83,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93050540,,Revision of horseshoe kidney,A,,20.57,7.49,NA,7.49,,2.64,30.70,30.70,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93150541,,Laparo ablate renal cyst,A,,16.44,5.99,NA,5.99,,2.15,24.58,24.58,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93250542,,Laparo ablate renal mass,A,,20.83,7.73,NA,7.73,,2.72,31.28,31.28,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93350543,,Laparo partial nephrectomy,A,,26.72,9.63,NA,9.63,,3.46,39.81,39.81,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93450544,,Laparoscopy pyeloplasty,A,,22.79,7.29,NA,7.29,,2.95,33.03,33.03,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93550545,,Laparo radical nephrectomy,A,,24.43,7.91,NA,7.91,,3.18,35.52,35.52,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,