50551

Kidney endoscopy

Add to my model
Code typePrimary
Payment statusActive (A)
Global period0-day

Whole-Procedure Pricing

Line
Qty
Global fee
Pro fee
Primary50551Kidney endoscopy
1
$377.10
$259.52

RVU Breakdown

Component
Office
Facility
Work
5.45
5.45
Practice expense
5.14
1.62
Malpractice
0.70
0.70
Total RVU
11.29
7.77

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $565.65 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split