50694
Plmt ureteral stent prq
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary50694Plmt ureteral stent prq
1
$1,060.81
$229.13
Whole procedure · 5.12 wRVU credited
$1,060.81
$229.13
RVU Breakdown
Component
Office
Facility
Work
5.12
5.12
Practice expense
26.09
1.19
Malpractice
0.55
0.55
Total RVU
31.76
6.86
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,591.22 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Not applicable to this code
Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split