50695
Plmt ureteral stent prq
Code typePrimary
Payment statusActive (A)
Global period0-day
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary50695Plmt ureteral stent prq
1
$1,272.91
$293.26
Whole procedure · 6.63 wRVU credited
$1,272.91
$293.26
RVU Breakdown
Component
Office
Facility
Work
6.63
6.63
Practice expense
30.77
1.44
Malpractice
0.71
0.71
Total RVU
38.11
8.78
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $1,909.37 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