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See a sample rate comparisonCPT 50081 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Perq Nl Pl Lithotrp Cplx 2cm, Percutaneous Nephrolithotomy Or Pyelolithotomy Lithotripsy Stone Extraction Antegrade Ureteroscopy Antegrade Stent Placement And Nephrostomy Tube Placement When Performed Including Imaging Guidance Complex Eg Stone S 2 Cm Branching Stones Stones In Multiple Locations Ureter Stones Complicated Anatomy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50081 |
| Medicaid Fee Schedule | View Medicaid rates for 50081 |
National average reimbursement for CPT 50081 by major payers:
$1,606.11
$1,710.02
$1,827.18
$1,970.85
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CPT 50081
5 of 25 sample ratesHigher to lower in this preview
Fredericksburg Ambulatory Surgery Center, LLC
Fredericksburg Ambulatory Surgery Center LLC
$6,074.00Published rateBardmoor Surgery Center LLC, Bardmoor Surgery Center
$4,535.00Published rateVancouver Eye Care Ps
Vancouver Eye Care, P.S.
$2,500.00Published rateBel Air Endoscopy Asc LLC, Harford Endoscopy Center
Bel Air Endoscopy Asc LLC
$1,874.00Published rateEye Surgical Center, LLC, The Institute For Refractive And Intraocular Surgery
Eye Surgical Center LLC
$586.00Published rate
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See a sample payer proposalCPT 50081 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50081 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 50081 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 50060-CPT | High | Nephrolithotomy; Removal Of Calculus |
| 50080-CPT | High | Perq Nl Pl Lithotrp Smpl 2cm, Percutaneous Nephrolithotomy Or Pyelolithotomy Lithotripsy Stone Extraction Antegrade Ureteroscopy Antegrade Stent Placement And Nephrostomy Tube Placement When Performed Including Imaging Guidance Simple Eg Stone S Up To 2 Cm In Single Location Of Kidney Or Renal Pelvis Nonbranching Stones |
| 50081-CPT | High | Perq Nl Pl Lithotrp Cplx 2cm, Percutaneous Nephrolithotomy Or Pyelolithotomy Lithotripsy Stone Extraction Antegrade Ureteroscopy Antegrade Stent Placement And Nephrostomy Tube Placement When Performed Including Imaging Guidance Complex Eg Stone S 2 Cm Branching Stones Stones In Multiple Locations Ureter Stones Complicated Anatomy |
| 50220-CPT | High | Kidney Urinary Tract Surgery, Surgery To Remove An Entire Kidney The Part Of The Urinary Tract Connected To It Associated Lymph Nodes And Other Related Structures. Includes Necessary Reconstruction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50081 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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