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See a sample rate comparisonCPT 50100 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.
Kidney Vessel Surgery, Surgery To Cut Or Reposition Kidney Blood Vessels Whose Position Is Not Typical And Therefore May Be Causing Problems.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None QW - CLIA Waived Tests 51 - Multiple procedures 78 - Return to OR - related procedure 79 - Unrelated procedure - postop period 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50100 |
| Medicaid Fee Schedule | View Medicaid rates for 50100 |
National average reimbursement for CPT 50100 by major payers:
$1,459.20
$1,414.17
$1,469.55
$1,714.12
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CPT 50100
5 of 25 sample ratesHigher to lower in this preview
Hamilton Surgery Center LLC
$6,659.00Published rateSummit Ambulatory Surgical Center LLC
$1,028.00Published rateUrological Institute Of Maryland
$623.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Asc Sedona
Barnet Dulaney Perkins Eye Center PLLC
$492.00Published rateThe Overland Park Ks Endoscopy Asc LLC, Endoscopic Imaging Center
The Overland Park Ks Endoscopy Asc LLC
$124.00Published rate
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See a sample payer proposalCPT 50100 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50100 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 50100 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 |
|---|---|---|
| 50040-CPT | High | Nephrostomy |
| 50045-CPT | High | Nephrotomy W Exploration |
| 50100-CPT | High | Kidney Vessel Surgery, Surgery To Cut Or Reposition Kidney Blood Vessels Whose Position Is Not Typical And Therefore May Be Causing Problems. |
| 50200-CPT | Moderate | Kidney Biopsy, A Procedure To Remove A Sample Of Tissue For Testing (Biopsy) From A Kidney. The Sample May Be Taken In A Surgery Or By Inserting A Needle. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50100 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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