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See a sample rate comparisonCPT 50200 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50200 |
| Medicaid Fee Schedule | View Medicaid rates for 50200 |
National average reimbursement for CPT 50200 by major payers:
$492.46
$614.70
$757.23
$255.67
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CPT 50200
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,430.35Published rateChristopher Raio
St Francis Hospital
$1,041.49Published rateSadrul Anam
Jamaica Anesthesia Associates, PC Dba Jamaica Anesthesia Associates
$673.39Published rateBrian Hoch
$445.97Published rateKhalid Ahmad
Ny Pediatric Pulmonary Sleep Medicine PLLC
$334.99Published rate
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See a sample payer proposalCPT 50200 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50200 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 50200 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 50200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50200 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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