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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50384 |
| Medicaid Fee Schedule | View Medicaid rates for 50384 |
National average reimbursement for CPT 50384 by major payers:

$1,097.91

$1,316.71

$1,306.32

$469.19
Choose a payer to see a sample of rates for CPT 50384.
Medical Plaza Ambulatory Surgery Center Associates Lp
Bsc 3 LLC
Georgia Spine Surgery Center, LLC
Vision Correction Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 50384 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50384 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 50384 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 |
|---|---|---|
| 50382-CPT | High | Surgery For Kidney Drain Tube, Surgery To Remove An Older Drain Tube From The Kidney And Replace It With A New One. The Tube Drains Urine From The Kidney Into The Upper Urinary Tract (Ureter). |
| 50384-CPT | High | Removal (Via Snarecapture) Of, Removal (Via Snarecapture) Of Internally Dwellingureteral Stent Via Percutaneous Approach Includi Ng Radiological Supervision And Interpretation |
| 50385-CPT | High | Change Stent Via Transureth, Removal Via Snare Capture And Replacement Of Internally Dwelling Ureteral Stent Via Transurethral Approach Without Use Of Cystoscopy Including Radiological Supervision And Interpretation |
| 50386-CPT | Moderate | Remove Stent Via Transureth, Removal Via Snare Capture Of Internally Dwelling Ureteral Stent Via Transurethral Approach Without Use Of Cystoscopy Including Radiological Supervision And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50384. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50384 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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