CPT 50435 Fee Schedule
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.
| 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 • RT - Right side of body • 50 - Bilateral Procedure |
| Complexity Level | Moderate |
National average reimbursement for CPT 50435 by major payers:
$603.77
$693.09
$802.73
$901.45
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 50435 | ||||||
United | 50435 | $1957.16 | 1851477665 - SHUNICHI HOMMA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 50435 | $900.46 | 1285927277 - FAISAL TAWWAB | 350593390 - DEACONESS HOSPITAL INC | FL | Hospitalist Physician (208M00000X) |
United | 50435 | $900.46 | 1336644723 - JACOB MOORE | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 50435 | $566.35 | 1336207364 - ARTHUR HAZARIAN | 1336207364 - (NY) ARTHUR HAZARIAN | NY | Internal Medicine Physician (207R00000X) |
United | 50435 | $1423.53 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 50435 | $814.47 | 1134829476 - JOHN VAN BOCKXMEER | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Family Medicine Physician (207Q00000X) |
United | 50435 | $900.46 | 1669959706 - SIMEON GOTZEV | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 50435 | $683.94 | 1134829476 - JOHN VAN BOCKXMEER | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Family Medicine Physician (207Q00000X) |
United | 50435 | $395.73 | 1548299746 - ANIL MAHESHWARI | 112887080 - (NY) ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC | NY | Internal Medicine Physician (207R00000X) |
United | 50435 | $1862.57 | 1154648087 - DANIELLE TRIEF | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Ophthalmology Physician (207W00000X) |
United | 50435 | $475.18 | 1457345696 - JOSEPH YOUNGER | 112618926 - JOSEPH YOUNGER, MD. | NY | Ophthalmology Physician (207W00000X) |
United | 50435 | $299.87 | 1194705145 - NEERAJ MEHRA | 203650540 | NJ | Family Medicine Physician (207Q00000X) |
United | 50435 | $767.48 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 50435 | $820.54 | 1245778992 - SARAH BERNSTEIN | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
United | 50435 | $900.46 | 1194834440 - LAURA DIAZ DEL CASTILLO | 350593390 - DEACONESS HOSPITAL INC | IN | Emergency Medicine Physician (207P00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 50435 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50435 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 50435 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 |
|---|---|---|
| 50430-CPT | Moderate | Injection Procedure For Antegrade Nephrostogram And/Or Ureterogram Complete Diagnostic Procedure Including Imaging Guidance (Eg Ultrasound And Fluoroscopy) And All Associated Radiological Supervision And Interpretation; New Access. |
| 50431-CPT | Moderate | Injection Procedure For Antegrade Nephrostogram And/Or Ureterogram Complete Diagnostic Procedure Including Imaging Guidance (Eg Ultrasound And Fluoroscopy) And All Associated Radiological Supervision And Interpretation; Existing Access. |
| 50432-CPT | Moderate | Placement Of Nephrostomy Catheter Percutaneous Including Diagnostic Nephrostogram And/Or Ureterogram When Performed Imaging Guidance (Eg Ultrasound And/Or Fluoroscopy) And All Associated Radiological Supervision And Interpretation. |
| 50435-CPT | Moderate | Exchange Nephrostomy Catheter Percutaneous Including Diagnostic Nephrostogram And/Or Ureterogram When Performed Imaging Guidance (Eg Ultrasound And/Or Fluoroscopy) And All Associated 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 50435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50435 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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