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See a sample rate comparisonCPT 50436 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.
Dilat Xst Trc Ndurlgc Px, Dilation Of Existing Tract Percutaneous For An Endourologic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation With Postprocedure Tube Placement When Performed
| 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 | 59 - Distinct Procedural Service None LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50436 |
| Medicaid Fee Schedule | View Medicaid rates for 50436 |
National average reimbursement for CPT 50436 by major payers:
$219.37
$206.60
$211.61
$254.20
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CPT 50436
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$7,810.00Published rateTreasure Coast Asc, LLC, Treasure Coast Center For Surgery
$2,206.00Published rateDay-Op Center Of Long Island LLC, Day-Op Center Of Long Island
Day Op Center Of Long Island Inc
$1,507.00Published rateCaplan-Berkeley, LLP, Caplan Surgery Center
Caplanberkeley LLP
$1,050.00Published rateAmbulatory Foot And Ankle Center, Inc.
Ambulatory Foot And Ankle Center Inc
$552.00Published rate
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See a sample payer proposalCPT 50436 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50436 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 50436 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 | Inje Proc For Antegrad Nphrostogrm/Ureterogrmcomplnew Access, Injection Procedure For Antegrade Nephrostogram And/Or Ureterogramcomplete Diagnostic Procedure Including Imaging Guidance (Egultrasound And/Or Floouroscopy) And All Associated Radiological Supervision And Interpretation; New Access |
| 50431-CPT | Moderate | Inje Proc For Antegrad Nphrostogrm/Ureterogrmcompl Exist Access, Injection Procedure For Antegrade Nephrostogram And/Or Ureterogramcomplete Diagnostic Procedure Including Imaging Guidance (Egultrasound And/Or Floouroscopy) And All Associated Radiological Supervision And Interpretation; Existing Access |
| 50432-CPT | Moderate | Plmt Nephrostomy Catheter, 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 |
| 50436-CPT | Moderate | Dilat Xst Trc Ndurlgc Px, Dilation Of Existing Tract Percutaneous For An Endourologic Procedure Including Imaging Guidance Eg Ultrasound And Or Fluoroscopy And All Associated Radiological Supervision And Interpretation With Postprocedure Tube Placement When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50436 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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