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See a sample rate comparisonCPT 50540 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.
Symphysiotomy For Horseshoe Ki, Symphysiotomy For Horseshoe Kidney With Or Withoutpyeloplasty Andor Other Plastic Procedure Unilateral Or Bilateral (One Operation)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body 22 - Increased Procedural Services RT - Right side of body 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50540 |
| Medicaid Fee Schedule | View Medicaid rates for 50540 |
National average reimbursement for CPT 50540 by major payers:
$1,414.01
$1,546.57
$1,580.48
$1,870.99
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CPT 50540
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Kirby, LLC, Memorial Hermann Surgery Center Kirby Glen
$5,554.00Published rateSkin Surgery Center Ps, Skin Surgery Center
Skin Surgery Center P. S.
$916.00Published rateSurgicare Of La Veta Ltd, Laveta Surgery Center
$712.00Published rateTopeka Surgery Center
$442.00Published rateCatalina Surgery Center, LLC
Catalina Surgery Center LLC
$100.00Published rate
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See a sample payer proposalCPT 50540 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50540 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 50540 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 |
|---|---|---|
| 50405-CPT | High | Revision Of Kidney Ureter, Pyeloplasty Foley Y Pyeloplasty Plastic Operation On Renal Pelvis With Or Without Plastic Operation On Ureter Nephropexy Nephrostomy Pyelostomy Or Ureteral Splinting Complicated Congenital Kidney Abnormality Secondary Pyeloplasty Solitary Kidney Calycoplasty |
| 50500-CPT | High | Nephrorrhaphy |
| 50520-CPT | High | Close Fistula Nephro/Pyelocutaneous |
| 50540-CPT | High | Symphysiotomy For Horseshoe Ki, Symphysiotomy For Horseshoe Kidney With Or Withoutpyeloplasty Andor Other Plastic Procedure Unilateral Or Bilateral (One Operation) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50540 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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