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See a sample rate comparisonCPT 50542 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.
Laparoscopy Surgical Ablatio, Laparoscopy Surgical Ablation Of Renal Mass Lesion(S) Including Intraoperative Ultrasound Guidance And Monitoring 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 | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50542 |
| Medicaid Fee Schedule | View Medicaid rates for 50542 |
National average reimbursement for CPT 50542 by major payers:
$1,577.91
$1,567.57
$1,589.89
$1,898.30
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CPT 50542
5 of 25 sample ratesHigher to lower in this preview
Wisconsin Surgery Center LLC
Wisconsin Surgery Center, LLC
$18,215.00Published rateSandhills Endoscopy Center
$8,049.00Published rateJohns Hopkins Surgery Centers Series, Green Spring Station Surgery Center
Johns Hopkins Surgery Center Series
$5,270.00Published rateFresenius Vascular Care St Louis Asc LLC, Azura Surgery Center St. Louis
Fresenius Vascular Care St Louis Asc LLC
$2,903.00Published rateNorth Houston Endoscopy & Surgery
North Houston Endoscopy Surgery
$1,090.00Published rate
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See a sample payer proposalCPT 50542 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50542 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 50542 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 |
|---|---|---|
| 50541-CPT | High | Remove Mass From Kidney, Surgery To Remove A Mass Or Cyst (Fluid-Filled Sac) From The Kidney With A Scope (Laparoscope). |
| 50542-CPT | High | Laparoscopy Surgical Ablatio, Laparoscopy Surgical Ablation Of Renal Mass Lesion(S) Including Intraoperative Ultrasound Guidance And Monitoring When Performed |
| 50543-CPT | High | Laparoscopy, Surgical; Partial Nephrectomy |
| 50545-CPT | High | Scope Surgery To Remove Kidney, Surgery Using A Scope (Laparoscope) To Remove An Entire Kidney. The Procedure May Include Removing Nearby Tissue Such As Lymph Nodes Adrenal Glands Or A Portion Of The Upper Urinary Tract (Ureter). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50542. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50542 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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