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See a sample rate comparisonCPT 50543 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; Partial Nephrectomy
| 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 LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50543 |
| Medicaid Fee Schedule | View Medicaid rates for 50543 |
National average reimbursement for CPT 50543 by major payers:
$1,910.41
$2,000.91
$2,178.29
$2,423.08
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CPT 50543
5 of 25 sample ratesHigher to lower in this preview
Susitna Surgery Center LLC
$11,291.00Published rateTavares Surgery LLC
$6,492.00Published rateTattnall Hospital Company, LLC, Optim Surgery Center
$3,400.00Published rateMae Physicians Surgery Center, LLC
Mae Physician'S Surgery Center, LLC
$2,005.93Published rateCentral Coast Endoscopy Center Inc
$936.00Published rate
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See a sample payer proposalCPT 50543 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50543 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 50543 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 |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50543. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50543 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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