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See a sample rate comparisonCPT 50549 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.
Unlisted Laparoscopy Procedure, Renal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50549 |
| Medicaid Fee Schedule | View Medicaid rates for 50549 |
National average reimbursement for CPT 50549 by major payers:
$1,540.02
$141.58
$1,725.00
$2,538.94
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CPT 50549
5 of 25 sample ratesHigher to lower in this preview
Urology Asc- Phoenix, LLC, Urologic Surgery Center Of Arizona
$5,433.00Published rateCenter For Robotic Surgery Of Louisiana LLC
$3,066.00Published rateSedalia Surgery Center, LLC
Sedalia Surgery Center L L C
$2,287.00Published rateGeorgia Retina Surgery Center, LLC
Georgia Retina Surgery Center LLC
$1,604.00Published rateThe Asc At Waugh Chapel
$894.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50549 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50549 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 50549 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 |
|---|---|---|
| 50542-CPT | High | Laparoscopy Surgical Ablatio, Laparoscopy Surgical Ablation Of Renal Mass Lesion(S) Including Intraoperative Ultrasound Guidance And Monitoring When Performed |
| 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). |
| 50548-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). |
| 50549-CPT | High | Unlisted Laparoscopy Procedure, Renal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50549. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50549 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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