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See a sample rate comparisonCPT 50553 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.
Kidney Endoscopy, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50553 |
| Medicaid Fee Schedule | View Medicaid rates for 50553 |
National average reimbursement for CPT 50553 by major payers:
$530.01
$533.21
$545.17
$526.40
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CPT 50553
5 of 25 sample ratesHigher to lower in this preview
Baptist Surgery Center Lp, Baptist Ambulatory Surgery Center
Baptist Surgery Center Lp
$3,801.00Published rateCharleston Ent Associates, LLC, Surgery Center Of Charleston
Charleston Ent Associates, LLC
$1,750.00Published rateHealthqare Services Asc LLC, Healthqare Services Asc LLC
Healthqare Services Asc LLC
$1,350.00Published rateCampus Eye Group Asc Inc, Surgicenter Anesthesia Associates
$965.00Published rateMeredith Schmitt
Deaconess Hospital Inc
$317.52Published rate
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See a sample payer proposalCPT 50553 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50553 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 50553 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 |
|---|---|---|
| 50551-CPT | Moderate | Renal Endoscopy Through Establ, Renal Endoscopy Through Established Nephrostomy Orpyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service |
| 50553-CPT | Moderate | Kidney Endoscopy, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter |
| 50555-CPT | Moderate | Kidney Endoscopy Biopsy, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Biopsy |
| 50557-CPT | Moderate | Kidney Endoscopy Treatment, Renal Endoscopy Through Established Nephrostomy Or Pyelostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Fulguration And Or Incision With Or Without Biopsy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50553. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50553 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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