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See a sample rate comparisonCPT 50572 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 Nephrotomy Or Pyelotomy 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 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50572 |
| Medicaid Fee Schedule | View Medicaid rates for 50572 |
National average reimbursement for CPT 50572 by major payers:
$735.08
$722.13
$731.36
$866.03
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CPT 50572
5 of 25 sample ratesHigher to lower in this preview
North Shore Surgical Suites, LLC, North Shore Surgical Suites
North Shore Surgical Suites, LLC
$2,312.00Published rateWalla Walla Clinic, Inc., Walla Walla Clinic Ambulatory Surgery Center
Walla Walla Clinic, Inc.
$1,187.00Published rateCenter For Pain And Spine, LLC
Center For Pain And Spine LLC
$750.00Published rateSurgical Center Of Greensboro, LLC
Surgical Center Of Greensboro LLC
$445.00Published rateDental Surgicenter Of Louisville Inc
Dental Surgicenter
$311.00Published rate
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See a sample payer proposalCPT 50572 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50572 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 50572 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 |
|---|---|---|
| 50570-CPT | Moderate | Endoscopic Procedure, Renal Endoscopy Through Nephrotomy Or Pyelotomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service; (Independent Procedure) |
| 50572-CPT | Moderate | Kidney Endoscopy, Renal Endoscopy Through Nephrotomy Or Pyelotomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter |
| 50574-CPT | Moderate | Endoscopic Procedure, Renal Endoscopy Through Nephrotomy Or Pyelotomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service; With Biopsy (Independent Procedure) |
| 50575-CPT | High | Kidney Endoscopy, Renal Endoscopy Through Nephrotomy Or Pyelotomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Endopyelotomy Includes Cystoscopy Ureteroscopy Dilation Of Ureter And Ureteral Pelvic Junction Incision Of Ureteral Pelvic Junction And Insertion Of Endopyelotomy Stent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50572 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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