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See a sample rate comparisonCPT 50580 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 Treatment, Renal Endoscopy Through Nephrotomy Or Pyelotomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Removal Of Foreign Body Or Calculus
| 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 51 - Multiple procedures RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50580 |
| Medicaid Fee Schedule | View Medicaid rates for 50580 |
National average reimbursement for CPT 50580 by major payers:
$854.69
$822.50
$848.31
$985.89
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CPT 50580
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$3,493.00Published rateSurgcenter Of St. Lucie, LLC
$1,276.00Published rateSummit Ambulatory Surgical Center, LLC
$1,179.00Published rateWestern Washington Endoscopy Centers LLC, Sunrise Endoscopy Center
Western Washington Endoscopy Centers LLC
$749.00Published rateWomens Health Center, Hamid Zadeh Md Inc
Womens Health Center
$588.00Published rate
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See a sample payer proposalCPT 50580 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50580 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 50580 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) |
| 50580-CPT | Moderate | Kidney Endoscopy Treatment, Renal Endoscopy Through Nephrotomy Or Pyelotomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Removal Of Foreign Body Or Calculus |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50580. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50580 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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