CPT 50593 Fee Schedule
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.
| 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 50593 |
National average reimbursement for CPT 50593 by major payers:
$4,545.28
$5,837.58
$5,962.65
$1,052.33
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 50593 | $1839.00 | 1164083911 - EVERETT ROAD ASC, LLC, EVERETT ROAD SURGERY CENTER | 833542382 - (NY) EVERETT ROAD ASC LLC | NY | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $6973.00 | 1689639262 - OAKWOOD SURGERY CENTER, LTD., LLP | 621641024 - (TX) OAKWOOD SURGERY CENTER LTD LLP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $4951.00 | 1679235584 - ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC | 872158427 - (MN) ALLINA HEALTH HEART AND VASCULAR SURGERY CENTER LLC | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $3713.00 | 1114034006 - SURGICAL CENTER AT MILLBURN, LLC | 571166137 - (NJ) SURGICAL CENTER AT MILLBURN LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $5000.00 | 1033525779 - US CARDIO OF SA, LLC | 465144655 - (TX) US CARDIO OF SA LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $5000.00 | 1376185876 - RINEHART ROAD SURGERY CENTER, LLC | 301152028 - (FL) RINEHART ROAD SURGERY CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $8201.00 | 1164870895 - SUMMIT ORTHOPEDICS LTD, EAGAN SURGERY CENTER | 411762331 - SUMMIT ORTHOPEDICS, LTD. | MN | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $2173.00 | 1922027176 - SAN DIEGO EYECOR LLC | 330636700 - (CA) SAN DIEGO EYE COR., INC. | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $3800.00 | 1255309951 - BAYFRONT SAME DAY SURGERY CENTER, LLC. | 845074208 - (FL) OHI WEST INC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $7888.00 | 1952814386 - ADVANCED SURGICAL CARE OF BOERNE, LLC | 821680961 - (TX) ADVANCED SURGICAL CARE OF BOERNE LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $2795.00 | 1588237523 - CARDIO-KIDNEY VASCULAR CARE LLC | 851989732 - (KS) CARDIO-KIDNEY VASCULAR CARE LLC | KS | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $5654.00 | 1932234853 - ARIA HEALTH BUCKS COUNTY SPU | 230596940 - (PA) JEFFERSON HEALTH-NORTHEAST | PA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $6365.00 | 1154956928 - ADVANCED SURGICAL CARE OF CLEARWATER LLC | 833698204 - (FL) ADVANCED SURGICAL CARE OF CLEARWATER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $4638.87 | 1285340430 - CORRIDOR SURGERY CENTER | 832869527 - (IA) CORRIDOR SURGERY CENTER | IA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 50593 | $3825.00 | 1518149954 - NEUROLOGICAL INSTITUTE AMBULATORY SURGICAL CENTER, LLC | 141983013 - (GA) NEUROLOGICAL INSTITUTE AMBULATORY SURGICAL CENTER LLC | GA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 50593 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50593 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 50593 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 |
|---|---|---|
| 50590-CPT | Moderate | Destruction Of A Kidney Stone, Destruction Of A Kidney Stone With Lithotripsy (Shock Wave Treatment To Break Up The Stone Into Small Fragments). |
| 50592-CPT | High | Remove Kidney Tumors, Surgery To Destroy Tumor Cells In The Kidney. An Electrode Is Passed Through The Skin And Either Heat Or Freezing Cold Is Applied. |
| 50593-CPT | High | Remove Kidney Tumors, Surgery To Destroy Tumor Cells In The Kidney. An Electrode Is Passed Through The Skin And Either Heat Or Freezing Cold Is Applied. |
| 50600-CPT | High | Ureter (Kidney Tube) Surgery, Surgery On The Upper Urinary Tract (Ureter) To Explore Drain Or Insert A Support Device (Stent). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50593. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50593 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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