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CPT 50610 Fee Schedule

Last Verified: November 2025

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.

Ureterolithotomy Upper 1/3
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Urinary System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

11 - Office

Common Modifiers

None

LT - Left side of body

RT - Right side of body

22 - Increased Procedural Services

59 - Distinct Procedural Service

Complexity LevelHigh
CMS$915.73 Physician Fee Schedule

National average reimbursement for CPT 50610 by major payers:

bcbs

$1,279.37

uhc

$1,280.17

aetna

$1,304.32

cigna

$1,579.35

Preview provider-level rates for...
For billing codeCPT 50610
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 50610

United
50610$259.001548582463 - CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER, LLC, NONE271867311 - (VA) CAREPLEX ORTHOPAEDIC AMBULATORY SURGERY CENTER LLCVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$250.001801993217 - EYE PHYSICIANS OF SUSSEX COUNTY, EYE PHYSICIANS OF SUSSEX COUNTY SURGICAL SUITE222172159 - (NJ) EYE PHYSICIANS OF SUSSEX COUNTYNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$1348.001942230024 - LUTHERVILLE ENDOSCOPY CENTER LLC823193901MDAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$1049.001104298009 - RED CEDAR SURGERY CENTER, LLC, RED CEDAR SURGERY CENTER, PLLC472947364 - (MI) RED CEDAR SURGERY CENTER, PLLCMIAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$916.001538769302 - SPINE SOLUTIONS OF GREEN BAY LLC853678180 - (WI) SPINE SOLUTIONS OF GREEN BAY LLCWIAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$309.001134497910 - UROLOGICAL SURGICAL CENTER LLC451496270 - (GA) UROLOGICAL SURGICAL CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$1441.001053314013 - TRIA ORTHOPAEDIC CENTER LLC200034003 - (MN) TRIA ORTHOPAEDIC CENTER LLCMNAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$1575.001700492170 - MERCY HEALTH BOARDMAN SURGERY863462441 - (OH) BSMH AMBULATORY VENTURES II LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$565.001447661145 - ADVANCED OUTPATIENT SURGERY OF OKLAHOMA, LLC371751472 - (OK) ADVANCED OUTPATIENT SURGERY OFOKAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$1049.001831420694 - TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC263531997 - (FL) TITUSVILLE CENTER FOR SURGICALFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$800.001710127774 - NORTHERN CALIFORNIA ADVANCED SURGERY CENTER LP264264927 - (CA) NORTHERN CALIFORNIA ADVANCED SURGERY CENTER, LPCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$667.001649244211 - KINGSPORT TN OPHTHALMOLOGY ASC LLC, THE REGIONAL EYE SURGERY CENTER331031979TNAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$420.001033106612 - PSHS ALPHA PARTNERS LLC, LAKE WORTH SURGICAL CENTER650793962 - (FL) PSHS ALPHA PARTNERS LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$715.001750528717 - ROUND ROCK SURGERY CENTER LLC, ADVANCED SURGICAL CENTER - ROUND ROCK260856139 - (TX) ROUND ROCK SURGERY CENTER LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
50610$969.001437250248 - GEORGIA SURGICAL CENTER ON PEACHTREE, LLC582394271 - (GA) GEORGIA SURGICAL CENTER ON PEACHTREE LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 50610 vs. Other Surgical Procedures on the Urinary System Codes

The CPT 50610 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 50610 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.

CodeComplexityDescription
50500-CPTHighNephrorrhaphy
50590-CPTModerateLithotripsy,Extracorporeal Shock Wa
50592-CPTHighAblation One Or More Renal Tumors Percutaneous Unilateral Radiofrequency
50610-CPTHighUreterolithotomy Upper 1/3

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 50610 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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