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See a sample rate comparisonHealthcare 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.
| 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 GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 50690 |
| Medicaid Fee Schedule | View Medicaid rates for 50690 |
National average reimbursement for CPT 50690 by major payers:

$144.14

$156.57

$167.81

$132.29
Choose a payer to see a sample of rates for CPT 50690.
Red Cedar Surgery Center, PLLC
Ft Myers Digestive Health And Pain Asc LLC
Palmetto Endoscopy Suite LLC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 50690 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50690 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 50690 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 |
|---|---|---|
| 50684-CPT | Low | Injection Procedure For Ureter, Injection Procedure For Ureterography Or Ureteropyelography Through Ureterostomy Or Indwelling Ureteral Catheter |
| 50686-CPT | Low | Measurement Of Ureter Pressure, Measurement Of Ureter (Passage Between Kidney And Bladder) Pressure Through A Catheter (Tube) Or Surgical Opening In The Skin (Ureterostomy). |
| 50688-CPT | Low | Change Kidney Drain Tube, Replacement Of A Thin Tube (Catheter) Inserted Through The Skin And Into The Kidney (Or Ureter) For Urine Drainage. |
| 50690-CPT | Low | Injection Procedure For Visual, Injection Procedure For Visualization Of Ileal Conduitandor Ureteropyelography Exclusive Of Radiologic Service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50690 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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