CPT 50693 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 • LT - Left side of body • RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50693 |
National average reimbursement for CPT 50693 by major payers:

$1,137.81

$1,387.29

$1,436.32

$1,618.16
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 50693 | ||||||
United | 50693 | $1504.93 | 1164776688 - NICOLE SCHWAB | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Family Nurse Practitioner (363LF0000X) |
United | 50693 | $1504.93 | 1851768337 - KELLY RIDGES | 362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C. | IL | Family Nurse Practitioner (363LF0000X) |
United | 50693 | $834.65 | 1588630123 - LAURIE KOTOWSKI | 161608040 - (NY) EXCELSIOR ORTHOPAEDICS LLP | NY | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 50693 | $877.78 | 1194785634 - DAVID HOSTEN | 471958188 - (NY) DORAL MEDICAL AND MULTI SPECIALTY FACILITY LLC | NY | Family Medicine Physician (207Q00000X) |
United | 50693 | $768.71 | 1164740684 - BABAK HASSID | 471958188 - (NY) DORAL MEDICAL AND MULTI SPECIALTY FACILITY LLC | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 50693 | $997.47 | 1164740684 - BABAK HASSID | 471958188 - (NY) DORAL MEDICAL AND MULTI SPECIALTY FACILITY LLC | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 50693 | $813.13 | 1801178496 - KENDRA PARUS | 350593390 - DEACONESS HOSPITAL INC | IN | Acute Care Nurse Practitioner (363LA2100X) |
United | 50693 | $997.47 | 1215004858 - LEON SHEIN | 471958188 - (NY) DORAL MEDICAL AND MULTI SPECIALTY FACILITY LLC | NY | Nephrology Physician (207RN0300X) |
United | 50693 | $1043.25 | 1801972641 - MARIETA QUINTERO | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Pediatrics Physician (208000000X) |
United | 50693 | $5982.50 | 1194059899 - HERBERT MENA HERNANDEZ | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Family Medicine Physician (207Q00000X) |
United | 50693 | $877.78 | 1164740684 - BABAK HASSID | 471958188 - (NY) DORAL MEDICAL AND MULTI SPECIALTY FACILITY LLC | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 50693 | $2219.64 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 50693 | $1507.51 | 1366437493 - GEORGE KARTALIAN, JR. | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | 50693 | $1043.25 | 1255607909 - KRYSTAL CLEVEN | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Pulmonary Disease Physician (207RP1001X) |
United | 50693 | $1776.79 | 1598079956 - TODD JARRELL | 920922704 | NY | Family Medicine Physician (207Q00000X) |
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 50693 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50693 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 50693 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 |
|---|---|---|
| 50693-CPT | High | Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And/Or Ureterogram When Performed Imaging Guidance (Eg Ultrasound And/Or Fluoroscopy) And All Associated Radiological Supervision And Interpretation; Pre-Existing Nephrostomy Tract. |
| 50694-CPT | High | Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And/Or Ureterogram When Performed Imaging Guidance (Eg Ultrasound And/Or Fluoroscopy) And All Associated Radiological Supervision And Interpretation; New Access Without Separate Nephrostomy Catheter. |
| 50695-CPT | High | Placement Of Ureteral Stent Percutaneous Including Diagnostic Nephrostogram And/Or Ureterogram When Performed Imaging Guidance (Eg Ultrasound And/Or Fluoroscopy) And All Associated Radiological Supervision And Interpretation; New Access With Separate Nephrostomy Catheter. |
| 50947-CPT | High | Laparoscopy; Ureteroneocystostomy W Cystoscopy &Ureteral Stent Placemt |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50693. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50693 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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