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See a sample rate comparisonCPT 50815 Fee Schedule
Last Verified: October 2026
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.
Creation Of Conduit For Urine, Surgery To Connect The Ureters (Kidney Tubes) To A Segment Of Intestine Attached To The Abdominal Wall. Urine Flows Down The Ureters To The Intestine Segment And Out Of The Body Through An Opening In The Skin.
| 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 50 - Bilateral Procedure SG - Scene to Hospital ESRD facility |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50815 |
| Medicaid Fee Schedule | View Medicaid rates for 50815 |
National average reimbursement for CPT 50815 by major payers:
$1,709.10
$1,645.41
$1,686.01
$1,996.37
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CPT 50815
5 of 25 sample ratesHigher to lower in this preview
Orthopaedic Associates Of Central Texas Surgery Center, LLC
Orthopaedic Associates Of Central Texas Surgery Center LLC
$1,723.00Published rateHauppauge Sc, LLC
Hauppauge Sc LLC
$1,040.00Published rateRmc Surgery Center LLC, Rmc Surgery Center
$862.00Published rateChatham Orthopaedic Asc, LLC, Chatham Orthopaedic Surgery Center
$641.00Published rateAssociated Eye Surgical Center LLC
$312.00Published rate
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See a sample payer proposalCPT 50815 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50815 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 50815 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 |
|---|---|---|
| 50800-CPT | High | Attach Urine Tube To Intestine, Surgery To Connect The Ureter (Tube That Carries Urine From The Kidney To The Bladder) To A Segment Of Intestine Instead Of The Bladder. |
| 50810-CPT | High | Implant Urine Tube Into Colon, Surgery To Connect The Ureters (Tubes From Kidneys To Bladder) To A Segment Of Intestine. A New Bladder Is Formed From The Intestine Segment With An Opening To The Skin For Urine Drainage. |
| 50815-CPT | High | Creation Of Conduit For Urine, Surgery To Connect The Ureters (Kidney Tubes) To A Segment Of Intestine Attached To The Abdominal Wall. Urine Flows Down The Ureters To The Intestine Segment And Out Of The Body Through An Opening In The Skin. |
| 50947-CPT | High | Surgery To Move Urinary Tract, Surgery Using A Scope (Laparoscope) To Move One Of The Ureters (Upper Urinary Tract From Kidneys To Bladder). The Procedure May Include Inserting A Support Device (Stent) To Help Keep The Ureter Open. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50815. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50815 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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