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See a sample rate comparisonHealthcare 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 80 - Assistant surgeon 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50825 |
| Medicaid Fee Schedule | View Medicaid rates for 50825 |
National average reimbursement for CPT 50825 by major payers:

$2,302.44

$2,231.37

$2,318.93

$2,691.80
Choose a payer to see a sample of rates for CPT 50825.
Columbia Endoscopy Center LLC
Johns Hopkins Surgery Center Series
Dmg Pain Management Surgery Center LLC
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Rate Benchmarking
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See a sample payer proposalCPT 50825 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50825 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 50825 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 |
|---|---|---|
| 50820-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. |
| 50825-CPT | High | Relocate Urine Drainage, Surgery To Connect The Ureters (Tubes That Carry Urine From The Kidney To The Bladder) To A Segment Of Intestine. One End Of The Intestine Segment Is Brought Through An Opening In The Skin For Urine Drainage. |
| 50830-CPT | High | Urinary Undiversion (Eg Takin, Urinary Undiversion (Eg Taking Down Of Ureteroilealconduit Ureterosigmoidostomy Or Ureteroenterostomy With Ureteroureterostomy Or Ureteroneocystostomy) |
| 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 50825. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50825 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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