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See a sample rate comparisonCPT 50860 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.
Ureterostomy Unilateral
| 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 RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50860 |
| Medicaid Fee Schedule | View Medicaid rates for 50860 |
National average reimbursement for CPT 50860 by major payers:
$1,245.52
$1,271.25
$1,316.17
$1,598.26
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CPT 50860
5 of 25 sample ratesHigher to lower in this preview
Center For Ambulatory And Minimally Invasive Surgery LLC, Camis
Center For Ambulatory And Mini
$4,825.00Published ratePacific Endoscopy Center LLC
Pacific Endoscopy Center, LLC
$1,064.00Published rateSurgical Care Center, Inc.
Surgical Care Center Inc
$800.00Published rateLaser & Cataract Center Of Shreveport LLC, Eye Surgery Center
Laser Cataract Center Of Shreveport LLC
$402.00Published rateTulsa Ok Ophthalmology Asc LLC, Eye Surgery Center Of Tulsa
$91.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50860 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50860 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 50860 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 |
|---|---|---|
| 50780-CPT | High | Attach Ureter To Bladder, Surgery To Move And Attach A Ureter (Tube That Carries Urine From The Kidney To The Bladder) To A Different Site On The Bladder. |
| 50860-CPT | High | Ureterostomy Unilateral |
| 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. |
| 50948-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 50860. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50860 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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