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See a sample rate comparisonCPT 50920 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.
Close Passage In Urine Tube, Surgery To Repair An Abnormal Passage In The Tube That Carries Urine From The Kidney To The Bladder (Ureter).
| 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 GC - Service performed by resident under supervision 22 - Increased Procedural Services 82 - Assistant surgeon - no qualified resident 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50920 |
| Medicaid Fee Schedule | View Medicaid rates for 50920 |
National average reimbursement for CPT 50920 by major payers:
$1,248.59
$1,186.28
$1,215.15
$1,439.85
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CPT 50920
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy & Surgery Center North Houston, LLC, North Houston Endoscopy & Surgery Center
$5,554.00Published rateNewport Bay Surgery Center, LLC
$1,607.00Published rateEl Paso Day Surgery LLC, El Paso Day Surgery, L.P.
El Paso Day Surgery LLC
$771.00Published rateSuncoast Eye Center PA, Suncoast Surgery Institute
Suncoast Eye Center PA
$450.00Published rateLourdes Ambulatory Surgery Center LLC
$165.00Published rate
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See a sample payer proposalCPT 50920 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50920 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 50920 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 |
|---|---|---|
| 50900-CPT | High | Ureterorrhaphy |
| 50920-CPT | High | Close Passage In Urine Tube, Surgery To Repair An Abnormal Passage In The Tube That Carries Urine From The Kidney To The Bladder (Ureter). |
| 50930-CPT | High | Close Passage In Urine Tube, Surgery To Repair An Abnormal Passage In The Tube That Carries Urine From The Kidney To The Bladder (Ureter). |
| 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 50920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50920 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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