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See a sample rate comparisonCPT 50930 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 | 11 - Office 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 24 - Unrelated E/M service during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50930 |
| Medicaid Fee Schedule | View Medicaid rates for 50930 |
National average reimbursement for CPT 50930 by major payers:
$1,509.13
$1,501.59
$1,532.48
$1,808.97
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CPT 50930
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$17,689.00Published rateFroedtert Surgery Center, LLC
$1,336.00Published rateApollo Ambulatory Surgery Center, LLC
Apollo Ambulatory Surgery Center LLC
$867.00Published rateNaples Suncoast Surgery Center, LLC
Naples Suncoast Surgery Center LLC
$461.00Published rateRadiance-A Private Outpatient Surgery Center LLC, Radiance Surgery Center
Radiance, LLC
$225.00Published rate
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See a sample payer proposalCPT 50930 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50930 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 50930 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 50930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50930 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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