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See a sample rate comparisonCPT 50949 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.
Urinary Tract Scope Procedure, A Urinary Tract Procedure Using A Scope (Laparoscope). The Procedure Is Performed On The Portion Of The Urinary Tract Between The Kidneys And The Bladder.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50949 |
| Medicaid Fee Schedule | View Medicaid rates for 50949 |
National average reimbursement for CPT 50949 by major payers:
$1,553.36
$360.15
$1,086.90
$1,671.28
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CPT 50949
5 of 25 sample ratesHigher to lower in this preview
Greater Dayton Surgery Center LLC
Greater Dayton Surgery Center
$11,102.00Published rateOak Point Surgical Suites LLC
$4,234.00Published rateWest Annapolis Surgery Center, LLC
West Annapolis Surgery Center LLC
$2,444.00Published rateEye Surgery Center LLC, The Eye Surgery Center
$1,747.00Published rateInterventional Rehabilitation Center, LLC
Interventional Rehabilitation Center LLC
$626.00Published rate
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See a sample payer proposalCPT 50949 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50949 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 50949 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 |
|---|---|---|
| 50940-CPT | High | Deligation Of Ureter |
| 50945-CPT | High | Remove Stone From Urine Tract, Surgery Aided By A Scope (Laparoscope) To Remove One Or More Stones From The Upper Portion Of The Urinary Tract Between The Kidneys And The Bladder. |
| 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. |
| 50949-CPT | High | Urinary Tract Scope Procedure, A Urinary Tract Procedure Using A Scope (Laparoscope). The Procedure Is Performed On The Portion Of The Urinary Tract Between The Kidneys And The Bladder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50949. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50949 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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