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See a sample rate comparisonCPT 50953 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Endoscopy Of Ureter, Ureteral Endoscopy Through Established Ureterostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 23 - Emergency Room 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50953 |
| Medicaid Fee Schedule | View Medicaid rates for 50953 |
National average reimbursement for CPT 50953 by major payers:
$525.47
$553.19
$557.37
$549.13
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CPT 50953
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Texas Medical Center, LLP, Memorial Hermann Surgery Center Texas Medical Center
Memorial Hermann Surgery Center Texas Medical Center LLP
$2,480.00Published rateSierra Endoscopy Center, LLC
Sierra Endoscopy Center LLC
$1,410.00Published ratePiedmont West Ambulatory Surgery Center
Piedmont West Ambulatory Surgery
$841.00Published rateFresenius Vascular Care El Paso Asc LLC
$571.00Published rateJessica Hoesli
Deaconess Hospital Inc
$328.64Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50953 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50953 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 50953 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 |
|---|---|---|
| 50951-CPT | Moderate | Urinary Tract Scope Exam, An Exam Of The Upper Portion Of The Urinary Tract. The Procedure Uses A Scope (Endoscope) Inserted Into An Existing Surgical Opening For Draining Urine (Ureterostomy). |
| 50953-CPT | Moderate | Endoscopy Of Ureter, Ureteral Endoscopy Through Established Ureterostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter |
| 50955-CPT | Moderate | Urinary Tract Scope Exam, An Exam Of The Upper Portion Of The Urinary Tract. The Procedure Uses A Scope (Endoscope) Inserted Into An Existing Surgical Opening For Draining Urine (Ureterostomy). |
| 50957-CPT | Moderate | Ureter Endoscopy Treatment, Ureteral Endoscopy Through Established Ureterostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Fulguration And Or Incision With Or Without Biopsy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50953. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50953 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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