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CPT 50323

No national payment amount

Carrier-priced: no national payment amount.

Did Medicare pay separately for CPT 50323 in Q4 2017?

Not at a published national rate. CPT 50323 carries status C (carrier-priced) in the Q4 2017 release. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Treat the blank amount as unpriced, not as $0.

Source: Physician relative value file (Q4 2017) · effective October 2017 · materially updated Aug 4, 2026 · compact facts

How often 50323 is billed

Across Original Medicare in CY2024, 50323 ranked #2,588 of the 7,879 CPT codes billed to Medicare that year, ranked by patients served or total allowed dollars.

Beneficiaries
7,046
Office + facility patients combined
Services
8,573
Times it was billed
Allowed
$927,336
Total Medicare allowed dollars
Compare: ↑ #2,586 more popular · 97033 ↓ #2,589 less popular · 29877

2024 Medicare fee-for-service only, national totals — Medicare Advantage, Medicaid and commercial volume are excluded, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q4 2017 fee schedule the rates above come from.

Common questions

Why is there no payment amount for 50323?

Its status indicator is C (carrier-priced). Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 50323 be denied or paid less?

Each item below comes from a CMS indicator on this page — not general billing advice.

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill?

What is a 50323 visit in patient-friendly terms?

We haven't written the plain-language description for CPT 50323 yet — ask your provider's billing office what service it covers in the meantime.

Computation & policy

How this amount is computed

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q4 2017
Component RVU
Work RVU blank
Practice expense RVU (non-facility) blank
Practice expense RVU (facility) blank
Malpractice RVU blank

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

Billing policy

What 50323's billing-policy indicators mean. These show for every code, priced or not: a restriction like "bilateral not allowed" still matters on a carrier-priced code.

Policy Value What it means
Bilateral surgery 0 No bilateral adjustment. The 150% bilateral payment adjustment does not apply to this procedure.
Assistant at surgery 2 Payable. An assistant at surgery may be separately paid for this procedure, typically as a percentage of the fee schedule amount.
Co-surgeons 1 Payable with documentation. Co-surgeons may be paid, but only with supporting documentation establishing the medical necessity of two surgeons.
Team surgery 0 Not permitted. Medicare does not recognize a surgical team (modifier 66) for this procedure.
Multiple procedures 2 Standard reduction applies. The same standard ranking-and-reduction rule as indicator 1 applies to this procedure when billed with others on the same date.
Professional/technical split 0 No PC/TC split. This is a physician service code; the professional/technical split does not apply, and the code is billed as a single service.
History & related

Rate history by release

National non-facility amount for 50323 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present C — —
Q2 2026 Mar 10, 2026 – Jun 29, 2026 C — —
Q1 2026 Dec 29, 2025 – Mar 9, 2026 C — —

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q4 2017 release (schedule pfs, effective October 2017). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.

Physician relative value file (Q4 2017) · rvu17d.zip (PPRRVU17_OCT.csv row 9,628)

Conversion factor $35.8887 read from the same file, row 11, column 25.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q4 2017 figures, even after a newer release lands.

CPT 50323 Medicare Physician Fee Schedule rate (Q4 2017). Localis. https://localishealth.com/cpt/50323/2017/D