CPT 50391

Rates by locality Copy link

The national baseline uses GPCI 1.000. These locality-adjusted allowed amounts use each payment locality's own GPCIs. Select a state to see its localities.

Office (non-facility) Facility

$106–$116 $116–$126 $126–$135 $135–$145 $145–$154 $154–$164 No amount on file

Highest locality amount

$163.92

Alaska, AK

Lowest locality amount

$106.33

Puerto Rico, PR

50391 Office (non-facility) rate by metro area

Highest amount first. Each figure is that payment locality's own GPCI-adjusted allowed amount.

Anchorage, AK $163.92 Locality 02102-01 Long Island, NY $148.16 Locality 13202-02 Queens, NY $147.85 Locality 13292-04 San Francisco, CA $145.78 Locality 01112-05 San Jose, CA $144.14 Locality 01112-09 New York City, NY $143.22 Locality 13202-01 Washington, DC $141.27 Locality 12202-01

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Miami, FL $138.59 Locality 09102-04 Northern New Jersey, NJ $137.96 Locality 12402-01 Chicago, IL $136.35 Locality 06102-16 Los Angeles, CA $136.08 Locality 01182-18 Ventura County, CA $135.23 Locality 01182-17 Hartford, CT $134.99 Locality 13102-00 Suburban Chicago, IL $134.14 Locality 06102-15 Philadelphia, PA $133.40 Locality 12502-01 Baltimore, MD $133.39 Locality 12302-01 Fort Lauderdale, FL $132.60 Locality 09102-03 Boston, MA $131.86 Locality 14212-01 Seattle, WA $131.12 Locality 02402-02 Honolulu, HI $130.84 Locality 01212-01 Metro East, IL $129.29 Locality 06102-12 Las Vegas, NV $128.42 Locality 01312-00 Providence, RI $128.03 Locality 14412-01 Detroit, MI $127.96 Locality 08202-01 New Orleans, LA $127.90 Locality 07202-01 Houston, TX $127.05 Locality 04412-18 Denver, CO $126.97 Locality 04112-01 Portland, OR $126.26 Locality 02302-01 Tampa, FL $126.23 Locality 09102-99 Dallas, TX $125.74 Locality 04412-11 Austin, TX $124.91 Locality 04412-31 Phoenix, AZ $124.84 Locality 03102-00 Fort Worth, TX $124.16 Locality 04412-28 St. Louis, MO $123.81 Locality 05302-01 Kansas City, MO $123.66 Locality 05302-02 Richmond, VA $123.63 Locality 11302-00 Portland, ME $123.40 Locality 14112-03 Salt Lake City, UT $123.31 Locality 03502-09 Albuquerque, NM $123.11 Locality 04212-05 Pittsburgh, PA $122.28 Locality 12502-99 Columbus, OH $121.80 Locality 15202-00 Minneapolis, MN $121.58 Locality 06202-00 Buffalo, NY $121.33 Locality 13282-99 Charlotte, NC $120.67 Locality 11502-00 San Antonio, TX $120.60 Locality 04412-99 Milwaukee, WI $120.34 Locality 06302-00 Charleston, SC $119.41 Locality 11202-01 Indianapolis, IN $119.10 Locality 08102-00 Wichita, KS $118.58 Locality 05202-00 Oklahoma City, OK $118.48 Locality 04312-00 Louisville, KY $118.10 Locality 15102-00 Boise, ID $117.18 Locality 02202-00 Des Moines, IA $116.97 Locality 05102-00 Omaha, NE $116.56 Locality 05402-00

$90–$98 $98–$106 $106–$114 $114–$122 $122–$130 $130–$138 No amount on file

Highest locality amount

$138.07

Alaska, AK

Lowest locality amount

$89.87

Puerto Rico, PR

50391 facility rate by metro area

Highest amount first. Each figure is that payment locality's own GPCI-adjusted allowed amount.

Anchorage, AK $138.07 Locality 02102-01 Long Island, NY $119.93 Locality 13202-02 Queens, NY $119.85 Locality 13292-04 New York City, NY $115.94 Locality 13202-01 Miami, FL $114.46 Locality 09102-04 San Francisco, CA $113.36 Locality 01112-05 Washington, DC $113.12 Locality 12202-01

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San Jose, CA $112.68 Locality 01112-09 Chicago, IL $112.13 Locality 06102-16 Northern New Jersey, NJ $110.35 Locality 12402-01 Suburban Chicago, IL $109.45 Locality 06102-15 Los Angeles, CA $108.96 Locality 01182-18 Hartford, CT $108.81 Locality 13102-00 Fort Lauderdale, FL $108.54 Locality 09102-03 Philadelphia, PA $108.01 Locality 12502-01 Baltimore, MD $107.77 Locality 12302-01 Ventura County, CA $107.67 Locality 01182-17 Metro East, IL $107.48 Locality 06102-12 New Orleans, LA $104.94 Locality 07202-01 Detroit, MI $104.74 Locality 08202-01 Boston, MA $104.70 Locality 14212-01 Seattle, WA $104.15 Locality 02402-02 Las Vegas, NV $103.87 Locality 01312-00 Tampa, FL $103.81 Locality 09102-99 Honolulu, HI $103.70 Locality 01212-01 Houston, TX $103.56 Locality 04412-18 Providence, RI $103.44 Locality 14412-01 Denver, CO $103.36 Locality 04112-01 Dallas, TX $102.18 Locality 04412-11 Salt Lake City, UT $101.78 Locality 03502-09 Portland, OR $101.76 Locality 02302-01 Albuquerque, NM $101.65 Locality 04212-05 St. Louis, MO $101.50 Locality 05302-01 Phoenix, AZ $101.48 Locality 03102-00 Kansas City, MO $101.43 Locality 05302-02 Austin, TX $101.11 Locality 04412-31 Fort Worth, TX $100.92 Locality 04412-28 Richmond, VA $100.67 Locality 11302-00 Pittsburgh, PA $100.58 Locality 12502-99 Columbus, OH $100.35 Locality 15202-00 Portland, ME $99.88 Locality 14112-03 Buffalo, NY $99.26 Locality 13282-99 San Antonio, TX $99.11 Locality 04412-99 Charlotte, NC $98.95 Locality 11502-00 Oklahoma City, OK $98.11 Locality 04312-00 Charleston, SC $98.11 Locality 11202-01 Milwaukee, WI $98.04 Locality 06302-00 Minneapolis, MN $97.76 Locality 06202-00 Louisville, KY $97.74 Locality 15102-00 Indianapolis, IN $97.59 Locality 08102-00 Wichita, KS $97.49 Locality 05202-00 Boise, ID $96.21 Locality 02202-00 Des Moines, IA $96.04 Locality 05102-00 Omaha, NE $95.35 Locality 05402-00

Look up your exact locality →

Q4 2015 amounts, computed with each locality's own GPCIs, before the ~2% sequestration cut. A state with more than one payment locality shows a range—its tile is colored by the mean across those localities, which is a shading choice, not an amount anyone is paid.

How this amount is computed Copy link

CPT 50391 has a work RVU of 1.96, a non-facility practice expense RVU of 1.33, a facility practice expense RVU of 0.68 and a malpractice RVU of 0.21—for total non-facility RVUs of 3.50 and total facility RVUs of 2.85 in the Q4 2015 release.

The formula is: (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.

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, never as zero.

Global period: what 50391's fee already covers Copy link

The fee covers pre-operative and post-operative work on the day of the procedure only—there is no follow-up window afterward. A visit the next day is separately payable.

A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.

Billing policy Copy link

These billing-policy indicators explain how 50391 is treated. They apply whether the code is nationally priced or carrier-priced: a restriction like "bilateral not allowed" still matters on a carrier-priced code. See modifier amounts below for the dollar figures these support.

Modifier amounts: -26/TC, -50, -80/81/82, -AS, -62, -66 Copy link

National Office (non-facility) amounts for the modifiers this code's indicators support. These are single-line modifiers only. -51 (multiple-procedure reduction) depends on the other codes on the same claim, so it's a claim-level number rather than a per-code one. Use the calculator for a locality-adjusted, sequestration-aware amount.

Each amount applies a standard MPFS percentage (assistant surgeon 16%, non-physician assistant at surgery 13.6%, co-surgeon 62.5%, bilateral 150%) to the national Office (non-facility) amount above. CMS doesn't publish these as a column; Localis derives them, so check them against the current Medicare Claims Processing Manual before relying on them for payment.

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 50391 →

Rate history by release Copy link

National Office (non-facility) amount for 50391 across quarterly releases. +5.4% increase since Q1 2013 · peak $129.10 in Q1 2021

Contracted rate: % of Medicare Copy link

Commercial contracts are often written as a percentage of Medicare ("115% of Medicare"). Enter yours to see what it means for 50391. A contract benchmarked to the fee schedule applies it to your locality's allowed amount, not the $125.77 national baseline; the calculator finds that amount from your service ZIP.

We want to build this: store your multipliers once, and every code page shows your rate instead of Medicare's. Tell us if you'd use it →

See how to find your contract's actual percentage.

How often 50391 is billed Copy link

Across Original Medicare in CY2024, 50391 ranked #5,410 of the 7,879 CPT codes billed to Medicare that year, by patients served or total allowed dollars. It repeats: a patient billed for it in 2024 was billed 4.6 times on average that year.

2024 Medicare fee-for-service national totals. They exclude Medicare Advantage, Medicaid and commercial volume, 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 2015 fee schedule above.

Related codes in this family Copy link

Other current codes near 50391 in the digestive, urinary, and gynecologic procedures group.

Localis groups these codes for payment research. The grouping isn't the AMA's code families.