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Medicare Physician Fee Schedule Effective Locality 05402-00 CMS RVU26D Updated

CPT 50590 Medicare rate in Omaha, NE

50590 Q4 2026
Locality-adjusted allowed amount
$703.79
in a doctor’s own office or clinic

Facility $483.05

Omaha, NE flag Omaha, NE (Locality 05402-00)

7.4% below the national baseline ($760.20)

CMS RVU26DOctober 1 – December 31, 2026revision 2

Participating provider, no modifiers, whole service, before sequestration. Change these

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The Medicare allowed amount is $703.79 in the Office (non-facility) setting and $483.05 in a facility, under the Q4 2026 Physician Fee Schedule. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied—not necessarily what a specific claim pays.

What Medicare locality is Omaha, NE in? Copy link

CMS prices all of Nebraska as one Medicare payment locality, so this amount applies statewide, including Lincoln, Bellevue and Grand Island—not only in Omaha, NE.

Confirm the locality before using this amount. A split ZIP needs ZIP+4 for an exact match.

ZIP codes in this payment locality (632)

The CMS ZIP-to-locality crosswalk maps 632 ZIP codes to this payment locality. Use this amount only after you confirm the service location is in this locality. Of these, 13 span more than one locality and need ZIP+4 for an exact match.

68001 68002 68003 68004 68005 68007 68008 68009 68010 68014 68015 68016 68017 68018 68019 68020 68022 68023 68025 68026 68028 68029 68030 68031 68033 68034 68035 68036 68037 68038 68039 68040 68041 68042 68044 68045 68046 68047 68048 68050 68054 68055 68056 68057 68058 68059 68061 68062 68063 68064 68065 68066 68067 68068 68069 68070 68071 68072 68073 68101 68102 68103 68104 68105 68106 68107 68108 68109 68110 68111 68112 68113 68114 68116 68117 68118 68119 68120 68122 68123 68124 68127 68128 68130 68131 68132 68133 68134 68135 68136 68137 68138 68139 68142 68144 68145 68147 68152 68154 68155

532 more ZIP codes map to this locality. The Omaha, NE locality page lists the full set.

Which ZIP codes does the Omaha, NE rate for 50590 cover?

The CMS ZIP-to-locality crosswalk maps 632 ZIP codes to this payment locality, and 50590 has the same amount in every one of them. Examples include 68001, 68002, 68003, 68004, 68005, 68007. Of these, 13 span more than one payment locality and need ZIP+4 for an exact match.

Does this 50590 rate apply everywhere in Nebraska?

Yes. CMS prices Nebraska as a single Medicare payment locality, so the same GPCIs—and the same allowed amount—apply statewide, not only in Omaha, NE. That includes Lincoln, Bellevue and Grand Island. The city name here is a search-facing label for a statewide payment locality, not a city-specific rate.

How the Omaha, NE amount is calculated Copy link

How locality affects the amount Copy link

Office (non-facility) · Q4 2026 · Participating · Whole service

Omaha, NE's $703.79 compares with the $760.20 national PFS baseline (GPCI 1.000). Each of this locality's geographic practice cost indices (GPCIs) scales one RVU component before the conversion factor is applied. Together they put Omaha, NE 7.4% below the national baseline.

Omaha, NE ranks #104 of 109 Medicare payment localities for 50590, where #1 has the highest allowed amount.

Work GPCI
1.000
$0.00 vs. national
Practice expense GPCI
0.923
−$30.86 vs. national
Malpractice GPCI
0.378
−$25.55 vs. national
2026 conversion factor
$33.4009

Each figure is that GPCI's share of the −$56.41 gap from the national baseline: its RVUs for 50590 × (GPCI − 1.000) × the conversion factor. Practice expense accounts for the most, −$30.86.

CMS RVU26DOctober 1 – December 31, 2026revision 2 See file rows

Show the full calculation and CMS rows

For the office (non-facility) amount, each of 50590's RVU components is multiplied by its Omaha, NE GPCI; the products are summed and multiplied by the conversion factor.

Code
50590
DOS
Not selected; uses this release’s rates
Locality
Nebraska (05402-00)
Setting
Office (non-facility)
Participation
Participating provider
Modifiers
None
Units
1
Release
Q4 2026, revision 2
Sequestration
Shown separately from the allowed amount

Formula

(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor

Localis calculated this from CMS’s published inputs. Select an underlined value to see where it comes from.

RVU × GPCI components of Omaha, NE allowed amount for 50590
Component RVU × GPCI = Adjusted
Work 9.53 × 1.000 9.5300
Practice expense · Office (non-facility) 12.00 × 0.923 11.0760
Malpractice 1.23 × 0.378 0.4649
Sum of adjusted RVUs 21.0709
× 33.4009 conversion factor = formula amount $703.79

Component subtotals show four decimals. The formula amount is rounded to cents before any later adjustment.

  1. Locality-adjusted allowed amount $703.79

    After applicable fee-schedule adjustments; sequestration excluded

Citations

  • 50590’s RVUs, PFS status and conversion factor

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    PPRRVU2026_Oct_nonQPP.csv row 5,952 in rvu26d-updated-08-26-2026.zip

    A HCPCS
    50590
    B Modifier
    blank
    D Status code
    A
    F Work RVU
    9.53
    G Non-facility PE RVU
    12.00
    K MP RVU
    1.23
    Z Conversion factor
    33.4009
    In the CMS file

    Loading rows 5,950–5,954 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

  • Locality 05402-00’s GPCIs

    Geographic practice cost indices (GPCI)CMS RVU26DOctober 1 – December 31, 2026revision 2

    GPCI2026.csv row 72 in rvu26d-updated-08-26-2026.zip

    A MAC
    05402
    C Locality number
    00
    E Work GPCI
    1.000
    F PE GPCI
    0.923
    G MP GPCI
    0.378
    In the CMS file

    Loading rows 70–74 of GPCI2026.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 7850e2987d12e46930e49033f96829b5ae11f60dd1f19965329b38cf08b05264

Why is the 50590 rate in Omaha, NE different from the national amount?

The national figure is a GPCI 1.000 baseline, not an amount any provider is paid. This locality's geographic practice cost indices—work 1.000, practice expense 0.923, malpractice 0.378—scale each RVU component before the conversion factor is applied, which is why the Omaha, NE amount is lower than the $760.20 baseline.

50590 in Omaha, NE since Q4 2025 Copy link

Office (non-facility) · Participating · Whole service

The allowed amount went from $660.34 in Q4 2025 to $703.79 in Q4 2026, +$43.45 (+6.6%). The national baseline moved +6.1% over the same period.

What changed 50590's allowed amount in Omaha, NE between Q4 2025 and Q4 2026
What moved Effect
Conversion factor National: the dollar multiplier CMS sets each year. +$21.52
50590's RVUs National: CMS revalued the code itself. +$16.48
Omaha, NE's GPCIs Local: this payment locality's cost indices. +$5.45
Total change +$43.45

A derived breakdown of the two releases' formula inputs, applied in order: the conversion factor on Q4 2025's RVUs and GPCIs, then 50590's new RVUs, then this locality's new GPCIs. A different order moves a few cents between rows; the total is exact.

Which amount applies to your claim? Copy link

Facility vs. Office (non-facility) Copy link

In a facility (hospital outpatient department or ASC), the allowed amount for 50590 in Omaha, NE is $483.05, versus $703.79 in the Office (non-facility) setting. Only the practice-expense RVU changes with the setting: the facility bills its own fee for overhead, so the professional amount is lower. See which setting applies to your place of service.

What is the Facility amount for 50590 in Omaha, NE?

$483.05 in a facility, versus $703.79 in the Office (non-facility) setting—a $220.74 difference. Only the practice-expense RVU changes with the setting: in the Office (non-facility) setting the practice carries the overhead, so the professional amount is higher; in a hospital or ASC the facility bills its own fee.

Who pays what Copy link

Medicare pays part of the Omaha, NE allowed amount and the patient pays the rest. A provider who doesn’t participate in Medicare is allowed less, and can bill the patient up to a ceiling.

Computed from the Q4 2026 CMS release

Allowed amount

The fee-schedule amount for 50590 in the Office (non-facility) setting in Omaha, NE. A participating provider accepts it as payment in full, and every figure below starts from it.

$703.79
Medicare's share

80% of the allowed amount, once the annual Part B deductible is met.

$563.03
Sequestration

The 2% cut to Medicare’s share. It never reduces the allowed amount or the patient’s coinsurance.

-$11.26
What Medicare pays

Medicare’s share after sequestration.

$551.77
Patient coinsurance

The remaining 20%. Medigap or Medicaid often covers it.

$140.76
Non-participating amount

What a provider who doesn’t participate in Medicare is allowed on an assigned claim: 95% of the allowed amount.

$668.60
Limiting charge

The most a non-participating provider can bill the patient on an unassigned claim: 115% of the non-participating amount.

$768.89
What is the non-participating amount and limiting charge for 50590 in Omaha, NE?

A non-participating provider is paid $668.60—95% of the $703.79 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $768.89, which is 115% of the non-participating amount.

How much of the Omaha, NE 50590 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($563.03) once the annual Part B deductible is met, and the beneficiary owes 20% ($140.76). Sequestration reduces Medicare's share by about 2% ($11.26), leaving $551.77. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Who’s billing it in Omaha, NE Copy link

The allowed amount depends on who bills the service: NPs and PAs get 85% of the fee schedule amount, social workers and counselors 75%. These are Omaha, NE’s Q4 2026 amounts.

Allowed amount for 50590 by rendering provider, Omaha, NE
Billed by Office (non-facility) Facility
Physician (MD/DO) The full fee schedule amount. Open in calculator $703.79 $483.05
Physician assisting at surgery (-80, -81, -82) Medicare doesn’t pay for an assistant at surgery on this code. Source: Pub. 100-04 ch. 12 §20.4.3 Open in calculator Not payable Not payable

There’s no CMS utilization data on file for 50590, so only the physician amounts are shown. Each percentage applies before the 80/20 split and sequestration.

Contract rates and comparisons Copy link

Contracted rate: % of Medicare in Omaha, NE Copy link

Commercial contracts are often written as a percentage of the Medicare fee schedule. The part that gets misread is which Medicare amount: a contract benchmarked to the fee schedule prices off this locality's allowed amount—$703.79 in the office (non-facility) setting—not the $760.20 national baseline.

Opens the calculator set to Omaha, NE and your selected setting, where you can also compare what a payer paid against the expected amount. See how to find your contract's actual percentage.

50590 in nearby payment localities Copy link

Payment localities in the same region as Omaha, NE, nearest first. Each amount is that locality's own GPCI-adjusted Office (non-facility) figure for 50590. Neighboring localities often differ.

Payment locality Allowed · vs. this page

Percentages are against Omaha, NE. Every payment locality nationwide is on the CPT 50590 rate map.

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q4 2026 release: this code's RVUs from the relative value file, multiplied by payment locality 05402-00's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q4 2026 release. Past releases are never edited, so an amount for an earlier quarter always matches what CMS published for it. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q4 2026) · rvu26d-updated-08-26-2026.zip (PPRRVU2026_Oct_nonQPP.csv row 5,952)
Geographic practice cost indices (Q4 2026) · rvu26d-updated-08-26-2026.zip (GPCI2026.csv row 72)
ZIP code to carrier locality crosswalk (Q4 2026) · zip-code-carrier-locality-file-updated-08-13-2026.zip (ZIP5_OCT2026.txt)

Working a claim with an earlier date of service? The calculator prices 50590 in Omaha, NE against the release in effect on that date. Dates of service this quarter don't need an account; earlier dates need a free account.

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