50081 Percutaneous nl/pl lithotrp cplx>2cm
Also known as: PCNL complex, extended PCNL, staghorn PCNL
Percutaneous nephrolithotomy for complex stone greater than two centimeters in largest diameter, requiring multiple fragments or advanced techniques.
Clinical Context
Used for large, complex renal calculi (greater than 2 centimeters) including staghorn stones, requiring multiple tracts or multiple procedures. Indicated for stones unsuitable for ESWL or flexible ureteroscopy.
RVU Breakdown
| Work RVU | 20.39 |
| Practice Expense RVU | 6.99 |
| Malpractice RVU | 2.61 |
| Total RVU | 29.99 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.