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.
In Plain Language
complex kidney stone surgery; minimally invasive large stone removal
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 |
| Total RVU | 20.39 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 20.39, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50081?
CPT 50081 (Percutaneous nl/pl lithotrp cplx>2cm) is a Surgery code. Percutaneous nephrolithotomy for complex stone greater than two centimeters in largest diameter, requiring multiple fragments or advanced techniques.
What is the wRVU value for CPT 50081?
The work RVU for CPT 50081 is 20.39. This code is primarily used by Urology, Interventional Radiology. It has a 90-day global period.
When is CPT 50081 used?
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.
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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.