50437 Dilation xst trc new access rcs
Also known as: new tract dilation, percutaneous access creation, tract establishment
Dilation of a new percutaneous tract for improved access during percutaneous nephrolithotomy or other therapeutic procedures.
In Plain Language
enlargement of new needle access to kidney; establishment of enlarged kidney access
Clinical Context
Used to create and dilate a percutaneous tract when new percutaneous access is required for complex stone removal.
RVU Breakdown
| Work RVU | 4.73 |
| Total RVU | 4.73 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.73, this code ranks in the 32nd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50437?
CPT 50437 (Dilation xst trc new access rcs) is a Surgery code. Dilation of a new percutaneous tract for improved access during percutaneous nephrolithotomy or other therapeutic procedures.
What is the wRVU value for CPT 50437?
The work RVU for CPT 50437 is 4.73. This code is primarily used by Urology, Interventional Radiology.
When is CPT 50437 used?
Used to create and dilate a percutaneous tract when new percutaneous access is required for complex stone removal.
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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.