CPT 50130
Pyelotomy w/removal calculus
CPT 50130 at a glance
- Code
- 50130
- Code type
- CPT/HCPCS (Add. EE)
- Short descriptor
- Pyelotomy w/removal calculus
- Category
- Excluded from ASC Pay (Add. EE)
- ASC payment status
- Excluded from ASC payment
- CMS addendum
- EE (Excluded)
- Typical setting
- Hospital outpatient department (POS 22) or office (POS 11). Not separately payable in an ASC.
What is CPT code 50130?
CPT 50130 is a CPT/HCPCS (Add. EE) procedure code. Its official CMS short descriptor is "Pyelotomy w/removal calculus". In the ASC context it is grouped under Excluded from ASC Pay (Add. EE).
Is CPT 50130 payable in an ambulatory surgery center (ASC)?
CPT 50130 is on CMS Addendum EE, the list of procedures excluded from ASC payment. Medicare does not pay for it in the ASC setting; it is typically performed in a hospital outpatient department (HOPD) or office instead.
Where is CPT 50130 typically performed?
Hospital outpatient department (POS 22) or office (POS 11). Not separately payable in an ASC.
Which specialties use CPT 50130?
CPT 50130 is most associated with Urology.
Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.