CPT code 50234: Kidney and ureter removal, same-incision bladder cuff2026 Medicare rate & RVUs in New Mexico
Reports removal of a kidney, the entire ureter, and a bladder cuff through the same incision, commonly for upper tract urothelial malignancy.
In New Mexico, Medicare pays $1,159.33 for 50234 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50234 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 50234 covers
A urologist removes the kidney together with the full ureter and a cuff of bladder around the ureter’s opening, completing the removal through the same incision. This operation is commonly performed for upper tract urothelial carcinoma involving the renal pelvis or ureter. It is generally an operating-room procedure in a hospital setting.
Report this code when the operative record supports removal of the entire ureter and bladder cuff through the same incision; removal of only part of the ureter or use of a separate incision points to a different code. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How New Mexico compares for 50234
Across 109 of 109 payment localities, the facility rate for 50234 runs from $1,071.16 in Arkansas to $1,522.59 in Alaska. New Mexico pays $1,159.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,159.33
- Los Angeles, CA · California$1,207.09+$47.76
- Washington, DC area · District of Columbia$1,263.30+$103.97
- Miami, FL · Florida$1,333.21+$173.88
- Chicago, IL · Illinois$1,304.21+$144.88
- Manhattan, NY · New York$1,316.70+$157.37
- Alaska · Alaska$1,522.59+$363.26
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,080.89 |
| ArkansasArkansas | — | $1,071.16 |
| ArizonaArizona | — | $1,137.05 |
| Bakersfield, CACalifornia | — | $1,160.40 |
| Chico, CACalifornia | — | $1,151.12 |
| El Centro, CACalifornia | — | $1,151.65 |
| Fresno, CACalifornia | — | $1,151.12 |
| Hanford, CACalifornia | — | $1,151.12 |
| Madera, CACalifornia | — | $1,151.12 |
| Merced, CACalifornia | — | $1,151.12 |
| Modesto, CACalifornia | — | $1,151.12 |
| Napa, CACalifornia | — | $1,244.56 |
| Oxnard, CACalifornia | — | $1,192.30 |
| Redding, CACalifornia | — | $1,151.12 |
| Rest of CaliforniaCalifornia | — | $1,151.12 |
| Riverside, CACalifornia | — | $1,185.37 |
| Sacramento, CACalifornia | — | $1,184.22 |
| Salinas, CACalifornia | — | $1,179.22 |
| San Diego, CACalifornia | — | $1,189.13 |
| Marin County, CACalifornia | — | $1,289.46 |
| San Francisco, CACalifornia | — | $1,285.87 |
| San Benito County, CACalifornia | — | $1,318.04 |
| Santa Clara County, CACalifornia | — | $1,303.37 |
| San Luis Obispo, CACalifornia | — | $1,162.81 |
| Santa Cruz, CACalifornia | — | $1,186.61 |
| Santa Maria, CACalifornia | — | $1,178.77 |
| Santa Rosa, CACalifornia | — | $1,197.19 |
| Stockton, CACalifornia | — | $1,151.12 |
| Vallejo, CACalifornia | — | $1,239.38 |
| Visalia, CACalifornia | — | $1,151.12 |
| Yuba City, CACalifornia | — | $1,151.12 |
| ColoradoColorado | — | $1,164.37 |
| ConnecticutConnecticut | — | $1,219.45 |
| DelawareDelaware | — | $1,150.67 |
| Fort Lauderdale, FLFlorida | — | $1,249.50 |
| Rest of FloridaFlorida | — | $1,201.81 |
| Atlanta, GAGeorgia | — | $1,188.60 |
| Rest of GeorgiaGeorgia | — | $1,151.58 |
| Hawaii, Guam, HIHawaii | — | $1,153.49 |
| IowaIowa | — | $1,073.93 |
| IdahoIdaho | — | $1,083.31 |
| East St. Louis, ILIllinois | — | $1,245.96 |
| Rest of IllinoisIllinois | — | $1,196.45 |
| Suburban Chicago, ILIllinois | — | $1,254.99 |
| IndianaIndiana | — | $1,086.58 |
| KansasKansas | — | $1,082.23 |
| KentuckyKentucky | — | $1,121.53 |
| New Orleans, LALouisiana | — | $1,158.99 |
| Rest of LouisianaLouisiana | — | $1,124.98 |
| Metropolitan Boston, MAMassachusetts | — | $1,233.93 |
| Rest of MassachusettsMassachusetts | — | $1,166.20 |
| Baltimore area, MDMaryland | — | $1,218.08 |
| Rest of MarylandMaryland | — | $1,163.12 |
| Rest of MaineMaine | — | $1,099.03 |
| Southern Maine, MEMaine | — | $1,119.29 |
| Detroit, MIMichigan | — | $1,223.57 |
| Rest of MichiganMichigan | — | $1,150.64 |
| MinnesotaMinnesota | — | $1,094.26 |
| Metropolitan Kansas City, MOMissouri | — | $1,141.67 |
| Metropolitan St. Louis, MOMissouri | — | $1,147.84 |
| Rest of MissouriMissouri | — | $1,120.42 |
| MississippiMississippi | — | $1,095.34 |
| MontanaMontana | — | $1,160.47 |
| North CarolinaNorth Carolina | — | $1,104.36 |
| North DakotaNorth Dakota | — | $1,097.99 |
| NebraskaNebraska | — | $1,074.10 |
| New HampshireNew Hampshire | — | $1,158.64 |
| Northern New JerseyNew Jersey | — | $1,260.70 |
| Rest of New JerseyNew Jersey | — | $1,227.26 |
| NevadaNevada | — | $1,143.33 |
| NYC suburbs and Long Island, NYNew York | — | $1,352.65 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,243.92 |
| Queens, NYNew York | — | $1,306.94 |
| Rest of New YorkNew York | — | $1,115.74 |
| OhioOhio | — | $1,137.87 |
| OklahomaOklahoma | — | $1,108.05 |
| Portland, OROregon | — | $1,176.37 |
| Rest of OregonOregon | — | $1,128.25 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,206.30 |
| Rest of PennsylvaniaPennsylvania | — | $1,132.58 |
| Puerto RicoPuerto Rico | — | $1,162.09 |
| Rhode IslandRhode Island | — | $1,173.14 |
| South CarolinaSouth Carolina | — | $1,124.19 |
| South DakotaSouth Dakota | — | $1,090.60 |
| TennesseeTennessee | — | $1,087.07 |
| Austin, TXTexas | — | $1,165.98 |
| Beaumont, TXTexas | — | $1,128.72 |
| Brazoria, TXTexas | — | $1,141.28 |
| Dallas, TXTexas | — | $1,151.66 |
| Fort Worth, TXTexas | — | $1,150.31 |
| Galveston, TXTexas | — | $1,146.89 |
| Houston, TXTexas | — | $1,204.73 |
| Rest of TexasTexas | — | $1,136.58 |
| UtahUtah | — | $1,133.60 |
| VirginiaVirginia | — | $1,125.03 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,162.09 |
| VermontVermont | — | $1,105.82 |
| Rest of WashingtonWashington | — | $1,160.05 |
| King County, WAWashington | — | $1,242.25 |
| WisconsinWisconsin | — | $1,076.22 |
| West VirginiaWest Virginia | — | $1,170.56 |
| WyomingWyoming | — | $1,133.24 |
50234 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 50234 rate is calculated
Each of 50234’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 50234
RVUs × geographic indexes × conversion factor
Work23.45
23.45 RVUs× 1.000 GPCI
Practice expense8.14
8.14 RVUs× 1.000 GPCI
Malpractice3.16
3.16 RVUs× 1.000 GPCI
Adjusted RVUs
34.7500
Conversion factor
$33.4009
Medicare rate
$1,160.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,888
- Code
- 50234
- Physician work
- 23.45
- Practice expense
- 8.14
- Malpractice
- 3.16
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.45 | × 1.000 | 23.4500 |
| Practice expense | 8.14 | × 0.917 | 7.4644 |
| Malpractice | 3.16 | × 1.201 | 3.7952 |
| Total RVUs | 34.7095 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1159.33
Facility: (23.45 × 1 + 8.14 × 0.917 + 3.16 × 1.201) × $33.4009 = $1159.33
Payment rules and modifiers for 50234
50234 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50234
Kidney and ureter removal, same-incision bladder cuff
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50234
Kidney and ureter removal, same-incision bladder cuff
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50234 without 50 · national facility
$1,160.68
Kidney and ureter removal, same-incision bladder cuff
50234-50 · Bilateral: 150%
$1,741.02
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 50234 has changed in New Mexico
50234 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,159.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,159.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,159.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,159.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,240.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,240.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,240.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,240.68 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,268.83 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,268.83 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,268.83 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,268.83 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,248.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,280.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,280.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,280.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,280.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,298.01 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,298.01 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,298.01 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,298.01 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,301.42 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,301.42 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,301.42 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,301.42 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,344.25 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,344.25 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,344.25 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,344.25 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,353.16 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,353.16 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,353.16 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,353.16 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,351.09 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,351.09 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,351.09 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,351.09 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,339.18 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,339.18 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,339.18 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,339.18 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,324.54 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,324.54 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,324.54 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,324.54 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,326.92 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,326.92 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,320.32 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,320.32 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,297.88 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,297.88 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,297.88 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,297.88 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,245.39 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,245.39 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,245.39 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,245.39 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
50234 billing questions
How does this code differ from 50236?
The distinction is the incision: 50234 describes kidney, entire ureter, and bladder cuff removal through the same incision; 50236 is for a separate incision.
Is the bladder cuff included?
Yes. The service includes removal of the bladder cuff along with the kidney and entire ureter.
What operative documentation supports this code?
Document removal of the kidney, the entire ureter, and the bladder cuff, and specify that the procedure was completed through the same incision.
How is bilateral surgery reported?
CMS identifies this as a bilateral procedure; reporting modifier 50 is paid at 150%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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