CPT code 50236: Kidney and ureter removal, separate incision, bladder cuff2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $1,423.89 for 50236 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 50236 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 50236 covers

A urologist removes the kidney and its entire ureter, including a cuff of bladder around the ureter’s opening, using a separate incision to reach the distal ureter. This operation is commonly performed in the operating room for upper-tract urothelial cancer when the treatment plan calls for removal of the kidney, full ureter, and bladder cuff. The separate-incision approach distinguishes this service from the corresponding procedure performed through the same incision.

Report the code when the operative report supports removal of all three structures and documents the separate incision. The bladder cuff and ureter removal are part of this operative service, rather than separate components of the same resection. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. A bilateral procedure reported with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery 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 Washington, DC area compares for 50236

Across 109 of 109 payment localities, the facility rate for 50236 runs from $1,207.98 in Arkansas to $1,716.12 in Alaska. Washington, DC area pays $1,423.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50236 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 50236 in every payment locality

How the 50236 rate is calculated

Each of 50236’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.

Payment rules and modifiers for 50236

50236 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

Codes related to 50236

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 50236 has changed in Washington, DC area

Price 50236 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates