CPT code 50405: Pyeloplasty, extensive or secondary reconstruction2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $1,179.23 for 50405 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 50405 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 50405 covers

A urologist uses this service to reconstruct the renal pelvis and upper ureter, commonly to relieve obstruction at the ureteropelvic junction. The repair may address recurrent narrowing after an earlier operation or a complex congenital or acquired obstruction that requires extensive dissection or reconstruction. This is an open surgical procedure generally performed in a facility operating room.

Choose this code based on the work documented in the operative report, not the diagnosis alone. The note should support the complexity of the repair, such as secondary reconstruction or extensive dissection; a less involved repair may fit 50400 instead. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 identifies bilateral performance and pays at 150%. Assistant-at-surgery services may be paid; 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 North Dakota compares for 50405

Across 109 of 109 payment localities, the facility rate for 50405 runs from $1,149.68 in Arkansas to $1,635.01 in Alaska. North Dakota pays $1,179.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50405 rates by state

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

See 50405 in every payment locality

How the 50405 rate is calculated

Each of 50405’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 50405

50405 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 50405

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

How 50405 has changed in North Dakota

Price 50405 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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