CPT code 50700: Ureter repair, plastic reconstruction2026 Medicare rate & RVUs in Maryland
Reports surgical plastic reconstruction of a narrowed or defective ureter to restore urinary drainage, rather than endoscopic dilation or a defined anastomosis.
CMS doesn’t publish an office rate for 50700 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 50700 covers
Ureteroplasty is reconstructive surgery on the ureter to correct a narrowing or other defect by reshaping or repairing the ureter so urine can drain from the kidney toward the bladder. A urologist typically performs the operation in a surgical setting when a ureteral stricture or similar defect requires reconstruction. The operative report should identify the affected ureter and describe the lesion and repair performed.
Select 50700 when the operation is plastic reconstruction of the ureter itself; use a code for a defined anastomosis or reimplantation when that is the procedure performed. Document the side, site, pathology, and operative work. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, the highest-valued procedure 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 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.
Where 50700 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $874.66 |
| Rest of Maryland | Unavailable | $835.70 |
| Washington, DC area | Unavailable | $909.77 |
How the 50700 rate is calculated
Each of 50700’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 · 50700
RVUs × geographic indexes × conversion factor
Work16.27
16.27 RVUs× 1.000 GPCI
Practice expense6.59
6.59 RVUs× 1.000 GPCI
Malpractice2.09
2.09 RVUs× 1.000 GPCI
Adjusted RVUs
24.9500
Conversion factor
$33.4009
Medicare rate
$833.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50700
50700 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50700
Ureter repair, plastic reconstruction
| 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 · 50700
Ureter repair, plastic reconstruction
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
50700 without 50 · national facility
$833.35
Ureter repair, plastic reconstruction
50700-50 · Bilateral: 150%
$1,250.03
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).
50700 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 50706Ureteral dilationBalloon technique
- 50706 is for balloon dilation of a ureteral stricture. Use 50700 when the surgeon performs plastic reconstruction rather than dilation.
- 50760Ureter repairUreteroureterostomy
- 50760 identifies ureteroureterostomy, joining ureteral segments. 50700 is for plastic ureteral repair not represented by that defined anastomosis.
- 50780Ureter reimplantationDirect bladder anastomosis
- 50780 identifies ureteral reimplantation into the bladder. 50700 applies to plastic ureteral reconstruction when reimplantation is not the operation performed.
50700 billing questions
When is 50700 a better fit than ureteral balloon dilation?
Use 50700 for surgical plastic reconstruction of the ureter. Code 50706 describes balloon dilation of a ureteral stricture, rather than reconstructive repair.
Should 50700 be used for a ureter-to-ureter anastomosis?
When the operation is a ureteroureterostomy joining ureteral segments, consider 50760. Report 50700 for plastic reconstruction that is not captured by that defined anastomosis.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting?
CMS lists bilateral reporting with modifier 50 and payment at 150%. Documentation should support work on both ureters.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
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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