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CPT code 50740: Pyeloplasty, standard complexity2026 Medicare rate & RVUs

Reports reconstruction of the renal pelvis and ureter, typically to correct narrowing where the ureter joins the kidney in a pyeloplasty.

CMS RVU26DEffective Oct 1, 2026109 payment localities26 Medicare services in 2024

Medicare pays $1,153.67 for 50740 nationally in a facility.

Medicare rate · 50740

Pyeloplasty, standard complexity

Office or facility?

Work RVUs
19.57
Total RVUs
34.54
Global days
090

National rate · 2026

$1,153.67

Facility setting, before claim adjustments.

See every locality for 50740 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 50740 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 50740 covers

A pyeloplasty reshapes the renal pelvis and reconstructs its junction with the ureter to improve urine drainage, commonly for obstruction at the ureteropelvic junction. The surgeon may remove a narrowed segment and reconnect the ureter to the renal pelvis. Urologists typically perform this operation in a hospital operating room; the approach may be open, laparoscopic, or robotic.

Select 50740 when the documented operation is a pyeloplasty of standard complexity; a complicated or secondary repair may fit 50750 instead. The operative report should identify the reconstruction and the anatomy treated. CMS assigns this major surgery a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, 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.

Where 50740 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

50740 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,037.29
AlaskaUnavailable$1,423.38
ArizonaUnavailable$1,118.46
ArkansasUnavailable$1,023.19
Atlanta, GAUnavailable$1,195.88
Austin, TXUnavailable$1,153.99
Bakersfield, CAUnavailable$1,129.18
Baltimore area, MDUnavailable$1,229.22
Beaumont, TXUnavailable$1,111.98
Brazoria, TXUnavailable$1,117.61

50740 rates by state

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

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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
50740 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 50740 rate is calculated

Each of 50740’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 · 50740

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.57

19.57 RVUs× 1.000 GPCI

Practice expense9.75

9.75 RVUs× 1.000 GPCI

Malpractice5.22

5.22 RVUs× 1.000 GPCI

Adjusted RVUs

34.5400

Conversion factor

$33.4009

Medicare rate

$1,153.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 50740

50740 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50740

Pyeloplasty, standard complexity

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 50740

Pyeloplasty, standard complexity

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

50740 without 50 · national facility

$1,153.67

Pyeloplasty, standard complexity

50740-50 · Bilateral: 150%

$1,730.51

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).

When to use modifier 50

50740 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 50740

    Pyeloplasty, standard complexity19.57 wRVU

    Not priced

  • 50750

    Ureteral reconstruction, connection to renal pelvis20.69 wRVU

    Not priced

  • 50760

    Ureter repair, ureteroureterostomy19.57 wRVU

    Not priced

  • 50780

    Ureter reimplantation, direct bladder anastomosis19.45 wRVU

    Not priced

How to choose

50750Ureteral reconstructionConnection to renal pelvis
Both describe pyeloplasty. Choose 50750 for a complicated repair, such as a secondary repair or urinary diversion; 50740 is for standard complexity.
50760Ureter repairUreteroureterostomy
50760 joins one ureteral segment to another. 50740 reconstructs the renal pelvis and the ureteropelvic junction.
50780Ureter reimplantationDirect bladder anastomosis
50780 reimplants the ureter into the bladder. 50740 repairs the junction between the renal pelvis and ureter.

Codes related to 50740

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

Codes related to 50740
CodeHow it relatesNational office range
Same family
50750Ureteral reconstruction, connection to renal pelvisPyeloplasty in the same family for a complicated repair, including secondary repair or urinary diversion.No office rate
Used instead
50760Ureter repair, ureteroureterostomyConnects ureter to ureter rather than reconstructing the renal pelvis and ureter junction.No office rate
50780Ureter reimplantation, direct bladder anastomosisReimplants the ureter into the bladder rather than repairing the renal pelvis junction.No office rate
50700Ureter repair, plastic reconstructionUreteroplasty addresses ureteral repair rather than a pyeloplasty at the renal pelvis.No office rate

50740 billing questions

How do I choose between 50740 and 50750?

Use 50740 for a pyeloplasty of standard complexity. The documented operation must support 50750 when the repair is complicated, such as a secondary repair or urinary diversion.

Is this code for a ureter implanted into the bladder?

No. 50740 addresses reconstruction of the renal pelvis and its junction with the ureter. Ureteral reimplantation into the bladder is represented by a different code family, including 50780 and its related codes.

What does the 90-day global period include?

CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period for this major surgery.

Can modifier 50 be used for bilateral pyeloplasty?

For bilateral surgery, CMS pays 50740 with modifier 50 at 150% of the payment for a single-side service.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted for this code.

How is 50740 affected when other procedures are performed in the same session?

Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and reduces the other procedures to 50% when performed in the same session.

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
RVUs for 50740PPRRVU2026_Oct_nonQPP.csv, line 5,980 (RVU26D)

Open CMS sourceHow we calculate rates

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