CPT code 50750: Ureteral reconstruction, connection to renal pelvis2026 Medicare rate & RVUs

Reconstructive surgery joins the ureter to the renal pelvis, typically for proximal ureteral or ureteropelvic-junction disease requiring a new drainage connection.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,030.42 for 50750 nationally in a facility.

Medicare rate · 50750

Ureteral reconstruction, connection to renal pelvis

Office or facility?

Work RVUs
20.69
Total RVUs
30.85
Global days
090

National rate · 2026

$1,030.42

Facility setting, before claim adjustments.

See every locality for 50750 →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 50750 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 50750 covers

Code 50750 represents reconstructive surgery that creates a drainage connection from the ureter into the renal pelvis. Urologists use it when the required reconstruction terminates in the pelvis, such as in selected repairs of ureteropelvic-junction obstruction. The operation is generally performed in an operating room; the defining feature is the anatomy of the connection.

Choose this code based on the documented anastomosis site, not simply the presence of ureteral narrowing: a connection to a renal calyx, another ureter, or the bladder points to a different reconstruction. The operative report should identify the affected side, indication, relevant anatomy, and completed connection. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For same-session procedures, the highest-valued procedure is paid in full and other procedures are paid at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons and team surgery are 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 50750 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

50750 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$960.65
AlaskaUnavailable$1,352.51
ArizonaUnavailable$1,009.90
ArkansasUnavailable$952.12
Atlanta, GAUnavailable$1,054.30
Austin, TXUnavailable$1,036.26
Bakersfield, CAUnavailable$1,033.02
Baltimore area, MDUnavailable$1,080.76
Beaumont, TXUnavailable$1,001.56
Brazoria, TXUnavailable$1,014.22

50750 rates by state

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

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Local rates. Clear comparisons.

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50750 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 50750 rate is calculated

Each of 50750’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 · 50750

RVUs × geographic indexes × conversion factor

Office or facility?

Work20.69

20.69 RVUs× 1.000 GPCI

Practice expense7.51

7.51 RVUs× 1.000 GPCI

Malpractice2.65

2.65 RVUs× 1.000 GPCI

Adjusted RVUs

30.8500

Conversion factor

$33.4009

Medicare rate

$1,030.42

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

Payment rules and modifiers for 50750

50750 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50750

Ureteral reconstruction, connection to renal pelvis

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)0Not permitted.
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 · 50750

Ureteral reconstruction, connection to renal pelvis

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

50750 without 50 · national facility

$1,030.42

Ureteral reconstruction, connection to renal pelvis

50750-50 · Bilateral: 150%

$1,545.63

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

50750 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 50750

    Ureteral reconstruction, connection to renal pelvis20.69 wRVU

    Not priced

  • 50740

    Pyeloplasty, standard complexity19.57 wRVU

    Not priced

  • 50760

    Ureter repair, ureteroureterostomy19.57 wRVU

    Not priced

  • 50780

    Ureter reimplantation, direct bladder anastomosis19.45 wRVU

    Not priced

  • 50700

    Ureter repair, plastic reconstruction16.27 wRVU

    Not priced

How to choose

50740PyeloplastyStandard complexity
Use 50750 when the ureter is connected to the renal pelvis. Code 50740 is for a connection to a renal calyx.
50760Ureter repairUreteroureterostomy
Code 50760 joins ureteral segments to each other; 50750 connects the ureter to the renal pelvis.
50780Ureter reimplantationDirect bladder anastomosis
Code 50780 describes ureteral implantation into the bladder. Code 50750 ends the reconstruction at the renal pelvis.
50700Ureter repairPlastic reconstruction
Code 50700 covers ureteral repair rather than the specific ureter-to-renal-pelvis reconstruction reported with 50750.

50750 billing questions

How is 50750 distinguished from 50740?

The connection site is the key distinction: 50750 joins the ureter to the renal pelvis, while 50740 joins it to a renal calyx.

Is 50750 selected whenever the patient has ureteropelvic-junction obstruction?

No. Select it when the surgeon creates the ureter-to-renal-pelvis connection; the diagnosis alone does not establish the procedure performed.

How is bilateral 50750 reported?

CMS identifies this as a bilateral procedure reported with modifier 50 and paid at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What operative documentation supports 50750?

Document the indication, affected side, relevant ureter and renal-pelvis anatomy, and that the completed reconstruction connects the ureter to the renal pelvis.

May an assistant or co-surgeon be reported?

An assistant at surgery may be paid. CMS does not permit co-surgeons or team surgery for this code.

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 50750PPRRVU2026_Oct_nonQPP.csv, line 5,981 (RVU26D)

Open CMS sourceHow we calculate rates

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