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.
Medicare pays $1,030.42 for 50750 nationally in a facility.
Medicare rate · 50750
Ureteral reconstruction, connection to renal pelvis
- 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.
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On this page 10 sections
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
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $960.65 |
| Alaska | Unavailable | $1,352.51 |
| Arizona | Unavailable | $1,009.90 |
| Arkansas | Unavailable | $952.12 |
| Atlanta, GA | Unavailable | $1,054.30 |
| Austin, TX | Unavailable | $1,036.26 |
| Bakersfield, CA | Unavailable | $1,033.02 |
| Baltimore area, MD | Unavailable | $1,080.76 |
| Beaumont, TX | Unavailable | $1,001.56 |
| Brazoria, TX | Unavailable | $1,014.22 |
| Chicago, IL | Unavailable | $1,151.13 |
| Chico, CA | Unavailable | $1,025.18 |
| Colorado | Unavailable | $1,035.38 |
| Connecticut | Unavailable | $1,082.14 |
| Dallas, TX | Unavailable | $1,023.07 |
| Delaware | Unavailable | $1,021.92 |
| Detroit, MI | Unavailable | $1,082.36 |
| East St. Louis, IL | Unavailable | $1,100.10 |
| El Centro, CA | Unavailable | $1,025.62 |
| Fort Lauderdale, FL | Unavailable | $1,105.20 |
| Fort Worth, TX | Unavailable | $1,021.71 |
| Fresno, CA | Unavailable | $1,025.18 |
| Galveston, TX | Unavailable | $1,018.97 |
| Hanford, CA | Unavailable | $1,025.18 |
| Hawaii, Guam, HI | Unavailable | $1,027.52 |
| Houston, TX | Unavailable | $1,067.47 |
| Idaho | Unavailable | $963.70 |
| Indiana | Unavailable | $966.61 |
| Iowa | Unavailable | $955.72 |
| Kansas | Unavailable | $962.43 |
| Kentucky | Unavailable | $995.05 |
| King County, WA | Unavailable | $1,105.71 |
| Los Angeles, CA | Unavailable | $1,074.92 |
| Madera, CA | Unavailable | $1,025.18 |
| Manhattan, NY | Unavailable | $1,167.15 |
| Marin County, CA | Unavailable | $1,151.03 |
| Merced, CA | Unavailable | $1,025.18 |
| Metropolitan Boston, MA | Unavailable | $1,097.68 |
| Metropolitan Kansas City, MO | Unavailable | $1,013.08 |
| Metropolitan Philadelphia, PA | Unavailable | $1,070.22 |
| Metropolitan St. Louis, MO | Unavailable | $1,018.55 |
| Miami, FL | Unavailable | $1,176.04 |
| Minnesota | Unavailable | $975.38 |
| Mississippi | Unavailable | $972.45 |
| Modesto, CA | Unavailable | $1,025.18 |
| Montana | Unavailable | $1,030.24 |
| Napa, CA | Unavailable | $1,110.17 |
| Nebraska | Unavailable | $956.05 |
| Nevada | Unavailable | $1,015.89 |
| New Hampshire | Unavailable | $1,029.64 |
| New Mexico | Unavailable | $1,027.39 |
| New Orleans, LA | Unavailable | $1,027.66 |
| North Carolina | Unavailable | $981.66 |
| North Dakota | Unavailable | $977.84 |
| Northern New Jersey | Unavailable | $1,120.11 |
| NYC suburbs and Long Island, NY | Unavailable | $1,197.91 |
| Ohio | Unavailable | $1,009.30 |
| Oklahoma | Unavailable | $983.84 |
| Oxnard, CA | Unavailable | $1,062.05 |
| Portland, OR | Unavailable | $1,046.66 |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | $1,103.93 |
| Puerto Rico | Unavailable | $1,031.85 |
| Queens, NY | Unavailable | $1,159.42 |
| Redding, CA | Unavailable | $1,025.18 |
| Rest of California | Unavailable | $1,025.18 |
| Rest of Florida | Unavailable | $1,063.90 |
| Rest of Georgia | Unavailable | $1,020.32 |
| Rest of Illinois | Unavailable | $1,058.43 |
| Rest of Louisiana | Unavailable | $997.85 |
| Rest of Maine | Unavailable | $976.89 |
| Rest of Maryland | Unavailable | $1,033.08 |
| Rest of Massachusetts | Unavailable | $1,036.80 |
| Rest of Michigan | Unavailable | $1,020.01 |
| Rest of Missouri | Unavailable | $993.50 |
| Rest of New Jersey | Unavailable | $1,089.72 |
| Rest of New York | Unavailable | $991.59 |
| Rest of Oregon | Unavailable | $1,003.13 |
| Rest of Pennsylvania | Unavailable | $1,004.98 |
| Rest of Texas | Unavailable | $1,009.04 |
| Rest of Washington | Unavailable | $1,031.54 |
| Rhode Island | Unavailable | $1,042.27 |
| Riverside, CA | Unavailable | $1,053.93 |
| Sacramento, CA | Unavailable | $1,055.11 |
| Salinas, CA | Unavailable | $1,050.65 |
| San Benito County, CA | Unavailable | $1,176.24 |
| San Diego, CA | Unavailable | $1,059.78 |
| San Francisco, CA | Unavailable | $1,148.02 |
| San Luis Obispo, CA | Unavailable | $1,035.96 |
| Santa Clara County, CA | Unavailable | $1,163.93 |
| Santa Cruz, CA | Unavailable | $1,057.79 |
| Santa Maria, CA | Unavailable | $1,050.34 |
| Santa Rosa, CA | Unavailable | $1,067.27 |
| South Carolina | Unavailable | $998.08 |
| South Dakota | Unavailable | $971.65 |
| Southern Maine, ME | Unavailable | $995.50 |
| Stockton, CA | Unavailable | $1,025.18 |
| Suburban Chicago, IL | Unavailable | $1,110.36 |
| Tennessee | Unavailable | $966.61 |
| Utah | Unavailable | $1,006.34 |
| Vallejo, CA | Unavailable | $1,105.84 |
| Vermont | Unavailable | $984.18 |
| Virgin Islands, VI | Unavailable | $1,031.85 |
| Virginia | Unavailable | $1,000.13 |
| Visalia, CA | Unavailable | $1,025.18 |
| Washington, DC area | Unavailable | $1,122.39 |
| West Virginia | Unavailable | $1,035.71 |
| Wisconsin | Unavailable | $958.63 |
| Wyoming | Unavailable | $1,007.40 |
| Yuba City, CA | Unavailable | $1,025.18 |
50750 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| 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) | 0 | Not permitted. |
| 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 · 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.
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).
50750 compared with similar codes
Compare codes · National
5 codes, side by side
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
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