CPT code 50770: Ureteral anastomosis, cross-connection to opposite ureter2026 Medicare rate & RVUs in Montana

Reports reconstructive surgery that connects one ureter to the opposite ureter, redirecting urine when the affected ureter cannot drain normally to the bladder.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Montana, Medicare pays $1,030.24 for 50770 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,030.24Hospital or facility

Check a contract rate as a % of Medicare · 50770 nationwide

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

We’ll open 50770 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 50770 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 50770 covers

In a transureteroureterostomy, the surgeon connects the affected ureter to the opposite ureter so urine can drain through the other side into the bladder. Urologists typically perform this reconstructive operation in a surgical facility when the usual route from a kidney to the bladder cannot be restored or used. The operative report should identify the ureteral anatomy, the side and course of the connection, and the reason for redirecting drainage.

Report this code for the cross-connection between ureters, not for reconnecting separated ends of the same ureter or implanting a ureter into the bladder. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this procedure. An assistant at surgery may be paid; co-surgeons require 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 Montana compares for 50770

Across 109 of 109 payment localities, the facility rate for 50770 runs from $952.12 in Arkansas to $1,352.51 in Alaska. Montana pays $1,030.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

50770 in Montana vs other payment areas
  1. Montana · this page$1,030.24
  2. Los Angeles, CA · California$1,074.92+$44.68
  3. Washington, DC area · District of Columbia$1,122.39+$92.15
  4. Miami, FL · Florida$1,176.04+$145.80
  5. Chicago, IL · Illinois$1,151.13+$120.89
  6. Manhattan, NY · New York$1,167.15+$136.91
  7. Alaska · Alaska$1,352.51+$322.27

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

50770 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$960.65
ArkansasArkansas—$952.12
ArizonaArizona—$1,009.90
Bakersfield, CACalifornia—$1,033.02
Chico, CACalifornia—$1,025.18
El Centro, CACalifornia—$1,025.62
Fresno, CACalifornia—$1,025.18
Hanford, CACalifornia—$1,025.18

50770 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
50770 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

See 50770 in every payment locality

How the 50770 rate is calculated

Each of 50770’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 · 50770

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,983

Code
50770
Physician work
20.69
Practice expense
7.51
Malpractice
2.65

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 50770 in Montana
ComponentRVULocality factorAdjusted
Physician work20.69× 1.00020.6900
Practice expense7.51× 1.0007.5100
Malpractice2.65× 0.9982.6447
Total RVUs30.8447
Conversion factor× 33.4009

Facility rate, Montana$1030.24

Facility: (20.69 × 1 + 7.51 × 1 + 2.65 × 0.998) × $33.4009 = $1030.24

Open 50770 in the RVU calculator

Payment rules and modifiers for 50770

50770 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50770

Ureteral anastomosis, cross-connection to opposite ureter

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)0The 150% bilateral adjustment doesn’t apply.
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 · 50770

Ureteral anastomosis, cross-connection to opposite ureter

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 51 · payment effect

With and without the modifier

50770 without 51 · national facility

$1,030.42

Ureteral anastomosis, cross-connection to opposite ureter

50770-51 · Second procedure: 50%

$515.21

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 50770 has changed in Montana

50770 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,030.24RVU26D
2026-07-01Not available in this setting$1,030.24RVU26C
2026-04-01Not available in this setting$1,030.24RVU26B
2026-01-01Not available in this setting$1,030.24RVU26A
2025-10-01Not available in this setting$1,113.81RVU25D
2025-07-01Not available in this setting$1,113.81RVU25C
2025-04-01Not available in this setting$1,113.81RVU25B
2025-01-01Not available in this setting$1,113.81RVU25A
2024-10-01Not available in this setting$1,139.20RVU24D
2024-07-01Not available in this setting$1,139.20RVU24C
2024-04-01Not available in this setting$1,139.20RVU24B
2024-03-09Not available in this setting$1,139.20RVU24AR
2024-01-01Not available in this setting$1,120.61RVU24A
2023-10-01Not available in this setting$1,146.23RVU23D
2023-07-01Not available in this setting$1,146.23RVU23C
2023-04-01Not available in this setting$1,146.23RVU23B
2023-01-01Not available in this setting$1,146.23RVU23A
2022-10-01Not available in this setting$1,161.81RVU22D
2022-07-01Not available in this setting$1,161.81RVU22C
2022-04-01Not available in this setting$1,161.81RVU22B
2022-01-01Not available in this setting$1,161.81RVU22A
2021-10-01Not available in this setting$1,169.05RVU21D
2021-07-01Not available in this setting$1,169.05RVU21C
2021-04-01Not available in this setting$1,169.05RVU21B
2021-01-01Not available in this setting$1,169.05RVU21A
2020-10-01Not available in this setting$1,228.80RVU20D
2020-07-01Not available in this setting$1,228.80RVU20C
2020-04-01Not available in this setting$1,228.80RVU20B
2020-01-01Not available in this setting$1,228.80RVU20A
2019-10-01Not available in this setting$1,256.79RVU19D
2019-07-01Not available in this setting$1,256.79RVU19C
2019-04-01Not available in this setting$1,254.43RVU19B
2019-01-01Not available in this setting$1,254.43RVU19A
2018-10-01Not available in this setting$1,257.11RVU18D
2018-07-01Not available in this setting$1,257.11RVU18C
2018-04-01Not available in this setting$1,257.11RVU18B
2018-01-01Not available in this setting$1,257.11RVU18AR1
2017-10-01Not available in this setting$1,261.17RVU17D
2017-07-01Not available in this setting$1,261.17RVU17C
2017-04-01Not available in this setting$1,261.17RVU17B
2017-01-01Not available in this setting$1,261.17RVU17A
2016-10-01Not available in this setting$1,205.55RVU16D
2016-07-01Not available in this setting$1,205.55RVU16C
2016-04-01Not available in this setting$1,205.55RVU16B
2016-01-01Not available in this setting$1,205.55RVU16A
2015-10-01Not available in this setting$1,208.92RVU15D
2015-07-01Not available in this setting$1,208.92RVU15C
2015-04-01Not available in this setting$1,202.91RVU15B
2015-01-01Not available in this setting$1,202.91RVU15A
2014-10-01Not available in this setting$1,183.29RVU14D
2014-07-01Not available in this setting$1,183.29RVU14C
2014-04-01Not available in this setting$1,183.29RVU14B
2014-01-01Not available in this setting$1,183.29RVU14A
2013-10-01Not available in this setting$1,139.09RVU13D
2013-07-01Not available in this setting$1,139.09RVU13C
2013-04-01Not available in this setting$1,139.09RVU13B
2013-01-01Not available in this setting$1,139.09RVU13AR

Price 50770 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

50770 billing questions

How is this different from 50760?

This procedure connects one ureter to the opposite ureter. Use 50760 for a ureter-to-ureter connection that does not redirect drainage across to the opposite side.

When is 50780 a better fit?

Use 50780 when the ureter is connected to the bladder. This code describes a connection from one ureter to the opposite ureter.

Should modifier 50 be appended when both ureters are involved?

No. CMS identifies bilateral adjustment as inappropriate for this procedure; do not report it with modifier 50.

What documentation supports reporting this code?

The operative report should establish the ureter-to-opposite-ureter connection, the anatomy involved, and the clinical reason the surgeon redirected drainage.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is provided; team surgery is not permitted.

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 50770PPRRVU2026_Oct_nonQPP.csv, line 5,983 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 50770 pays in Montana?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 50770 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist