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.
In Montana, Medicare pays $1,030.24 for 50770 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Montana · this page$1,030.24
- Los Angeles, CA · California$1,074.92+$44.68
- Washington, DC area · District of Columbia$1,122.39+$92.15
- Miami, FL · Florida$1,176.04+$145.80
- Chicago, IL · Illinois$1,151.13+$120.89
- Manhattan, NY · New York$1,167.15+$136.91
- Alaska · Alaska$1,352.51+$322.27
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,025.18 |
| Merced, CACalifornia | — | $1,025.18 |
| Modesto, CACalifornia | — | $1,025.18 |
| Napa, CACalifornia | — | $1,110.17 |
| Oxnard, CACalifornia | — | $1,062.05 |
| Redding, CACalifornia | — | $1,025.18 |
| Rest of CaliforniaCalifornia | — | $1,025.18 |
| Riverside, CACalifornia | — | $1,053.93 |
| Sacramento, CACalifornia | — | $1,055.11 |
| Salinas, CACalifornia | — | $1,050.65 |
| San Diego, CACalifornia | — | $1,059.78 |
| Marin County, CACalifornia | — | $1,151.03 |
| San Francisco, CACalifornia | — | $1,148.02 |
| San Benito County, CACalifornia | — | $1,176.24 |
| Santa Clara County, CACalifornia | — | $1,163.93 |
| San Luis Obispo, CACalifornia | — | $1,035.96 |
| Santa Cruz, CACalifornia | — | $1,057.79 |
| Santa Maria, CACalifornia | — | $1,050.34 |
| Santa Rosa, CACalifornia | — | $1,067.27 |
| Stockton, CACalifornia | — | $1,025.18 |
| Vallejo, CACalifornia | — | $1,105.84 |
| Visalia, CACalifornia | — | $1,025.18 |
| Yuba City, CACalifornia | — | $1,025.18 |
| ColoradoColorado | — | $1,035.38 |
| ConnecticutConnecticut | — | $1,082.14 |
| DelawareDelaware | — | $1,021.92 |
| Fort Lauderdale, FLFlorida | — | $1,105.20 |
| Rest of FloridaFlorida | — | $1,063.90 |
| Atlanta, GAGeorgia | — | $1,054.30 |
| Rest of GeorgiaGeorgia | — | $1,020.32 |
| Hawaii, Guam, HIHawaii | — | $1,027.52 |
| IowaIowa | — | $955.72 |
| IdahoIdaho | — | $963.70 |
| East St. Louis, ILIllinois | — | $1,100.10 |
| Rest of IllinoisIllinois | — | $1,058.43 |
| Suburban Chicago, ILIllinois | — | $1,110.36 |
| IndianaIndiana | — | $966.61 |
| KansasKansas | — | $962.43 |
| KentuckyKentucky | — | $995.05 |
| New Orleans, LALouisiana | — | $1,027.66 |
| Rest of LouisianaLouisiana | — | $997.85 |
| Metropolitan Boston, MAMassachusetts | — | $1,097.68 |
| Rest of MassachusettsMassachusetts | — | $1,036.80 |
| Baltimore area, MDMaryland | — | $1,080.76 |
| Rest of MarylandMaryland | — | $1,033.08 |
| Rest of MaineMaine | — | $976.89 |
| Southern Maine, MEMaine | — | $995.50 |
| Detroit, MIMichigan | — | $1,082.36 |
| Rest of MichiganMichigan | — | $1,020.01 |
| MinnesotaMinnesota | — | $975.38 |
| Metropolitan Kansas City, MOMissouri | — | $1,013.08 |
| Metropolitan St. Louis, MOMissouri | — | $1,018.55 |
| Rest of MissouriMissouri | — | $993.50 |
| MississippiMississippi | — | $972.45 |
| North CarolinaNorth Carolina | — | $981.66 |
| North DakotaNorth Dakota | — | $977.84 |
| NebraskaNebraska | — | $956.05 |
| New HampshireNew Hampshire | — | $1,029.64 |
| Northern New JerseyNew Jersey | — | $1,120.11 |
| Rest of New JerseyNew Jersey | — | $1,089.72 |
| New MexicoNew Mexico | — | $1,027.39 |
| NevadaNevada | — | $1,015.89 |
| NYC suburbs and Long Island, NYNew York | — | $1,197.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,103.93 |
| Queens, NYNew York | — | $1,159.42 |
| Rest of New YorkNew York | — | $991.59 |
| OhioOhio | — | $1,009.30 |
| OklahomaOklahoma | — | $983.84 |
| Portland, OROregon | — | $1,046.66 |
| Rest of OregonOregon | — | $1,003.13 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,070.22 |
| Rest of PennsylvaniaPennsylvania | — | $1,004.98 |
| Puerto RicoPuerto Rico | — | $1,031.85 |
| Rhode IslandRhode Island | — | $1,042.27 |
| South CarolinaSouth Carolina | — | $998.08 |
| South DakotaSouth Dakota | — | $971.65 |
| TennesseeTennessee | — | $966.61 |
| Austin, TXTexas | — | $1,036.26 |
| Beaumont, TXTexas | — | $1,001.56 |
| Brazoria, TXTexas | — | $1,014.22 |
| Dallas, TXTexas | — | $1,023.07 |
| Fort Worth, TXTexas | — | $1,021.71 |
| Galveston, TXTexas | — | $1,018.97 |
| Houston, TXTexas | — | $1,067.47 |
| Rest of TexasTexas | — | $1,009.04 |
| UtahUtah | — | $1,006.34 |
| VirginiaVirginia | — | $1,000.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,031.85 |
| VermontVermont | — | $984.18 |
| Rest of WashingtonWashington | — | $1,031.54 |
| King County, WAWashington | — | $1,105.71 |
| WisconsinWisconsin | — | $958.63 |
| West VirginiaWest Virginia | — | $1,035.71 |
| WyomingWyoming | — | $1,007.40 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.69 | × 1.000 | 20.6900 |
| Practice expense | 7.51 | × 1.000 | 7.5100 |
| Malpractice | 2.65 | × 0.998 | 2.6447 |
| Total RVUs | 30.8447 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1030.24
Facility: (20.69 × 1 + 7.51 × 1 + 2.65 × 0.998) × $33.4009 = $1030.24
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
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 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.
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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,030.24 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,030.24 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,030.24 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,030.24 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,113.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,113.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,113.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,113.81 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,139.20 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,139.20 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,139.20 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,139.20 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,120.61 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,146.23 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,146.23 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,146.23 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,146.23 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,161.81 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,161.81 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,161.81 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,161.81 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,169.05 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,169.05 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,169.05 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,169.05 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,228.80 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,228.80 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,228.80 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,228.80 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,256.79 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,256.79 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,254.43 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,254.43 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,257.11 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,257.11 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,257.11 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,257.11 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,261.17 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,261.17 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,261.17 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,261.17 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,205.55 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,205.55 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,205.55 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,205.55 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,208.92 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,208.92 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,202.91 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,202.91 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,183.29 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,183.29 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,183.29 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,183.29 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,139.09 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,139.09 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,139.09 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,139.09 | RVU13AR |
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
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
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