CPT code 50780: Ureter reimplantation, direct bladder anastomosis2026 Medicare rate & RVUs in Washington, DC area
Surgical reimplantation of a single ureter into the bladder, reported when the ureter needs a new bladder connection without additional reconstructive techniques.
In Washington, DC area, Medicare pays $1,098.72 for 50780 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50780 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 50780 covers
50780 represents surgical reimplantation of one ureter into the bladder, creating a new ureterovesical connection. Urologists perform it when an abnormal or damaged distal ureter needs a reconstructed bladder insertion, including selected cases of vesicoureteral reflux, distal obstruction, or ureteral injury. The procedure is generally performed in an operating room in a hospital or ambulatory surgery setting.
Choose this code when the documented work supports direct reattachment rather than the additional ureteral tailoring or bladder advancement techniques represented by related codes. Record the side, indication, operative anatomy, and reconstructive steps. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. For procedures performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery services may be paid; co-surgeon payment requires 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 Washington, DC area compares for 50780
Across 109 of 109 payment localities, the facility rate for 50780 runs from $921.31 in Arkansas to $1,302.37 in Alaska. Washington, DC area pays $1,098.72. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,098.72
- Los Angeles, CA · California$1,045.81−$52.91
- Miami, FL · Florida$1,172.93+$74.21
- Chicago, IL · Illinois$1,144.45+$45.73
- Manhattan, NY · New York$1,149.32+$50.60
- Alaska · Alaska$1,302.37+$203.65
- Alabama · Alabama$930.59−$168.13
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $921.31 |
| ArizonaArizona | — | $984.12 |
| Bakersfield, CACalifornia | — | $1,003.71 |
| Chico, CACalifornia | — | $994.98 |
| El Centro, CACalifornia | — | $995.49 |
| Fresno, CACalifornia | — | $994.98 |
| Hanford, CACalifornia | — | $994.98 |
| Madera, CACalifornia | — | $994.98 |
| Merced, CACalifornia | — | $994.98 |
| Modesto, CACalifornia | — | $994.98 |
| Napa, CACalifornia | — | $1,078.66 |
| Oxnard, CACalifornia | — | $1,032.93 |
| Redding, CACalifornia | — | $994.98 |
| Rest of CaliforniaCalifornia | — | $994.98 |
| Riverside, CACalifornia | — | $1,027.92 |
| Sacramento, CACalifornia | — | $1,024.42 |
| Salinas, CACalifornia | — | $1,020.15 |
| San Diego, CACalifornia | — | $1,029.55 |
| Marin County, CACalifornia | — | $1,117.93 |
| San Francisco, CACalifornia | — | $1,114.47 |
| San Benito County, CACalifornia | — | $1,143.69 |
| Santa Clara County, CACalifornia | — | $1,129.53 |
| San Luis Obispo, CACalifornia | — | $1,005.95 |
| Santa Cruz, CACalifornia | — | $1,027.94 |
| Santa Maria, CACalifornia | — | $1,019.98 |
| Santa Rosa, CACalifornia | — | $1,037.11 |
| Stockton, CACalifornia | — | $994.98 |
| Vallejo, CACalifornia | — | $1,073.67 |
| Visalia, CACalifornia | — | $994.98 |
| Yuba City, CACalifornia | — | $994.98 |
| ColoradoColorado | — | $1,008.52 |
| ConnecticutConnecticut | — | $1,060.74 |
| DelawareDelaware | — | $996.60 |
| Fort Lauderdale, FLFlorida | — | $1,092.33 |
| Rest of FloridaFlorida | — | $1,046.72 |
| Atlanta, GAGeorgia | — | $1,033.21 |
| Rest of GeorgiaGeorgia | — | $998.70 |
| Hawaii, Guam, HIHawaii | — | $998.77 |
| IowaIowa | — | $923.58 |
| IdahoIdaho | — | $932.60 |
| East St. Louis, ILIllinois | — | $1,089.59 |
| Rest of IllinoisIllinois | — | $1,041.86 |
| Suburban Chicago, ILIllinois | — | $1,096.79 |
| IndianaIndiana | — | $935.71 |
| KansasKansas | — | $931.68 |
| KentuckyKentucky | — | $969.72 |
| New Orleans, LALouisiana | — | $1,005.50 |
| Rest of LouisianaLouisiana | — | $973.08 |
| Metropolitan Boston, MAMassachusetts | — | $1,071.64 |
| Rest of MassachusettsMassachusetts | — | $1,009.94 |
| Baltimore area, MDMaryland | — | $1,059.87 |
| Rest of MarylandMaryland | — | $1,007.91 |
| Rest of MaineMaine | — | $947.78 |
| Southern Maine, MEMaine | — | $966.82 |
| Detroit, MIMichigan | — | $1,067.66 |
| Rest of MichiganMichigan | — | $997.64 |
| MinnesotaMinnesota | — | $942.39 |
| Metropolitan Kansas City, MOMissouri | — | $988.79 |
| Metropolitan St. Louis, MOMissouri | — | $994.66 |
| Rest of MissouriMissouri | — | $968.84 |
| MississippiMississippi | — | $944.64 |
| MontanaMontana | — | $1,006.50 |
| North CarolinaNorth Carolina | — | $952.83 |
| North DakotaNorth Dakota | — | $946.19 |
| NebraskaNebraska | — | $923.69 |
| New HampshireNew Hampshire | — | $1,004.43 |
| Northern New JerseyNew Jersey | — | $1,095.39 |
| Rest of New JerseyNew Jersey | — | $1,066.05 |
| New MexicoNew Mexico | — | $1,006.00 |
| NevadaNevada | — | $989.95 |
| NYC suburbs and Long Island, NYNew York | — | $1,183.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,081.57 |
| Queens, NYNew York | — | $1,139.75 |
| Rest of New YorkNew York | — | $963.69 |
| OhioOhio | — | $985.32 |
| OklahomaOklahoma | — | $956.68 |
| Portland, OROregon | — | $1,019.34 |
| Rest of OregonOregon | — | $975.43 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,048.52 |
| Rest of PennsylvaniaPennsylvania | — | $980.18 |
| Puerto RicoPuerto Rico | — | $1,007.98 |
| Rhode IslandRhode Island | — | $1,016.47 |
| South CarolinaSouth Carolina | — | $972.03 |
| South DakotaSouth Dakota | — | $939.06 |
| TennesseeTennessee | — | $936.31 |
| Austin, TXTexas | — | $1,011.19 |
| Beaumont, TXTexas | — | $976.50 |
| Brazoria, TXTexas | — | $987.19 |
| Dallas, TXTexas | — | $997.06 |
| Fort Worth, TXTexas | — | $995.84 |
| Galveston, TXTexas | — | $992.59 |
| Houston, TXTexas | — | $1,048.42 |
| Rest of TexasTexas | — | $983.81 |
| UtahUtah | — | $981.00 |
| VirginiaVirginia | — | $972.41 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,007.98 |
| VermontVermont | — | $953.83 |
| Rest of WashingtonWashington | — | $1,004.33 |
| King County, WAWashington | — | $1,078.47 |
| WisconsinWisconsin | — | $925.49 |
| West VirginiaWest Virginia | — | $1,017.18 |
| WyomingWyoming | — | $980.22 |
50780 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 50780 rate is calculated
Each of 50780’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 · 50780
RVUs × geographic indexes × conversion factor
Work19.45
19.45 RVUs× 1.000 GPCI
Practice expense7.64
7.64 RVUs× 1.000 GPCI
Malpractice3.05
3.05 RVUs× 1.000 GPCI
Adjusted RVUs
30.1400
Conversion factor
$33.4009
Medicare rate
$1,006.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,984
- Code
- 50780
- Physician work
- 19.45
- Practice expense
- 7.64
- Malpractice
- 3.05
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.45 | × 1.054 | 20.5003 |
| Practice expense | 7.64 | × 1.178 | 8.9999 |
| Malpractice | 3.05 | × 1.113 | 3.3946 |
| Total RVUs | 32.8949 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1098.72
Facility: (19.45 × 1.054 + 7.64 × 1.178 + 3.05 × 1.113) × $33.4009 = $1098.72
Payment rules and modifiers for 50780
50780 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50780
Ureter reimplantation, direct bladder anastomosis
| 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) | 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 · 50780
Ureter reimplantation, direct bladder anastomosis
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
50780 without 50 · national facility
$1,006.70
Ureter reimplantation, direct bladder anastomosis
50780-50 · Bilateral: 150%
$1,510.05
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).
How 50780 has changed in Washington, DC area
50780 · 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 | $1,098.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,098.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,098.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,098.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,198.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,198.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,198.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,198.03 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,224.54 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,224.54 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,224.54 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,224.54 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,204.55 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,242.12 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,242.12 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,242.12 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,242.12 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,271.00 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,271.00 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,271.00 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,271.00 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,275.33 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,275.33 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,275.33 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,275.33 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,291.59 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,291.59 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,291.59 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,291.59 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,278.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,278.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,278.91 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,278.91 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,283.21 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,283.21 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,283.21 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,283.21 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,278.05 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,278.05 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,278.05 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,278.05 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,272.93 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,272.93 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,272.93 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,272.93 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,277.12 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,277.12 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,270.76 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,270.76 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,245.81 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,245.81 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,245.81 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,245.81 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,201.49 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,201.49 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,201.49 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,201.49 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
50780 billing questions
When should I choose 50780 rather than 50782?
Use 50780 for direct reattachment of the ureter to the bladder. Code 50782 describes reimplantation that includes extensive ureteral tailoring.
How does 50780 differ from 50783?
50783 includes a vesico-psoas hitch or bladder flap. Report 50780 when the documented reconstruction is a direct bladder anastomosis without those techniques.
How is bilateral reimplantation reported?
For bilateral work, report modifier 50; CMS pays the bilateral procedure at 150%.
Are related postoperative visits included?
Yes. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when another procedure is performed in the same session?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with supporting documentation; 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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