CPT code 50780: Ureter reimplantation, direct bladder anastomosis2026 Medicare rate & RVUs in Michigan

Surgical reimplantation of a single ureter into the bladder, reported when the ureter needs a new bladder connection without additional reconstructive techniques.

CMS RVU26DEffective Oct 1, 20262 payment localities370 Medicare services in 2024

CMS doesn’t publish an office rate for 50780 in Michigan.

—Office (non-facility)
$997.64–$1,067.66Hospital or facility

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 9 sections
  1. Rate in Michigan
  2. What 50780 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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.

Where 50780 pays more and less in Michigan

50780 office and facility rates by payment locality
Payment localityOfficeFacility
Detroit, MIUnavailable$1,067.66
Rest of MichiganUnavailable$997.64

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

Office or facility?

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.

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

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)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 · 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.

  • 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

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).

When to use modifier 50

50780 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 50780

    Ureter reimplantation, direct bladder anastomosis19.45 wRVU

    Not priced

  • 50782

    Ureteral reimplantation, extensive bladder dissection19.17 wRVU

    Not priced

  • 50783

    Ureteral reimplantation, extensive tailoring and flap20.18 wRVU

    Not priced

  • 50785

    Ureteral reimplantation, with psoas hitch21.67 wRVU

    Not priced

  • 50760

    Ureter repair, ureteroureterostomy19.57 wRVU

    Not priced

How to choose

50782Ureteral reimplantationExtensive bladder dissection
Choose 50782 when the reimplantation includes extensive ureteral tailoring; 50780 describes direct reattachment without that additional tailoring.
50783Ureteral reimplantationExtensive tailoring and flap
50783 includes a vesico-psoas hitch or bladder flap to support the reimplantation; 50780 describes direct bladder anastomosis.
50785Ureteral reimplantationWith psoas hitch
50785 includes both extensive ureteral tailoring and a vesico-psoas hitch or bladder flap; 50780 is the direct reimplantation service.
50760Ureter repairUreteroureterostomy
50760 joins one ureter to another. Choose 50780 when the ureter is reimplanted into the bladder.

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
RVUs for 50780PPRRVU2026_Oct_nonQPP.csv, line 5,984 (RVU26D)

Open CMS sourceHow we calculate rates

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