CPT code 50785: Ureteral reimplantation, with psoas hitch2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 50785 in California.

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

What 50785 covers

A urologist uses this reconstructive procedure when the ureter needs to be reconnected to the bladder and the available ureteral length is insufficient for a tension-free connection. The surgeon mobilizes the bladder, anchors it to the psoas muscle, and implants the ureter into the bladder. Common settings include hospital operating rooms for distal ureteral injury, stricture, or loss of ureteral length that requires this added reach.

Select this code when the operative report supports both ureteral reimplantation and a psoas hitch; the hitch is the distinguishing feature, not simply the diagnosis or need for reimplantation. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral work, modifier 50 is paid at 150%. An assistant at surgery 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 50785 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 50785 rate is calculated

Each of 50785’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.

Payment rules and modifiers for 50785

50785 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

50785 compared with similar codes

How to choose

50780Ureter reimplantationDirect bladder anastomosis

Choose 50785 when the surgeon secures the bladder to the psoas to obtain reach for implantation. 50780 represents reimplantation without that distinguishing hitch.

50782Ureteral reimplantationExtensive bladder dissection

50782 identifies extensive tailoring of the ureter. 50785 is distinguished by the bladder-to-psoas hitch; select based on the reconstruction documented.

50783Ureteral reimplantationExtensive tailoring and flap

50783 uses a bladder flap for the reimplantation. 50785 describes gaining reach by mobilizing and securing the bladder to the psoas.

Codes related to 50785

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates