CPT code 50785: Ureteral reimplantation, with psoas hitch2026 Medicare rate & RVUs in Missouri
Reports ureteral reimplantation when the bladder is mobilized and secured to the psoas muscle to bridge a gap before connecting the ureter.
CMS doesn’t publish an office rate for 50785 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,066.61 |
| Metropolitan St. Louis, MO | Unavailable | $1,072.49 |
| Rest of Missouri | Unavailable | $1,046.14 |
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.
How the rate is built · 50785
RVUs × geographic indexes × conversion factor
Work21.67
21.67 RVUs× 1.000 GPCI
Practice expense7.84
7.84 RVUs× 1.000 GPCI
Malpractice2.97
2.97 RVUs× 1.000 GPCI
Adjusted RVUs
32.4800
Conversion factor
$33.4009
Medicare rate
$1,084.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50785
50785 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50785
Ureteral reimplantation, with psoas hitch
| 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 · 50785
Ureteral reimplantation, with psoas hitch
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
50785 without 50 · national facility
$1,084.86
Ureteral reimplantation, with psoas hitch
50785-50 · Bilateral: 150%
$1,627.29
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).
50785 compared with similar codes
Compare codes · National
4 codes, side by side
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.
50785 billing questions
When should 50785 be selected instead of 50780?
Use 50785 when the surgeon documents securing the mobilized bladder to the psoas to gain reach for ureteral implantation. A reimplantation without that hitch is represented by 50780.
How does 50785 differ from 50783?
50785 identifies use of a psoas hitch to bring the bladder toward the ureter. 50783 identifies reimplantation using a bladder flap.
What documentation supports reporting 50785?
The operative report should describe the ureteral reimplantation and the bladder mobilization and fixation to the psoas. A diagnosis such as ureteral injury or stricture alone does not establish the hitch.
Can modifier 50 be used for bilateral reimplantation?
Yes. CMS treats this as a bilateral procedure; modifier 50 is paid at 150%.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Related postoperative care within the 90-day global is included.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires 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
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