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CPT code 50800: Ureteral implantation, into bowel2026 Medicare rate & RVUs

Reports surgical connection of a ureter to an intestinal segment, commonly as part of urinary diversion after bladder removal or other reconstruction.

CMS RVU26DEffective Oct 1, 2026109 payment localities81 Medicare services in 2024

Medicare pays $832.35 for 50800 nationally in a facility.

Medicare rate · 50800

Ureteral implantation, into bowel

Office or facility?

Work RVUs
16
Total RVUs
24.92
Global days
090

National rate · 2026

$832.35

Facility setting, before claim adjustments.

See every locality for 50800 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 50800 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 50800 covers

A urologist surgically connects a ureter to bowel so urine drains into the intestinal segment. This may be part of urinary diversion after cystectomy or another reconstruction in which the operative plan directs urine from the ureter into bowel. The service may include partial removal of intestine needed to create the connection. The operative report should identify the ureter and bowel segment involved and describe the anastomosis and any associated intestinal work.

Select this code for the ureter-to-bowel connection itself, rather than a broader operation that constructs a reservoir or substitutes bowel for a missing ureter. Medicare assigns a 90-day global period, including 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 50% reduction. For a bilateral procedure reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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 50800 pays more and less

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

109 of 109 payment localities

50800 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$773.85
AlaskaUnavailable$1,083.56
ArizonaUnavailable$815.34
ArkansasUnavailable$766.67
Atlanta, GAUnavailable$851.45
Austin, TXUnavailable$838.86
Bakersfield, CAUnavailable$837.60
Baltimore area, MDUnavailable$873.93
Beaumont, TXUnavailable$806.84
Brazoria, TXUnavailable$819.43

50800 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
50800 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 50800 rate is calculated

Each of 50800’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 · 50800

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.00

16.00 RVUs× 1.000 GPCI

Practice expense6.86

6.86 RVUs× 1.000 GPCI

Malpractice2.06

2.06 RVUs× 1.000 GPCI

Adjusted RVUs

24.9200

Conversion factor

$33.4009

Medicare rate

$832.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 50800

50800 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50800

Ureteral implantation, into bowel

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 · 50800

Ureteral implantation, into bowel

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

50800 without 50 · national facility

$832.35

Ureteral implantation, into bowel

50800-50 · Bilateral: 150%

$1,248.53

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

50800 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 50800

    Ureteral implantation, into bowel16 wRVU

    Not priced

  • 50810

    Ureter-bowel connection, ureteral fusion22.04 wRVU

    Not priced

  • 50820

    Urinary diversion, continent intestinal reservoir23.47 wRVU

    Not priced

  • 50840

    Ureteral reconstruction, bowel segment substitution21.83 wRVU

    Not priced

How to choose

50810Ureter-bowel connectionUreteral fusion
This code covers a ureter-to-bowel connection. Code 50810 represents a distinct ureter-and-bowel reconstruction; base selection on the operation documented, not simply the presence of bowel.
50820Urinary diversionContinent intestinal reservoir
Code 50820 describes construction of a bowel-based urinary diversion. This code is for the ureter-to-bowel anastomosis rather than the broader diversion construction.
50840Ureteral reconstructionBowel segment substitution
Use 50840 when bowel is used to replace a ureter segment. This code applies when the ureter is connected to bowel.

Codes related to 50800

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

Codes related to 50800
CodeHow it relatesNational office range
Used instead
50810Ureter-bowel connection, ureteral fusionA distinct ureter-to-bowel reconstruction; choose based on the specific operation performed.No office rate
50820Urinary diversion, continent intestinal reservoirConstructs a bowel-based urinary diversion rather than reporting only the ureter-to-bowel connection.No office rate
50825Urinary diversion, continent bowel reservoirDescribes a bowel-based bladder reconstruction, a broader operation than the ureteral implantation alone.No office rate
50840Ureteral reconstruction, bowel segment substitutionUses bowel to replace a ureter segment instead of connecting the ureter to bowel.No office rate

50800 billing questions

When is this code appropriate instead of a bowel-based urinary reservoir code?

Use it for the ureter-to-bowel connection when that is the service performed. A code for constructing a bowel reservoir describes a broader reconstruction and should be selected when that construction is the operation performed.

Can partial intestinal resection be included?

Yes. Partial intestinal resection needed as part of the ureter-to-bowel reconstruction is encompassed by this service.

What should the operative report document?

Document the ureter and bowel segment connected, the anastomosis performed, and any partial intestinal resection. The report should make clear whether the operation was a ureter-to-bowel connection or a different urinary diversion or replacement procedure.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The code is classified as major surgery.

How are bilateral cases and other same-session procedures handled?

A bilateral procedure reported with modifier 50 is paid at 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery 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

Show the CMS file lines behind this rate
RVUs for 50800PPRRVU2026_Oct_nonQPP.csv, line 5,988 (RVU26D)

Open CMS sourceHow we calculate rates

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