CPT code 50815: Urinary diversion, ureterosigmoidostomy2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $1,048.55 for 50815 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 50815 nationwide

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

What 50815 covers

A ureterosigmoidostomy routes urine from the ureters into the sigmoid colon, where it leaves the body with bowel contents. A urologist typically performs this major reconstructive operation in a hospital operating room, often when the bladder has been removed or cannot serve as a functional reservoir. The procedure involves joining the ureters to the sigmoid bowel; it does not create a separate cutaneous urinary stoma or an isolated continent reservoir.

Select this code when the operative report documents urinary drainage through the sigmoid colon. Distinguish it from diversion with a constructed conduit or continent reservoir, and from other ureter-to-bowel connections based on the actual reconstruction performed. Documentation should identify the bowel segment, ureteral connections, and intended route of urine drainage. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment may be available; co-surgeons require 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 Vermont compares for 50815

Across 109 of 109 payment localities, the facility rate for 50815 runs from $1,012.77 in Arkansas to $1,436.10 in Alaska. Vermont pays $1,048.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50815 rates by state

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

See 50815 in every payment locality

How the 50815 rate is calculated

Each of 50815’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 50815

50815 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

Codes related to 50815

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

How 50815 has changed in Vermont

Price 50815 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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