CPT code 50840: Ureteral reconstruction, bowel segment substitution2026 Medicare rate & RVUs in Kentucky

In Kentucky, Medicare pays $1,064.44 for 50840 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 50840 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 50840 covers

This operation uses a segment of bowel, commonly ileum, to bridge a damaged or missing portion of a ureter and carry urine toward the bladder. A urologist performs the reconstruction in an operating room, typically for a long ureteral defect or severe stricture that cannot be managed by a shorter repair. The bowel segment is joined to the urinary tract at each end to restore continuity.

Report the code when the bowel segment substitutes for the ureter, not when a ureter is simply implanted into bowel as a diversion. The operative report should identify the affected side or sides, the defect, the bowel segment, and the reconstruction performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; 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.

How Kentucky compares for 50840

Across 109 of 109 payment localities, the facility rate for 50840 runs from $1,018.49 in Arkansas to $1,444.23 in Alaska. Kentucky pays $1,064.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

50840 rates by state

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

See 50840 in every payment locality

How the 50840 rate is calculated

Each of 50840’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 50840

50840 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 50840

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

How 50840 has changed in Kentucky

Price 50840 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

• Adairville
• Ages
• Albany
• Alexandria
• Allen
• Allensville
• Anchorage
• Annville

Browse all communities in Kentucky

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