CPT code 50900: Ureter repair, direct suture repair2026 Medicare rate & RVUs in Missouri
Reports operative suturing of a ureteral defect when the ureter can be repaired directly rather than reconstructed or reimplanted.
CMS doesn’t publish an office rate for 50900 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 50900 covers
50900 represents operative closure of a ureteral defect by direct suturing, when the ureter can be repaired without replacing its course or reconnecting it to another structure. A urologist or other surgeon typically performs the repair in an operating room, often for a ureteral injury identified during surgery or a localized defect requiring primary closure.
Report the code when the surgeon actually sutures the ureter, not for inspection or exposure alone. The operative note should identify the side and site, describe the defect or injury, and document the repair performed. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur 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 services 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 50900 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 | $747.03 |
| Metropolitan St. Louis, MO | Unavailable | $751.31 |
| Rest of Missouri | Unavailable | $730.77 |
How the 50900 rate is calculated
Each of 50900’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 · 50900
RVUs × geographic indexes × conversion factor
Work14.66
14.66 RVUs× 1.000 GPCI
Practice expense6.25
6.25 RVUs× 1.000 GPCI
Malpractice1.88
1.88 RVUs× 1.000 GPCI
Adjusted RVUs
22.7900
Conversion factor
$33.4009
Medicare rate
$761.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50900
50900 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50900
Ureter repair, direct suture repair
| 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 · 50900
Ureter repair, direct suture repair
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
50900 without 50 · national facility
$761.21
Ureter repair, direct suture repair
50900-50 · Bilateral: 150%
$1,141.82
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).
50900 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 50700Ureter repairPlastic reconstruction
- 50900 describes direct suturing of a defect. 50700 is used for plastic reconstruction of the ureter, such as reconstruction for a stricture.
- 50780Ureter reimplantationDirect bladder anastomosis
- Use 50780 when the operative service reconnects the ureter to the bladder. 50900 is for direct suture repair without that reconnection.
- 50920Ureteral fistula repairUreter to skin
- 50920 addresses closure of a ureter-to-skin fistula. 50900 is for direct suture repair of a ureteral defect, not fistula closure.
- 50930Fistula closureUreter-to-bowel communication
- 50930 addresses closure of a ureter-to-bowel fistula. 50900 describes direct suture repair of a ureteral defect.
50900 billing questions
When is direct repair appropriate instead of ureteral reconstruction?
Use 50900 when the operative work is direct suturing of a ureteral defect. A plastic reconstruction or reconnection to the bladder represents a different service.
What documentation supports 50900?
Document the ureter’s side and injury or defect location, the reason for repair, and the suturing performed. The note should make clear that a repair occurred, rather than inspection or exposure alone.
How is bilateral repair reported?
CMS lists bilateral reporting with modifier 50, paid at 150%. Document the repair on each side.
How does the multiple procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery services may be paid. Co-surgeons are paid only with 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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