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CPT code 50930: Fistula closure, ureter-to-bowel communication2026 Medicare rate & RVUs

Operative closure of an abnormal connection between a ureter and bowel, reported when surgery treats a ureteral-enteric fistula rather than a skin fistula.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $985.99 for 50930 nationally in a facility.

Medicare rate · 50930

Fistula closure, ureter-to-bowel communication

Office or facility?

Work RVUs
19.69
Total RVUs
29.52
Global days
090

National rate · 2026

$985.99

Facility setting, before claim adjustments.

See every locality for 50930 →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 50930 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 50930 covers

A urologic surgeon closes an abnormal passage between a ureter and an intestinal segment. The connection can allow urine to enter the bowel or bowel contents to reach the urinary tract. The operation is performed in an operating room; other surgical specialists may participate when the bowel also requires operative management.

Choose this code when the operative report documents a ureter-to-bowel fistula and its surgical closure, rather than a ureter-to-skin fistula or repair of a ureter without a fistula. The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this anatomy. 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 50930 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

50930 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$918.84
AlaskaUnavailable$1,292.73
ArizonaUnavailable$966.27
ArkansasUnavailable$910.63
Atlanta, GAUnavailable$1,008.85
Austin, TXUnavailable$991.82
Bakersfield, CAUnavailable$988.86
Baltimore area, MDUnavailable$1,034.34
Beaumont, TXUnavailable$958.05
Brazoria, TXUnavailable$970.47

50930 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
50930 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 50930 rate is calculated

Each of 50930’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 · 50930

RVUs × geographic indexes × conversion factor

Office or facility?

Work19.69

19.69 RVUs× 1.000 GPCI

Practice expense7.30

7.30 RVUs× 1.000 GPCI

Malpractice2.53

2.53 RVUs× 1.000 GPCI

Adjusted RVUs

29.5200

Conversion factor

$33.4009

Medicare rate

$985.99

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

Payment rules and modifiers for 50930

50930 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50930

Fistula closure, ureter-to-bowel communication

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)0The 150% bilateral adjustment doesn’t apply.
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 · 50930

Fistula closure, ureter-to-bowel communication

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 51 · payment effect

With and without the modifier

50930 without 51 · national facility

$985.99

Fistula closure, ureter-to-bowel communication

50930-51 · Second procedure: 50%

$493.00

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

50930 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 50930

    Fistula closure, ureter-to-bowel communication19.69 wRVU

    Not priced

  • 50920

    Ureteral fistula repair, ureter to skin15.41 wRVU

    Not priced

  • 50900

    Ureter repair, direct suture repair14.66 wRVU

    Not priced

  • 50800

    Ureteral implantation, into bowel16 wRVU

    Not priced

How to choose

50920Ureteral fistula repairUreter to skin
Use 50930 for a ureter-to-bowel fistula; 50920 describes closure of a ureter-to-skin fistula.
50900Ureter repairDirect suture repair
50900 is ureter repair without the specific bowel-fistula closure. Use 50930 when the operative service closes a ureter-to-bowel fistula.
50800Ureteral implantationInto bowel
50800 creates a direct connection between the ureter and intestine, such as for urinary diversion; 50930 closes an abnormal connection.

Codes related to 50930

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

Codes related to 50930
CodeHow it relatesNational office range
Same family
50920Ureteral fistula repair, ureter to skinCloses a ureter-to-skin fistula rather than a ureter-to-bowel fistula.No office rate
Used instead
50900Ureter repair, direct suture repairRepairs a ureter without coding the specific ureter-to-bowel fistula closure.No office rate
50800Ureteral implantation, into bowelCreates a direct ureter-to-intestine anastomosis rather than closing an abnormal fistula.No office rate
50780Ureter reimplantation, direct bladder anastomosisConnects a ureter to the bladder when urinary reconstruction calls for reimplantation.No office rate

50930 billing questions

How is this code distinguished from 50920?

50930 is for a fistula connecting the ureter and bowel. 50920 is for a ureter-to-skin fistula.

What documentation supports reporting 50930?

The operative report should identify the ureter and bowel involved, describe the abnormal connection, and document its surgical closure.

Is modifier 50 appropriate?

No. CMS specifies that bilateral adjustment is inappropriate for this code’s descriptor or anatomy.

How does the global period affect postoperative billing?

The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.

What happens when other procedures are performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.

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 50930PPRRVU2026_Oct_nonQPP.csv, line 5,999 (RVU26D)

Open CMS sourceHow we calculate rates

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