CPT code 50947: Ureteral reimplantation, laparoscopic approach2026 Medicare rate & RVUs in California

CMS doesn’t publish an office rate for 50947 in California.

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

What 50947 covers

A urologist detaches the ureter from its abnormal or damaged endpoint and creates a new connection to the bladder using a laparoscopic approach. The operation may address a distal ureteral injury, stricture, or other condition requiring the ureter to be reimplanted. It is generally performed in an operating room under anesthesia; robotic assistance may be used to carry out the laparoscopic work.

Select this code when the documented operation is the laparoscopic ureter-to-bladder reimplantation represented by this code, rather than a repair without reimplantation or a more extensive reimplantation variant. The operative report should identify the ureter and bladder anastomosis, the laparoscopic approach, and any additional reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same 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.

Where 50947 pays more and less in California

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

29 of 29 payment localities

How the 50947 rate is calculated

Each of 50947’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 50947

50947 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

50947 compared with similar codes

How to choose

50948Ureteral reimplantationLaparoscopic, with bladder flap

50947 represents laparoscopic ureteral reimplantation; 50948 is the related code for a more extensive reconstructive variant, such as reimplantation with a psoas hitch.

50780Ureter reimplantationDirect bladder anastomosis

Both describe ureter-to-bladder reimplantation, but 50780 is the open procedure; 50947 is for the laparoscopic approach.

50900Ureter repairDirect suture repair

50900 describes ureteral repair. Report 50947 when the operative service instead detaches and reimplants the ureter into the bladder laparoscopically.

Codes related to 50947

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

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