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CPT code 50948: Ureteral reimplantation, laparoscopic, with bladder flap2026 Medicare rate & RVUs

Reports laparoscopic reimplantation of a ureter into the bladder using a bladder flap to bridge a defect or reach the ureter.

CMS RVU26DEffective Oct 1, 2026109 payment localities334 Medicare services in 2024

Medicare pays $1,131.29 for 50948 nationally in a facility.

Medicare rate · 50948

Ureteral reimplantation, laparoscopic, with bladder flap

Office or facility?

Work RVUs
23.22
Total RVUs
33.87
Global days
090

National rate · 2026

$1,131.29

Facility setting, before claim adjustments.

See every locality for 50948 →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 50948 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 50948 covers

A urologist performs this operation laparoscopically to reconnect a ureter to the bladder, using a bladder flap to bridge the distance. It may be selected when a distal ureteral stricture, injury, or other defect leaves insufficient ureter for a direct reimplantation. The operation is performed in an operating room, commonly in a hospital or ambulatory surgery setting.

Report this code when the operative technique includes the bladder flap, rather than a reimplantation without that flap. The operative report should identify the ureteral problem, laparoscopic approach, flap construction, and reimplantation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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%. 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 50948 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

50948 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,055.65
AlaskaUnavailable$1,490.35
ArizonaUnavailable$1,108.86
ArkansasUnavailable$1,046.43
Atlanta, GAUnavailable$1,157.97
Austin, TXUnavailable$1,136.12
Bakersfield, CAUnavailable$1,131.05
Baltimore area, MDUnavailable$1,186.21
Beaumont, TXUnavailable$1,101.19
Brazoria, TXUnavailable$1,113.01

50948 rates by state

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

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Explore a state

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
50948 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 50948 rate is calculated

Each of 50948’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 · 50948

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.22

23.22 RVUs× 1.000 GPCI

Practice expense7.63

7.63 RVUs× 1.000 GPCI

Malpractice3.02

3.02 RVUs× 1.000 GPCI

Adjusted RVUs

33.8700

Conversion factor

$33.4009

Medicare rate

$1,131.29

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

Payment rules and modifiers for 50948

50948 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50948

Ureteral reimplantation, laparoscopic, with bladder flap

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 50948

Ureteral reimplantation, laparoscopic, with bladder flap

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 50 · payment effect

With and without the modifier

50948 without 50 · national facility

$1,131.29

Ureteral reimplantation, laparoscopic, with bladder flap

50948-50 · Bilateral: 150%

$1,696.94

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).

When to use modifier 50

50948 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 50948

    Ureteral reimplantation, laparoscopic, with bladder flap23.22 wRVU

    Not priced

  • 50947

    Ureteral reimplantation, laparoscopic approach25.14 wRVU

    Not priced

  • 50785

    Ureteral reimplantation, with psoas hitch21.67 wRVU

    Not priced

  • 50900

    Ureter repair, direct suture repair14.66 wRVU

    Not priced

How to choose

50947Ureteral reimplantationLaparoscopic approach
Both describe laparoscopic ureteral reimplantation. Choose 50948 when a bladder flap is used; 50947 is the related option without that technique.
50785Ureteral reimplantationWith psoas hitch
This is the open bladder-flap reimplantation counterpart. Use 50948 for the laparoscopic approach.
50900Ureter repairDirect suture repair
50900 represents ureter repair, not reimplantation into the bladder using a bladder flap.

Codes related to 50948

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

Codes related to 50948
CodeHow it relatesNational office range
Same family
50947Ureteral reimplantation, laparoscopic approachLaparoscopic ureteral reimplantation without the distinguishing bladder-flap technique.No office rate
Used instead
50785Ureteral reimplantation, with psoas hitchOpen ureteral reimplantation using a bladder flap rather than a laparoscopic approach.No office rate
50780Ureter reimplantation, direct bladder anastomosisOpen ureteral reimplantation when the laparoscopic bladder-flap procedure is not performed.No office rate
50900Ureter repair, direct suture repairUreter repair may fit a direct repair service that does not involve bladder reimplantation.No office rate

50948 billing questions

How does this differ from 50947?

Use 50948 when the laparoscopic reimplantation includes a bladder flap. Code 50947 describes the related laparoscopic reimplantation without that distinguishing technique.

Is the bladder flap separately reported?

The flap is part of the service represented by 50948. Document its construction and use in the reimplantation in the operative report.

Can this be reported for an open operation?

No. This code describes a laparoscopic approach; an open ureteral reimplantation is represented by a different code.

How is bilateral surgery reported?

CMS prices bilateral reporting with modifier 50 at 150%. The operative documentation should establish that the procedure was performed on both ureters.

What is included in the global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

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 50948PPRRVU2026_Oct_nonQPP.csv, line 6,003 (RVU26D)

Open CMS sourceHow we calculate rates

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