CPT code 50948: Ureteral reimplantation, laparoscopic, with bladder flap2026 Medicare rate & RVUs in North Dakota
Reports laparoscopic reimplantation of a ureter into the bladder using a bladder flap to bridge a defect or reach the ureter.
In North Dakota, Medicare pays $1,071.37 for 50948 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50948 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How North Dakota compares for 50948
Across 109 of 109 payment localities, the facility rate for 50948 runs from $1,046.43 in Arkansas to $1,490.35 in Alaska. North Dakota pays $1,071.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$1,071.37
- Los Angeles, CA · California$1,175.83+$104.46
- Washington, DC area · District of Columbia$1,229.93+$158.56
- Miami, FL · Florida$1,295.97+$224.60
- Chicago, IL · Illinois$1,268.62+$197.25
- Manhattan, NY · New York$1,281.32+$209.95
- Alaska · Alaska$1,490.35+$418.98
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,055.65 |
| ArkansasArkansas | — | $1,046.43 |
| ArizonaArizona | — | $1,108.86 |
| Bakersfield, CACalifornia | — | $1,131.05 |
| Chico, CACalifornia | — | $1,122.13 |
| El Centro, CACalifornia | — | $1,122.64 |
| Fresno, CACalifornia | — | $1,122.13 |
| Hanford, CACalifornia | — | $1,122.13 |
| Madera, CACalifornia | — | $1,122.13 |
| Merced, CACalifornia | — | $1,122.13 |
| Modesto, CACalifornia | — | $1,122.13 |
| Napa, CACalifornia | — | $1,211.56 |
| Oxnard, CACalifornia | — | $1,161.36 |
| Redding, CACalifornia | — | $1,122.13 |
| Rest of CaliforniaCalifornia | — | $1,122.13 |
| Riverside, CACalifornia | — | $1,154.89 |
| Sacramento, CACalifornia | — | $1,153.95 |
| Salinas, CACalifornia | — | $1,149.05 |
| San Diego, CACalifornia | — | $1,158.31 |
| Marin County, CACalifornia | — | $1,254.88 |
| San Francisco, CACalifornia | — | $1,251.45 |
| San Benito County, CACalifornia | — | $1,282.44 |
| Santa Clara County, CACalifornia | — | $1,268.42 |
| San Luis Obispo, CACalifornia | — | $1,133.09 |
| Santa Cruz, CACalifornia | — | $1,155.56 |
| Santa Maria, CACalifornia | — | $1,148.51 |
| Santa Rosa, CACalifornia | — | $1,165.86 |
| Stockton, CACalifornia | — | $1,122.13 |
| Vallejo, CACalifornia | — | $1,206.62 |
| Visalia, CACalifornia | — | $1,122.13 |
| Yuba City, CACalifornia | — | $1,122.13 |
| ColoradoColorado | — | $1,134.81 |
| ConnecticutConnecticut | — | $1,187.61 |
| DelawareDelaware | — | $1,121.92 |
| Fort Lauderdale, FLFlorida | — | $1,216.11 |
| Rest of FloridaFlorida | — | $1,170.81 |
| Atlanta, GAGeorgia | — | $1,157.97 |
| Rest of GeorgiaGeorgia | — | $1,123.13 |
| Hawaii, Guam, HIHawaii | — | $1,123.74 |
| IowaIowa | — | $1,048.80 |
| IdahoIdaho | — | $1,057.74 |
| East St. Louis, ILIllinois | — | $1,213.18 |
| Rest of IllinoisIllinois | — | $1,165.91 |
| Suburban Chicago, ILIllinois | — | $1,221.47 |
| IndianaIndiana | — | $1,060.84 |
| KansasKansas | — | $1,056.79 |
| KentuckyKentucky | — | $1,094.43 |
| New Orleans, LALouisiana | — | $1,129.97 |
| Rest of LouisianaLouisiana | — | $1,097.74 |
| Metropolitan Boston, MAMassachusetts | — | $1,201.43 |
| Rest of MassachusettsMassachusetts | — | $1,136.73 |
| Baltimore area, MDMaryland | — | $1,186.21 |
| Rest of MarylandMaryland | — | $1,133.83 |
| Rest of MaineMaine | — | $1,072.77 |
| Southern Maine, MEMaine | — | $1,091.77 |
| Detroit, MIMichigan | — | $1,191.57 |
| Rest of MichiganMichigan | — | $1,122.13 |
| MinnesotaMinnesota | — | $1,067.67 |
| Metropolitan Kansas City, MOMissouri | — | $1,113.42 |
| Metropolitan St. Louis, MOMissouri | — | $1,119.26 |
| Rest of MissouriMissouri | — | $1,093.50 |
| MississippiMississippi | — | $1,069.54 |
| MontanaMontana | — | $1,131.09 |
| North CarolinaNorth Carolina | — | $1,077.80 |
| NebraskaNebraska | — | $1,048.92 |
| New HampshireNew Hampshire | — | $1,129.13 |
| Northern New JerseyNew Jersey | — | $1,227.78 |
| Rest of New JerseyNew Jersey | — | $1,195.54 |
| New MexicoNew Mexico | — | $1,130.41 |
| NevadaNevada | — | $1,114.70 |
| NYC suburbs and Long Island, NYNew York | — | $1,315.54 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,211.58 |
| Queens, NYNew York | — | $1,271.89 |
| Rest of New YorkNew York | — | $1,088.59 |
| OhioOhio | — | $1,109.92 |
| OklahomaOklahoma | — | $1,081.53 |
| Portland, OROregon | — | $1,146.16 |
| Rest of OregonOregon | — | $1,100.31 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,175.17 |
| Rest of PennsylvaniaPennsylvania | — | $1,104.84 |
| Puerto RicoPuerto Rico | — | $1,132.58 |
| Rhode IslandRhode Island | — | $1,143.54 |
| South CarolinaSouth Carolina | — | $1,096.79 |
| South DakotaSouth Dakota | — | $1,064.31 |
| TennesseeTennessee | — | $1,061.39 |
| Austin, TXTexas | — | $1,136.12 |
| Beaumont, TXTexas | — | $1,101.19 |
| Brazoria, TXTexas | — | $1,113.01 |
| Dallas, TXTexas | — | $1,122.93 |
| Fort Worth, TXTexas | — | $1,121.69 |
| Galveston, TXTexas | — | $1,118.36 |
| Houston, TXTexas | — | $1,173.64 |
| Rest of TexasTexas | — | $1,108.51 |
| UtahUtah | — | $1,105.71 |
| VirginiaVirginia | — | $1,097.30 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,132.58 |
| VermontVermont | — | $1,078.91 |
| Rest of WashingtonWashington | — | $1,130.77 |
| King County, WAWashington | — | $1,209.46 |
| WisconsinWisconsin | — | $1,050.78 |
| West VirginiaWest Virginia | — | $1,141.38 |
| WyomingWyoming | — | $1,105.06 |
50948 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,003
- Code
- 50948
- Physician work
- 23.22
- Practice expense
- 7.63
- Malpractice
- 3.02
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.22 | × 1.000 | 23.2200 |
| Practice expense | 7.63 | × 1.000 | 7.6300 |
| Malpractice | 3.02 | × 0.406 | 1.2261 |
| Total RVUs | 32.0761 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$1071.37
Facility: (23.22 × 1 + 7.63 × 1 + 3.02 × 0.406) × $33.4009 = $1071.37
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
| 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 · 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.
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).
How 50948 has changed in North Dakota
50948 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,071.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,071.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,071.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,071.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,186.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,186.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,186.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,186.84 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,208.14 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,208.14 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,208.14 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,208.14 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,188.42 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,216.21 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,216.21 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,216.21 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,216.21 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,229.46 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,229.46 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,229.46 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,229.46 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,240.80 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,240.80 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,240.80 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,240.80 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,276.81 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,276.81 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,276.81 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,276.81 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,285.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,285.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,285.13 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,285.13 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,287.68 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,287.68 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,287.68 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,287.68 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,280.89 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,280.89 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,280.89 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,280.89 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,271.62 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,271.62 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,271.62 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,271.62 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,273.41 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,273.41 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,267.08 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,267.08 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,259.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,259.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,259.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,259.50 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,212.89 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,212.89 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,212.89 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,212.89 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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