CPT code 50948: Ureteral reimplantation, laparoscopic, with bladder flap2026 Medicare rate & RVUs in Texas
Reports laparoscopic reimplantation of a ureter into the bladder using a bladder flap to bridge a defect or reach the ureter.
CMS doesn’t publish an office rate for 50948 in Texas.
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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On this page 9 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.
Where 50948 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,136.12 |
| Beaumont, TX | Unavailable | $1,101.19 |
| Brazoria, TX | Unavailable | $1,113.01 |
| Dallas, TX | Unavailable | $1,122.93 |
| Fort Worth, TX | Unavailable | $1,121.69 |
| Galveston, TX | Unavailable | $1,118.36 |
| Houston, TX | Unavailable | $1,173.64 |
| Rest of Texas | Unavailable | $1,108.51 |
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.
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).
50948 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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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