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Billing code 50100: Renal vessel surgeryMedicare rate & RVUs

Reports operative transposition or repositioning of an aberrant renal vessel, commonly to relieve obstruction associated with a crossing vessel near the ureteropelvic junction.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,024.74 for 50100 nationally in a facility.

Medicare rate · 50100

Renal vessel surgery

Swap in your local Medicare rate.

Work RVUs
17.01
Total RVUs
30.68
Global days
090

National rate · 2026

$1,024.74

Facility setting, before claim adjustments.

See every locality for 50100 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 50100 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 50100 covers

A urologist or other surgeon repositions an abnormally located renal vessel when its course creates a problem such as compression near the ureteropelvic junction. A common clinical context is a crossing vessel associated with impaired drainage from the kidney. The operative work centers on moving the vessel; this is distinct from opening or reconstructing the renal pelvis. The service is generally performed in an operating room.

Report 50100 when the operative documentation supports actual transposition or repositioning of the aberrant renal vessel. Document the vessel involved, its abnormal course, the clinical reason for moving it, and the work performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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 50100 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

50100 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$920.81
Alaska*Unavailable$1,260.55
ArizonaUnavailable$993.45
ArkansasUnavailable$908.20
AtlantaUnavailable$1,061.80
AustinUnavailable$1,026.28
BakersfieldUnavailable$1,005.52
Baltimore/Surr. CntysUnavailable$1,092.03
BeaumontUnavailable$986.53
BrazoriaUnavailable$993.18

50100 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
50100 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 50100 rate is calculated

Each of 50100’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 · 50100

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 17.01Practice expense 9.13Malpractice 4.54

30.6800 adjusted RVUs×$33.4009 conversion factor=$1,024.74

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 50100

50100 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50100

Renal vessel surgery

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 · 50100

Renal vessel surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

50100 without 50 · national facility

$1,024.74

Renal vessel surgery

50100-50 · Bilateral: 150%

$1,537.11

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

50100 compared with similar codes

Compare codes

50100 vs 50400 vs 50405 vs 50544: national Medicare rates

Swap in your local Medicare rate.

  • 50100
    Renal vessel surgery · 17.01 wRVU
    —
  • 50400
    Pyeloplasty · 20.74 wRVU
    —
  • 50405
    Pyeloplasty · 25.21 wRVU
    —
  • 50544
    Pyeloplasty · 22.79 wRVU
    —

How to choose

50400Pyeloplasty
50100 moves an aberrant renal vessel; 50400 describes pyeloplasty, which reconstructs the renal pelvis or ureteropelvic junction.
50405Pyeloplasty
Choose 50405 for complex pyeloplasty work, not solely because an aberrant vessel is repositioned.
50544Pyeloplasty
50544 describes laparoscopic pyeloplasty. It is distinguished by laparoscopic reconstruction of the drainage junction rather than transposition of a renal vessel.

Codes related to 50100

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

Codes related to 50100
CodeHow it relatesNational office range
Used instead
50400PyeloplastyPyeloplasty addresses drainage-junction reconstruction rather than repositioning the aberrant vessel.No office rate
50405PyeloplastyA complex pyeloplasty is a reconstructive alternative when the operative work is at the renal pelvis or junction.No office rate
50544PyeloplastyLaparoscopic pyeloplasty treats junctional obstruction through reconstruction, not vessel repositioning.No office rate

50100 billing questions

When should 50100 be chosen instead of a pyeloplasty code?

Use 50100 for operative repositioning or transposition of an aberrant renal vessel. A pyeloplasty describes reconstruction of the renal pelvis or ureteropelvic junction rather than vessel movement.

Can 50100 be reported with a pyeloplasty?

The services describe different operative work: vessel repositioning and reconstruction of the urinary drainage junction. If both are performed, the record should distinguish the work, and applicable coding edits should be reviewed.

What documentation supports 50100?

Document the renal vessel’s abnormal course, the related clinical problem, and the operative steps that transposed or repositioned it. Include laterality when relevant to the procedure.

How is bilateral 50100 reported?

For a bilateral procedure, CMS payment is 150% when modifier 50 is used.

What postoperative care is included?

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

Can an assistant or co-surgeon be paid?

Assistant-at-surgery payment may be made. 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 50100PPRRVU2026_Oct_nonQPP.csv, line 5,876 (RVU26D)

Open CMS sourceHow we calculate rates

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