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Billing code 50660: UreterectomyMedicare rate & RVUs

Reports removal of a diseased ureteral segment followed by reimplantation of the remaining ureter into the bladder, typically during reconstructive surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,021.73 for 50660 nationally in a facility.

Medicare rate · 50660

Ureterectomy

Work RVUs
20.49
Total RVUs
30.59
Global days
090

National rate · 2026

$1,021.73

Facility setting, before claim adjustments.

See every locality for 50660 →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 50660 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 50660 covers

A urologist removes the involved portion of a ureter and reconnects the remaining ureter to the bladder. The operation may be performed for a distal ureteral tumor, stricture, or injury when the affected segment must be excised and urinary drainage restored. It is a surgical service performed in an operating room; the code reflects both ureteral removal and bladder reimplantation, not reimplantation alone.

Select this code when the operative report supports ureteral excision with reimplantation into the bladder. Document the location and extent of the removed ureter, the reason for excision, and the reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. 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 50660 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

50660 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$952.42
Alaska*Unavailable$1,340.70
ArizonaUnavailable$1,001.35
ArkansasUnavailable$943.95
AtlantaUnavailable$1,045.44
AustinUnavailable$1,027.56
BakersfieldUnavailable$1,024.34
Baltimore/Surr. CntysUnavailable$1,071.72
BeaumontUnavailable$993.04
BrazoriaUnavailable$1,005.64

50660 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
50660 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 50660 rate is calculated

Each of 50660’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 · 50660

RVUs × geographic indexes × conversion factor

Work20.49

20.49 RVUs× 1.000 GPCI

Practice expense7.47

7.47 RVUs× 1.000 GPCI

Malpractice2.63

2.63 RVUs× 1.000 GPCI

Adjusted RVUs

30.5900

Conversion factor

$33.4009

Medicare rate

$1,021.73

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

Payment rules and modifiers for 50660

50660 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50660

Ureterectomy

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)0The 150% bilateral adjustment doesn’t apply.
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 · 50660

Ureterectomy

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 51 · payment effect

With and without the modifier

50660 without 51 · national facility

$1,021.73

Ureterectomy

50660-51 · Second procedure: 50%

$510.87

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

50660 compared with similar codes

Compare codes · National

4 codes, side by side

  • 50660

    Ureterectomy20.49 wRVU

    Not priced

  • 50650

    Ureterectomy18.35 wRVU

    Not priced

  • 50780

    Ureter reimplantation19.45 wRVU

    Not priced

  • 50610

    Ureteral stone removal16.82 wRVU

    Not priced

How to choose

50650Ureterectomy
50660 includes reimplantation of the remaining ureter into the bladder after removal. 50650 is distinguished by removal with a bladder cuff.
50780Ureter reimplantation
50780 describes ureter-to-bladder anastomosis; use 50660 when the service also includes ureteral excision.
50610Ureteral stone removal
50610 is for ureteral stone removal, not excision of a ureteral segment followed by bladder reimplantation.

Codes related to 50660

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

Codes related to 50660
CodeHow it relatesNational office range
Same family
50650UreterectomyUreteral removal with a bladder cuff; distinguish by the documented operative work.No office rate
Used instead
50780Ureter reimplantationUreter-to-bladder anastomosis when ureteral excision is not the service being reported.No office rate
50700Ureter repairUreteroplasty for reconstructive repair rather than ureteral removal with bladder reimplantation.No office rate

50660 billing questions

When should this code be selected instead of 50650?

Use 50660 when the ureter is removed and the remaining ureter is reimplanted into the bladder. Code 50650 describes ureteral removal with a bladder cuff, not this reimplantation service.

Can the bladder reimplantation be reported separately?

The reimplantation is part of the service represented by 50660. Do not separately report a code for that same reimplantation work.

Should modifier 50 be appended for bilateral ureterectomy?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What documentation supports reporting 50660?

The operative report should identify the ureteral segment removed and document reimplantation of the remaining ureter into the bladder, along with the clinical reason for excision.

What postoperative care is included?

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

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 50660PPRRVU2026_Oct_nonQPP.csv, line 5,964 (RVU26D)

Open CMS sourceHow we calculate rates

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