No office rate
50800 describes direct implantation of the ureter into bowel. This code represents a different ureter-bowel fusion service; use the operative report's description of the technique to select.
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CMS RVU26D · Effective 2026-10-01
50810 Ureter-bowel connection Medicare reimbursement rates
Reports an operation connecting a ureter to bowel to redirect urine, when the documented surgical technique matches this ureter-bowel fusion service. Compare 50810 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 50810?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 50810 pays more and less
Urologic surgery
About 50810: Ureter-to-bowel surgical connection
Reports an operation connecting a ureter to bowel to redirect urine, when the documented surgical technique matches this ureter-bowel fusion service.
A urologist performs this operation to connect a ureter with bowel so urine can drain into the intestinal tract. It may be part of urinary reconstruction or diversion, typically in a hospital operating room. The operative report should identify the ureter and bowel involved and describe the connection actually created; the code is not a general label for every urinary diversion or bowel reconstruction.
Select the code from the documented procedure, distinguishing this ureter-bowel fusion from direct ureter implantation, replacement of a ureter with bowel, or construction of a bowel bladder. 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 other procedures are subject to the standard 50% multiple-procedure reduction. CMS treats this as a single coded operation rather than a modifier-50 bilateral service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 50810
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU22.04 · 55%
- Practice expense (office) RVU11.88 · 30%
- Malpractice RVU5.89 · 15%
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.
50810 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
50840 replaces a ureter with bowel. This code connects a ureter to bowel without describing replacement of the ureter by an intestinal segment.
No office rate
50820 describes construction of a bowel bladder. This code is for a ureter-to-bowel connection, not creation of a bladder from bowel.
No office rate
50825 is another bowel-bladder construction service. Select this code when the documented operation is ureter-bowel fusion rather than bowel-bladder construction.
See how rates vary across the country
50810 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 50810 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1194.71 |
| Alaska* | Office Unavailable | Facility $1635.23 |
| Arizona | Office Unavailable | Facility $1289.06 |
| Arkansas | Office Unavailable | Facility $1178.33 |
| Atlanta | Office Unavailable | Facility $1377.79 |
| Austin | Office Unavailable | Facility $1331.75 |
| Bakersfield | Office Unavailable | Facility $1304.85 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1417.06 |
| Beaumont | Office Unavailable | Facility $1280.01 |
| Brazoria | Office Unavailable | Facility $1288.73 |
| Chicago | Office Unavailable | Facility $1591.59 |
| Chico | Office Unavailable | Facility $1289.01 |
| Colorado | Office Unavailable | Facility $1320.83 |
| Connecticut | Office Unavailable | Facility $1416.28 |
| Dallas | Office Unavailable | Facility $1306.79 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1462.30 |
| Delaware | Office Unavailable | Facility $1308.74 |
| Detroit | Office Unavailable | Facility $1450.76 |
| East St. Louis | Office Unavailable | Facility $1497.43 |
| El Centro | Office Unavailable | Facility $1290.00 |
| Fort Lauderdale | Office Unavailable | Facility $1493.81 |
| Fort Worth | Office Unavailable | Facility $1305.38 |
| Fresno | Office Unavailable | Facility $1289.01 |
| Galveston | Office Unavailable | Facility $1298.96 |
| Hanford-Corcoran | Office Unavailable | Facility $1289.01 |
| Hawaii, Guam | Office Unavailable | Facility $1301.23 |
| Houston | Office Unavailable | Facility $1406.77 |
| Idaho | Office Unavailable | Facility $1194.27 |
| Indiana | Office Unavailable | Facility $1199.60 |
| Iowa | Office Unavailable | Facility $1177.33 |
| Kansas | Office Unavailable | Facility $1194.02 |
| Kentucky | Office Unavailable | Facility $1268.92 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1366.39 |
| Madera | Office Unavailable | Facility $1289.01 |
| Manhattan | Office Unavailable | Facility $1556.37 |
| Merced | Office Unavailable | Facility $1289.01 |
| Metropolitan Boston | Office Unavailable | Facility $1415.21 |
| Metropolitan Kansas City | Office Unavailable | Facility $1300.96 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1397.18 |
| Metropolitan St. Louis | Office Unavailable | Facility $1311.04 |
| Miami | Office Unavailable | Facility $1646.76 |
| Minnesota | Office Unavailable | Facility $1202.70 |
| Mississippi | Office Unavailable | Facility $1223.19 |
| Modesto | Office Unavailable | Facility $1289.01 |
| Montana** | Office Unavailable | Facility $1329.30 |
| Napa | Office Unavailable | Facility $1405.46 |
| Nebraska | Office Unavailable | Facility $1176.77 |
| Nevada** | Office Unavailable | Facility $1297.23 |
| New Hampshire | Office Unavailable | Facility $1321.37 |
| New Mexico | Office Unavailable | Facility $1336.30 |
| New Orleans | Office Unavailable | Facility $1333.03 |
| North Carolina | Office Unavailable | Facility $1232.08 |
| North Dakota** | Office Unavailable | Facility $1212.83 |
| Northern Nj | Office Unavailable | Facility $1452.93 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1620.40 |
| Ohio | Office Unavailable | Facility $1296.74 |
| Oklahoma | Office Unavailable | Facility $1243.36 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1348.35 |
| Portland | Office Unavailable | Facility $1335.15 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1441.83 |
| Puerto Rico | Office Unavailable | Facility $1331.10 |
| Queens | Office Unavailable | Facility $1535.98 |
| Redding | Office Unavailable | Facility $1289.01 |
| Rest Of California | Office Unavailable | Facility $1289.01 |
| Rest Of Florida | Office Unavailable | Facility $1411.19 |
| Rest Of Georgia | Office Unavailable | Facility $1324.61 |
| Rest Of Illinois | Office Unavailable | Facility $1405.93 |
| Rest Of Louisiana | Office Unavailable | Facility $1275.79 |
| Rest Of Maine | Office Unavailable | Facility $1223.58 |
| Rest Of Maryland | Office Unavailable | Facility $1325.68 |
| Rest Of Massachusetts | Office Unavailable | Facility $1322.56 |
| Rest Of Michigan | Office Unavailable | Facility $1320.55 |
| Rest Of Missouri | Office Unavailable | Facility $1269.82 |
| Rest Of New Jersey | Office Unavailable | Facility $1414.72 |
| Rest Of New York | Office Unavailable | Facility $1251.42 |
| Rest Of Oregon | Office Unavailable | Facility $1269.67 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1286.33 |
| Rest Of Texas | Office Unavailable | Facility $1290.37 |
| Rest Of Washington | Office Unavailable | Facility $1313.27 |
| Rhode Island | Office Unavailable | Facility $1335.52 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1352.11 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1329.59 |
| Salinas | Office Unavailable | Facility $1324.32 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1339.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1455.88 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1449.19 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1494.77 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1467.42 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1306.08 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1339.18 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1324.89 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1350.96 |
| Seattle (King Cnty) | Office Unavailable | Facility $1420.57 |
| South Carolina | Office Unavailable | Facility $1270.02 |
| South Dakota** | Office Unavailable | Facility $1199.06 |
| Southern Maine | Office Unavailable | Facility $1253.52 |
| Stockton | Office Unavailable | Facility $1289.01 |
| Suburban Chicago | Office Unavailable | Facility $1497.43 |
| Tennessee | Office Unavailable | Facility $1202.49 |
| Utah | Office Unavailable | Facility $1285.82 |
| Vallejo | Office Unavailable | Facility $1395.82 |
| Vermont | Office Unavailable | Facility $1228.54 |
| Virgin Islands | Office Unavailable | Facility $1331.10 |
| Virginia | Office Unavailable | Facility $1265.11 |
| Visalia | Office Unavailable | Facility $1289.01 |
| West Virginia | Office Unavailable | Facility $1362.50 |
| Wisconsin | Office Unavailable | Facility $1176.89 |
| Wyoming** | Office Unavailable | Facility $1278.54 |
| Yuba City | Office Unavailable | Facility $1289.01 |
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50810 billing questions
How is this code distinguished from 50800?
50800 describes direct implantation of a ureter into bowel. Choose based on the operative technique documented; this code represents the ureter-bowel fusion service.
Is this code for replacing a ureter with bowel?
No. Replacement of a ureter with bowel is a different reconstructive service, represented by 50840. This code covers a ureter-to-bowel connection.
What documentation supports reporting this procedure?
The operative report should identify the ureter and bowel involved and describe the connection created. Documentation should support that the work was ureter-to-bowel fusion rather than another urinary diversion or reconstruction.
Can modifier 50 be used for a bilateral operation?
CMS treats this as a single coded operation rather than a modifier-50 bilateral service. Report the procedure according to the applicable code and operative documentation.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,98650783,,Reimplant ureter in bladder,A,,20.18,7.40,NA,7.40,,2.60,30.18,30.18,0,090,0.08,0.83,0.09,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98750785,,Reimplant ureter in bladder,A,,21.67,7.84,NA,7.84,,2.97,32.48,32.48,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98850800,,Implant ureter in bowel,A,,16.00,6.86,NA,6.86,,2.06,24.92,24.92,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98950810,,Fusion of ureter & bowel,A,,22.04,11.88,NA,11.88,,5.89,39.81,39.81,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99050815,,Urine shunt to intestine,A,,21.70,8.37,NA,8.37,,2.78,32.85,32.85,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99150820,,Construct bowel bladder,A,,23.47,8.57,NA,8.57,,3.25,35.29,35.29,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99250825,,Construct bowel bladder,A,,29.91,10.08,NA,10.08,,3.85,43.84,43.84,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00