50815 specifies drainage into the sigmoid colon. Select 50810 when the documented ureter-to-colon procedure matches that code's bowel-site description instead.
On this page
CMS RVU26D · Effective 2026-10-01
50815 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1104.30
Base rate per service
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.
Urologic surgery
About 50815: Ureter-to-sigmoid urinary diversion
Reports urinary diversion by connecting the ureters to the sigmoid colon so urine drains into the bowel rather than a bladder or external conduit.
A ureterosigmoidostomy routes urine from the ureters into the sigmoid colon, where it leaves the body with bowel contents. A urologist typically performs this major reconstructive operation in a hospital operating room, often when the bladder has been removed or cannot serve as a functional reservoir. The procedure involves joining the ureters to the sigmoid bowel; it does not create a separate cutaneous urinary stoma or an isolated continent reservoir.
Select this code when the operative report documents urinary drainage through the sigmoid colon. Distinguish it from diversion with a constructed conduit or continent reservoir, and from other ureter-to-bowel connections based on the actual reconstruction performed. Documentation should identify the bowel segment, ureteral connections, and intended route of urine drainage. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. For bilateral reporting with modifier 50, payment is at 150%. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 50815
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU21.70 · 66%
- Practice expense (office) RVU8.37 · 25%
- Malpractice RVU2.78 · 8%
27
Medicare services in 2024 · #5742 by national volume
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.
50815 compared with similar codes
Office rates for Austin, from the same CMS release.
50820 describes diversion with construction of a conduit, such as an ileal conduit. 50815 routes urine into the sigmoid colon.
50825 involves construction of a continent urinary reservoir; 50815 connects the ureters to the sigmoid colon for drainage.
50800 covers a ureter-to-intestine anastomosis without the specific ureterosigmoidostomy designation. Use 50815 when the operative report identifies the sigmoid route.
The same code, a different location
How does Austin compare?
50815 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 50815
Office
Unavailable
Facility
$1073.95
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 50815
Office
Unavailable
Facility
$1146.90
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 50815
Office
Unavailable
Facility
$1196.61
No comparable office rate is available.
Miami
Florida · 50815
Office
Unavailable
Facility
$1250.66
No comparable office rate is available.
Chicago
Illinois · 50815
Office
Unavailable
Facility
$1223.94
No comparable office rate is available.
Manhattan
New York · 50815
Office
Unavailable
Facility
$1243.31
No comparable office rate is available.
Alaska*
Alaska · 50815
Office
Unavailable
Facility
$1436.10
No comparable office rate is available.
Alabama
Alabama · 50815
Office
Unavailable
Facility
$1021.98
No comparable office rate is available.
Arkansas
Arkansas · 50815
Office
Unavailable
Facility
$1012.77
No comparable office rate is available.
Arizona
Arizona · 50815
Office
Unavailable
Facility
$1075.18
No comparable office rate is available.
Bakersfield
California · 50815
Office
Unavailable
Facility
$1101.52
No comparable office rate is available.
Chico
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
El Centro
California · 50815
Office
Unavailable
Facility
$1093.76
No comparable office rate is available.
Fresno
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Hanford-Corcoran
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Madera
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Merced
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Modesto
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Napa
California · 50815
Office
Unavailable
Facility
$1186.10
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 50815
Office
Unavailable
Facility
$1133.39
No comparable office rate is available.
Redding
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Rest Of California
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 50815
Office
Unavailable
Facility
$1123.45
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 50815
Office
Unavailable
Facility
$1125.80
No comparable office rate is available.
Salinas
California · 50815
Office
Unavailable
Facility
$1121.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 50815
Office
Unavailable
Facility
$1131.23
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 50815
Office
Unavailable
Facility
$1230.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 50815
Office
Unavailable
Facility
$1227.31
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 50815
Office
Unavailable
Facility
$1257.43
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 50815
Office
Unavailable
Facility
$1244.52
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 50815
Office
Unavailable
Facility
$1105.32
No comparable office rate is available.
Santa Cruz-Watsonville
California · 50815
Office
Unavailable
Facility
$1129.46
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 50815
Office
Unavailable
Facility
$1120.84
No comparable office rate is available.
Santa Rosa-Petaluma
California · 50815
Office
Unavailable
Facility
$1139.62
No comparable office rate is available.
Stockton
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Vallejo
California · 50815
Office
Unavailable
Facility
$1181.55
No comparable office rate is available.
Visalia
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Yuba City
California · 50815
Office
Unavailable
Facility
$1093.29
No comparable office rate is available.
Colorado
Colorado · 50815
Office
Unavailable
Facility
$1103.47
No comparable office rate is available.
Connecticut
Connecticut · 50815
Office
Unavailable
Facility
$1152.74
No comparable office rate is available.
Delaware
Delaware · 50815
Office
Unavailable
Facility
$1088.11
No comparable office rate is available.
Fort Lauderdale
Florida · 50815
Office
Unavailable
Facility
$1175.88
No comparable office rate is available.
Rest Of Florida
Florida · 50815
Office
Unavailable
Facility
$1131.62
No comparable office rate is available.
Atlanta
Georgia · 50815
Office
Unavailable
Facility
$1122.53
No comparable office rate is available.
Rest Of Georgia
Georgia · 50815
Office
Unavailable
Facility
$1084.85
No comparable office rate is available.
Hawaii, Guam
Hawaii · 50815
Office
Unavailable
Facility
$1096.43
No comparable office rate is available.
Iowa
Iowa · 50815
Office
Unavailable
Facility
$1017.47
No comparable office rate is available.
Idaho
Idaho · 50815
Office
Unavailable
Facility
$1025.92
No comparable office rate is available.
East St. Louis
Illinois · 50815
Office
Unavailable
Facility
$1169.01
No comparable office rate is available.
Rest Of Illinois
Illinois · 50815
Office
Unavailable
Facility
$1125.17
No comparable office rate is available.
Suburban Chicago
Illinois · 50815
Office
Unavailable
Facility
$1181.53
No comparable office rate is available.
Indiana
Indiana · 50815
Office
Unavailable
Facility
$1029.08
No comparable office rate is available.
Kansas
Kansas · 50815
Office
Unavailable
Facility
$1024.33
No comparable office rate is available.
Kentucky
Kentucky · 50815
Office
Unavailable
Facility
$1058.30
No comparable office rate is available.
New Orleans
Louisiana · 50815
Office
Unavailable
Facility
$1093.35
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 50815
Office
Unavailable
Facility
$1061.17
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 50815
Office
Unavailable
Facility
$1170.96
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 50815
Office
Unavailable
Facility
$1104.78
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 50815
Office
Unavailable
Facility
$1151.23
No comparable office rate is available.
Rest Of Maryland
Maryland · 50815
Office
Unavailable
Facility
$1100.21
No comparable office rate is available.
Rest Of Maine
Maine · 50815
Office
Unavailable
Facility
$1039.76
No comparable office rate is available.
Southern Maine
Maine · 50815
Office
Unavailable
Facility
$1060.44
No comparable office rate is available.
Detroit
Michigan · 50815
Office
Unavailable
Facility
$1151.13
No comparable office rate is available.
Rest Of Michigan
Michigan · 50815
Office
Unavailable
Facility
$1084.88
No comparable office rate is available.
Minnesota
Minnesota · 50815
Office
Unavailable
Facility
$1039.96
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 50815
Office
Unavailable
Facility
$1078.03
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 50815
Office
Unavailable
Facility
$1083.99
No comparable office rate is available.
Rest Of Missouri
Missouri · 50815
Office
Unavailable
Facility
$1056.23
No comparable office rate is available.
Mississippi
Mississippi · 50815
Office
Unavailable
Facility
$1034.12
No comparable office rate is available.
Montana**
Montana · 50815
Office
Unavailable
Facility
$1097.03
No comparable office rate is available.
North Carolina
North Carolina · 50815
Office
Unavailable
Facility
$1044.97
No comparable office rate is available.
North Dakota**
North Dakota · 50815
Office
Unavailable
Facility
$1042.06
No comparable office rate is available.
Nebraska
Nebraska · 50815
Office
Unavailable
Facility
$1017.94
No comparable office rate is available.
New Hampshire
New Hampshire · 50815
Office
Unavailable
Facility
$1097.07
No comparable office rate is available.
Northern Nj
New Jersey · 50815
Office
Unavailable
Facility
$1193.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 50815
Office
Unavailable
Facility
$1160.94
No comparable office rate is available.
New Mexico
New Mexico · 50815
Office
Unavailable
Facility
$1092.68
No comparable office rate is available.
Nevada**
Nevada · 50815
Office
Unavailable
Facility
$1081.99
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 50815
Office
Unavailable
Facility
$1276.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 50815
Office
Unavailable
Facility
$1175.89
No comparable office rate is available.
Queens
New York · 50815
Office
Unavailable
Facility
$1235.53
No comparable office rate is available.
Rest Of New York
New York · 50815
Office
Unavailable
Facility
$1055.66
No comparable office rate is available.
Ohio
Ohio · 50815
Office
Unavailable
Facility
$1073.64
No comparable office rate is available.
Oklahoma
Oklahoma · 50815
Office
Unavailable
Facility
$1046.60
No comparable office rate is available.
Portland
Oregon · 50815
Office
Unavailable
Facility
$1116.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 50815
Office
Unavailable
Facility
$1068.52
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 50815
Office
Unavailable
Facility
$1139.65
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 50815
Office
Unavailable
Facility
$1069.19
No comparable office rate is available.
Puerto Rico
Puerto Rico · 50815
Office
Unavailable
Facility
$1098.90
No comparable office rate is available.
Rhode Island
Rhode Island · 50815
Office
Unavailable
Facility
$1110.19
No comparable office rate is available.
South Carolina
South Carolina · 50815
Office
Unavailable
Facility
$1062.04
No comparable office rate is available.
South Dakota**
South Dakota · 50815
Office
Unavailable
Facility
$1035.56
No comparable office rate is available.
Tennessee
Tennessee · 50815
Office
Unavailable
Facility
$1028.79
No comparable office rate is available.
Utah
Utah · 50815
Office
Unavailable
Facility
$1070.97
No comparable office rate is available.
Virginia
Virginia · 50815
Office
Unavailable
Facility
$1065.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 50815
Office
Unavailable
Facility
$1098.90
No comparable office rate is available.
Vermont
Vermont · 50815
Office
Unavailable
Facility
$1048.55
No comparable office rate is available.
Rest Of Washington
Washington · 50815
Office
Unavailable
Facility
$1099.27
No comparable office rate is available.
Seattle (King Cnty)
Washington · 50815
Office
Unavailable
Facility
$1179.93
No comparable office rate is available.
Wisconsin
Wisconsin · 50815
Office
Unavailable
Facility
$1021.22
No comparable office rate is available.
West Virginia
West Virginia · 50815
Office
Unavailable
Facility
$1100.62
No comparable office rate is available.
Wyoming**
Wyoming · 50815
Office
Unavailable
Facility
$1073.08
No comparable office rate is available.
See how rates vary across the country
50815 · 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 50815 in Austin
Multiple payment areas
- 50815 in Barton Creek
- 50815 in Bee Cave
- 50815 in Briarcliff
- 50815 in Cedar Park
Multiple payment areas
- 50815 in Creedmoor
Multiple payment areas
- 50815 in Elgin
Multiple payment areas
- 50815 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 50815 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1214.73
$1104.30 × 110% = $1214.73
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 50815 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,990
- Code
- 50815
- Physician work
- 21.70
- Practice expense
- 8.37
- Malpractice
- 2.78
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.70 | × 1.002 | 21.7434 |
| Practice expense | 8.37 | × 1.058 | 8.8555 |
| Malpractice | 2.78 | × 0.886 | 2.4631 |
| Total RVUs | 33.0619 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1104.30
Open 50815 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.7 | 1.002 |
| Practice expense | 8.37 | 1.058 |
| Malpractice | 2.78 | 0.886 |
(21.7 × 1.002 + 8.37 × 1.058 + 2.78 × 0.886) × $33.4009 = $1104.30
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
50815 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1104.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $1104.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $1104.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $1104.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $1196.14 | RVU25D |
| 2025-07-01 | Not available in this setting | $1196.14 | RVU25C |
| 2025-04-01 | Not available in this setting | $1196.14 | RVU25B |
| 2025-01-01 | Not available in this setting | $1196.14 | RVU25A |
50815 billing questions
When should 50815 be selected instead of a conduit code?
Use 50815 when the ureters drain into the sigmoid colon. A diversion that constructs an ileal conduit is a different reconstruction.
How does 50815 differ from a continent-reservoir diversion?
A ureterosigmoidostomy directs urine into the sigmoid colon. A continent-reservoir procedure constructs a separate storage pouch.
Is the bowel connection separately reported?
The ureter-to-sigmoid connection is part of the diversion represented by 50815. The operative report should establish that this is the route of urinary drainage.
What documentation supports bilateral reporting?
Document the connections for both ureters and report modifier 50 when billing the bilateral procedure. CMS payment for bilateral reporting with modifier 50 is 150%.
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 reported?
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 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.
