No office rate
Use 50860 when the ureter is brought to the skin. Code 50800 concerns a ureter-to-bowel connection.
On this page
CMS RVU26D · Effective 2026-10-01
50860 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$843.27
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 50860: Ureter-to-skin implantation
Reports surgery that brings a ureter to the skin to create an external urinary drainage route instead of a bowel-based diversion.
Code 50860 represents surgery that brings a ureter to the skin and creates an external route for urine drainage. A urologist typically performs the operation in a hospital operating room when the planned diversion directs urine through a cutaneous opening rather than through bowel or a reconstructed bladder. The operative report should establish that the ureter was implanted at the skin; this is not a code for implanting a ureter into bowel or replacing a ureter with bowel.
Report the service for the operation performed, with documentation identifying the ureter or ureters and the side or sides treated. CMS assigns a 90-day global period, which includes 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%. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50860
- 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 RVU16.65 · 65%
- Practice expense (office) RVU6.67 · 26%
- Malpractice RVU2.14 · 8%
22
Medicare services in 2024 · #5872 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.
50860 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
50860 creates a cutaneous drainage route; 50815 describes urinary diversion to intestine.
No office rate
Choose 50860 for implantation of a ureter at the skin, not a bowel-based urinary diversion.
No office rate
50860 brings the ureter to the skin. Code 50840 is for replacing a ureter with bowel.
The same code, a different location
How does Delaware compare?
50860 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 50860
Office
Unavailable
Facility
$791.52
No comparable office rate is available.
Arkansas
Arkansas · 50860
Office
Unavailable
Facility
$784.31
No comparable office rate is available.
Arizona
Arizona · 50860
Office
Unavailable
Facility
$833.19
No comparable office rate is available.
Bakersfield
California · 50860
Office
Unavailable
Facility
$854.39
No comparable office rate is available.
Chico
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
El Centro
California · 50860
Office
Unavailable
Facility
$848.42
No comparable office rate is available.
Fresno
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Hanford-Corcoran
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Madera
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Merced
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Modesto
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Napa
California · 50860
Office
Unavailable
Facility
$921.10
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 50860
Office
Unavailable
Facility
$879.56
No comparable office rate is available.
Redding
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Rest Of California
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 50860
Office
Unavailable
Facility
$871.28
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 50860
Office
Unavailable
Facility
$873.56
No comparable office rate is available.
Salinas
California · 50860
Office
Unavailable
Facility
$869.88
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 50860
Office
Unavailable
Facility
$878.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 50860
Office
Unavailable
Facility
$955.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 50860
Office
Unavailable
Facility
$953.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 50860
Office
Unavailable
Facility
$976.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 50860
Office
Unavailable
Facility
$966.93
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 50860
Office
Unavailable
Facility
$857.64
No comparable office rate is available.
Santa Cruz-Watsonville
California · 50860
Office
Unavailable
Facility
$876.80
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 50860
Office
Unavailable
Facility
$869.77
No comparable office rate is available.
Santa Rosa-Petaluma
California · 50860
Office
Unavailable
Facility
$884.70
No comparable office rate is available.
Stockton
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Vallejo
California · 50860
Office
Unavailable
Facility
$917.60
No comparable office rate is available.
Visalia
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Yuba City
California · 50860
Office
Unavailable
Facility
$848.06
No comparable office rate is available.
Colorado
Colorado · 50860
Office
Unavailable
Facility
$855.66
No comparable office rate is available.
Connecticut
Connecticut · 50860
Office
Unavailable
Facility
$893.67
No comparable office rate is available.
Fort Lauderdale
Florida · 50860
Office
Unavailable
Facility
$911.04
No comparable office rate is available.
Rest Of Florida
Florida · 50860
Office
Unavailable
Facility
$876.54
No comparable office rate is available.
Atlanta
Georgia · 50860
Office
Unavailable
Facility
$869.99
No comparable office rate is available.
Rest Of Georgia
Georgia · 50860
Office
Unavailable
Facility
$840.05
No comparable office rate is available.
Hawaii, Guam
Hawaii · 50860
Office
Unavailable
Facility
$850.82
No comparable office rate is available.
Iowa
Iowa · 50860
Office
Unavailable
Facility
$788.35
No comparable office rate is available.
Idaho
Idaho · 50860
Office
Unavailable
Facility
$794.90
No comparable office rate is available.
East St. Louis
Illinois · 50860
Office
Unavailable
Facility
$905.04
No comparable office rate is available.
Rest Of Illinois
Illinois · 50860
Office
Unavailable
Facility
$871.25
No comparable office rate is available.
Suburban Chicago
Illinois · 50860
Office
Unavailable
Facility
$915.48
No comparable office rate is available.
Indiana
Indiana · 50860
Office
Unavailable
Facility
$797.38
No comparable office rate is available.
Kansas
Kansas · 50860
Office
Unavailable
Facility
$793.55
No comparable office rate is available.
Kentucky
Kentucky · 50860
Office
Unavailable
Facility
$819.58
No comparable office rate is available.
New Orleans
Louisiana · 50860
Office
Unavailable
Facility
$846.96
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 50860
Office
Unavailable
Facility
$821.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 50860
Office
Unavailable
Facility
$908.55
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 50860
Office
Unavailable
Facility
$856.58
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 50860
Office
Unavailable
Facility
$892.49
No comparable office rate is available.
Rest Of Maryland
Maryland · 50860
Office
Unavailable
Facility
$852.76
No comparable office rate is available.
Rest Of Maine
Maine · 50860
Office
Unavailable
Facility
$805.55
No comparable office rate is available.
Southern Maine
Maine · 50860
Office
Unavailable
Facility
$822.01
No comparable office rate is available.
Detroit
Michigan · 50860
Office
Unavailable
Facility
$891.62
No comparable office rate is available.
Rest Of Michigan
Michigan · 50860
Office
Unavailable
Facility
$840.23
No comparable office rate is available.
Minnesota
Minnesota · 50860
Office
Unavailable
Facility
$806.53
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 50860
Office
Unavailable
Facility
$835.15
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 50860
Office
Unavailable
Facility
$839.84
No comparable office rate is available.
Rest Of Missouri
Missouri · 50860
Office
Unavailable
Facility
$817.78
No comparable office rate is available.
Mississippi
Mississippi · 50860
Office
Unavailable
Facility
$800.76
No comparable office rate is available.
Montana**
Montana · 50860
Office
Unavailable
Facility
$850.24
No comparable office rate is available.
North Carolina
North Carolina · 50860
Office
Unavailable
Facility
$809.66
No comparable office rate is available.
North Dakota**
North Dakota · 50860
Office
Unavailable
Facility
$807.93
No comparable office rate is available.
Nebraska
Nebraska · 50860
Office
Unavailable
Facility
$788.77
No comparable office rate is available.
New Hampshire
New Hampshire · 50860
Office
Unavailable
Facility
$850.59
No comparable office rate is available.
Northern Nj
New Jersey · 50860
Office
Unavailable
Facility
$925.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 50860
Office
Unavailable
Facility
$900.06
No comparable office rate is available.
New Mexico
New Mexico · 50860
Office
Unavailable
Facility
$846.26
No comparable office rate is available.
Nevada**
Nevada · 50860
Office
Unavailable
Facility
$838.67
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 50860
Office
Unavailable
Facility
$989.34
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 50860
Office
Unavailable
Facility
$911.59
No comparable office rate is available.
Queens
New York · 50860
Office
Unavailable
Facility
$958.12
No comparable office rate is available.
Rest Of New York
New York · 50860
Office
Unavailable
Facility
$818.02
No comparable office rate is available.
Ohio
Ohio · 50860
Office
Unavailable
Facility
$831.58
No comparable office rate is available.
Oklahoma
Oklahoma · 50860
Office
Unavailable
Facility
$810.61
No comparable office rate is available.
Portland
Oregon · 50860
Office
Unavailable
Facility
$865.72
No comparable office rate is available.
Rest Of Oregon
Oregon · 50860
Office
Unavailable
Facility
$828.27
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 50860
Office
Unavailable
Facility
$883.33
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 50860
Office
Unavailable
Facility
$828.19
No comparable office rate is available.
Puerto Rico
Puerto Rico · 50860
Office
Unavailable
Facility
$851.77
No comparable office rate is available.
Rhode Island
Rhode Island · 50860
Office
Unavailable
Facility
$860.59
No comparable office rate is available.
South Carolina
South Carolina · 50860
Office
Unavailable
Facility
$822.73
No comparable office rate is available.
South Dakota**
South Dakota · 50860
Office
Unavailable
Facility
$802.93
No comparable office rate is available.
Tennessee
Tennessee · 50860
Office
Unavailable
Facility
$797.02
No comparable office rate is available.
Austin
Texas · 50860
Office
Unavailable
Facility
$856.27
No comparable office rate is available.
Beaumont
Texas · 50860
Office
Unavailable
Facility
$825.26
No comparable office rate is available.
Brazoria
Texas · 50860
Office
Unavailable
Facility
$837.11
No comparable office rate is available.
Dallas
Texas · 50860
Office
Unavailable
Facility
$844.35
No comparable office rate is available.
Fort Worth
Texas · 50860
Office
Unavailable
Facility
$843.05
No comparable office rate is available.
Galveston
Texas · 50860
Office
Unavailable
Facility
$840.98
No comparable office rate is available.
Houston
Texas · 50860
Office
Unavailable
Facility
$880.15
No comparable office rate is available.
Rest Of Texas
Texas · 50860
Office
Unavailable
Facility
$832.09
No comparable office rate is available.
Utah
Utah · 50860
Office
Unavailable
Facility
$829.73
No comparable office rate is available.
Virginia
Virginia · 50860
Office
Unavailable
Facility
$825.59
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 50860
Office
Unavailable
Facility
$851.77
No comparable office rate is available.
Vermont
Vermont · 50860
Office
Unavailable
Facility
$812.85
No comparable office rate is available.
Rest Of Washington
Washington · 50860
Office
Unavailable
Facility
$852.34
No comparable office rate is available.
Seattle (King Cnty)
Washington · 50860
Office
Unavailable
Facility
$915.68
No comparable office rate is available.
Wisconsin
Wisconsin · 50860
Office
Unavailable
Facility
$791.57
No comparable office rate is available.
West Virginia
West Virginia · 50860
Office
Unavailable
Facility
$852.01
No comparable office rate is available.
Wyoming**
Wyoming · 50860
Office
Unavailable
Facility
$831.80
No comparable office rate is available.
See how rates vary across the country
50860 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 50860 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$927.60
$843.27 × 110% = $927.60
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 50860 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,996
- Code
- 50860
- Physician work
- 16.65
- Practice expense
- 6.67
- Malpractice
- 2.14
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.65 | × 1.005 | 16.7332 |
| Practice expense | 6.67 | × 0.988 | 6.5900 |
| Malpractice | 2.14 | × 0.899 | 1.9239 |
| Total RVUs | 25.2471 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$843.27
Open 50860 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.65 | 1.005 |
| Practice expense | 6.67 | 0.988 |
| Malpractice | 2.14 | 0.899 |
(16.65 × 1.005 + 6.67 × 0.988 + 2.14 × 0.899) × $33.4009 = $843.27
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
50860 · 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 | $843.27 | RVU26D |
| 2026-07-01 | Not available in this setting | $843.27 | RVU26C |
| 2026-04-01 | Not available in this setting | $843.27 | RVU26B |
| 2026-01-01 | Not available in this setting | $843.27 | RVU26A |
| 2025-10-01 | Not available in this setting | $916.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $916.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $916.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $916.84 | RVU25A |
50860 billing questions
How is 50860 different from implanting a ureter into bowel?
50860 is for bringing the ureter to the skin for external drainage. Code 50800 describes a bowel connection rather than a cutaneous outlet.
What operative documentation supports 50860?
The report should show that the surgeon brought and implanted the ureter at the skin. Document the side or sides treated and any other procedures performed in the session.
How is bilateral 50860 reported?
When the procedure is bilateral, report modifier 50; CMS pays the bilateral procedure at 150%.
Are related postoperative visits included?
Yes. 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 services may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
5,99350830,,Revise urine flow,A,,32.93,10.70,NA,10.70,,4.23,47.86,47.86,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99450840,,Replace ureter by bowel,A,,21.83,8.40,NA,8.40,,2.81,33.04,33.04,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99550845,,Appendico-vesicostomy,A,,21.90,9.07,NA,9.07,,2.82,33.79,33.79,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99650860,,Transplant ureter to skin,A,,16.65,6.67,NA,6.67,,2.14,25.46,25.46,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99750900,,Repair of ureter,A,,14.66,6.25,NA,6.25,,1.88,22.79,22.79,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99850920,,Closure ureter/skin fistula,A,,15.41,6.41,NA,6.41,,1.98,23.80,23.80,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99950930,,Closure ureter/bowel fistula,A,,19.69,7.30,NA,7.30,,2.53,29.52,29.52,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503