Billing code 50840: Ureteral reconstructionMedicare rate & RVUs in Redding
Replaces a damaged or missing ureteral segment with bowel to restore urine flow from the kidney toward the bladder.
In Redding, Medicare pays $1,099.35 for 50840 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50840 nationwide
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 11 sections
What 50840 covers
This operation uses a segment of bowel, commonly ileum, to bridge a damaged or missing portion of a ureter and carry urine toward the bladder. A urologist performs the reconstruction in an operating room, typically for a long ureteral defect or severe stricture that cannot be managed by a shorter repair. The bowel segment is joined to the urinary tract at each end to restore continuity.
Report the code when the bowel segment substitutes for the ureter, not when a ureter is simply implanted into bowel as a diversion. The operative report should identify the affected side or sides, the defect, the bowel segment, and the reconstruction performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one 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.
How Redding compares for 50840
Across 109 of 109 payment localities, the facility rate for 50840 runs from $1,018.49 in Arkansas to $1,444.23 in Alaska*. Redding pays $1,099.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$1,099.35
- Bakersfield · California$1,107.66+$8.31
- Chico · California$1,099.35
- El Centro · California$1,099.82+$0.47
- Fresno · California$1,099.35
- Hanford-Corcoran · California$1,099.35
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$1,153.27+$53.92
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | — | $1,099.35 |
| MercedCalifornia | — | $1,099.35 |
| ModestoCalifornia | — | $1,099.35 |
| NapaCalifornia | — | $1,192.54 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $1,139.66 |
| Rest Of CaliforniaCalifornia | — | $1,099.35 |
| Riverside-San Bernardino-OntarioCalifornia | — | $1,129.83 |
| Sacramento-Roseville-FolsomCalifornia | — | $1,132.00 |
| SalinasCalifornia | — | $1,127.23 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $1,137.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $1,237.09 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $1,233.90 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $1,264.23 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $1,251.19 |
| San Luis Obispo-Paso RoblesCalifornia | — | $1,111.41 |
| Santa Cruz-WatsonvilleCalifornia | — | $1,135.65 |
| Santa Maria-Santa BarbaraCalifornia | — | $1,127.01 |
| Santa Rosa-PetalumaCalifornia | — | $1,145.86 |
| StocktonCalifornia | — | $1,099.35 |
| VallejoCalifornia | — | $1,187.95 |
| VisaliaCalifornia | — | $1,099.35 |
| Yuba CityCalifornia | — | $1,099.35 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $1,203.49 |
| MiamiFlorida | — | $1,258.58 |
| ChicagoIllinois | — | $1,231.62 |
| ManhattanNew York | — | $1,250.68 |
| Alaska*Alaska | — | $1,444.23 |
| AlabamaAlabama | — | $1,027.76 |
| ArkansasArkansas | — | $1,018.49 |
| ArizonaArizona | — | $1,081.35 |
| ColoradoColorado | — | $1,109.72 |
| ConnecticutConnecticut | — | $1,159.46 |
| DelawareDelaware | — | $1,094.37 |
| Fort LauderdaleFlorida | — | $1,183.05 |
| Rest Of FloridaFlorida | — | $1,138.43 |
| AtlantaGeorgia | — | $1,129.11 |
| Rest Of GeorgiaGeorgia | — | $1,091.28 |
| Hawaii, GuamHawaii | — | $1,102.49 |
| IowaIowa | — | $1,023.12 |
| IdahoIdaho | — | $1,031.66 |
| East St. LouisIllinois | — | $1,176.29 |
| Rest Of IllinoisIllinois | — | $1,132.00 |
| Suburban ChicagoIllinois | — | $1,188.70 |
| IndianaIndiana | — | $1,034.84 |
| KansasKansas | — | $1,030.08 |
| KentuckyKentucky | — | $1,064.44 |
| New OrleansLouisiana | — | $1,099.78 |
| Rest Of LouisianaLouisiana | — | $1,067.36 |
| Metropolitan BostonMassachusetts | — | $1,177.57 |
| Rest Of MassachusettsMassachusetts | — | $1,111.05 |
| Baltimore/Surr. CntysMaryland | — | $1,157.96 |
| Rest Of MarylandMaryland | — | $1,106.53 |
| Rest Of MaineMaine | — | $1,045.64 |
| Southern MaineMaine | — | $1,066.41 |
| DetroitMichigan | — | $1,158.13 |
| Rest Of MichiganMichigan | — | $1,091.26 |
| MinnesotaMinnesota | — | $1,045.63 |
| Metropolitan Kansas CityMissouri | — | $1,084.29 |
| Metropolitan St. LouisMissouri | — | $1,090.29 |
| Rest Of MissouriMissouri | — | $1,062.41 |
| MississippiMississippi | — | $1,040.07 |
| Montana**Montana | — | $1,103.38 |
| North CarolinaNorth Carolina | — | $1,050.89 |
| North Dakota**North Dakota | — | $1,047.81 |
| NebraskaNebraska | — | $1,023.58 |
| New HampshireNew Hampshire | — | $1,103.34 |
| Northern NjNew Jersey | — | $1,200.77 |
| Rest Of New JerseyNew Jersey | — | $1,167.65 |
| New MexicoNew Mexico | — | $1,099.14 |
| Nevada**Nevada | — | $1,088.17 |
| Nyc Suburbs/Long IslandNew York | — | $1,283.69 |
| Poughkpsie/N Nyc SuburbsNew York | — | $1,182.74 |
| QueensNew York | — | $1,242.78 |
| Rest Of New YorkNew York | — | $1,061.66 |
| OhioOhio | — | $1,079.91 |
| OklahomaOklahoma | — | $1,052.62 |
| PortlandOregon | — | $1,122.35 |
| Rest Of OregonOregon | — | $1,074.57 |
| Metropolitan PhiladelphiaPennsylvania | — | $1,146.31 |
| Rest Of PennsylvaniaPennsylvania | — | $1,075.40 |
| Puerto RicoPuerto Rico | — | $1,105.24 |
| Rhode IslandRhode Island | — | $1,116.54 |
| South CarolinaSouth Carolina | — | $1,068.16 |
| South Dakota**South Dakota | — | $1,041.25 |
| TennesseeTennessee | — | $1,034.58 |
| AustinTexas | — | $1,110.60 |
| BeaumontTexas | — | $1,071.65 |
| BrazoriaTexas | — | $1,086.23 |
| DallasTexas | — | $1,095.68 |
| Fort WorthTexas | — | $1,094.09 |
| GalvestonTexas | — | $1,091.29 |
| HoustonTexas | — | $1,142.72 |
| Rest Of TexasTexas | — | $1,080.15 |
| UtahUtah | — | $1,077.16 |
| VirginiaVirginia | — | $1,071.20 |
| Virgin IslandsUnited States Virgin Islands | — | $1,105.24 |
| VermontVermont | — | $1,054.39 |
| Rest Of WashingtonWashington | — | $1,105.48 |
| Seattle (King Cnty)Washington | — | $1,186.54 |
| WisconsinWisconsin | — | $1,026.83 |
| West VirginiaWest Virginia | — | $1,107.26 |
| Wyoming**Wyoming | — | $1,079.16 |
50840 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
How the 50840 rate is calculated
Each of 50840’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 · 50840
RVUs × geographic indexes × conversion factor
Work21.83
21.83 RVUs× 1.000 GPCI
Practice expense8.40
8.40 RVUs× 1.000 GPCI
Malpractice2.81
2.81 RVUs× 1.000 GPCI
Adjusted RVUs
33.0400
Conversion factor
$33.4009
Medicare rate
$1,103.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,994
- Code
- 50840
- Physician work
- 21.83
- Practice expense
- 8.40
- Malpractice
- 2.81
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.83 | × 1.017 | 22.2011 |
| Practice expense | 8.40 | × 1.096 | 9.2064 |
| Malpractice | 2.81 | × 0.536 | 1.5062 |
| Total RVUs | 32.9137 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1099.35
Facility: (21.83 × 1.017 + 8.4 × 1.096 + 2.81 × 0.536) × $33.4009 = $1099.35
Payment rules and modifiers for 50840
50840 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50840
Ureteral reconstruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50840
Ureteral reconstruction
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50840 without 50 · national facility
$1,103.57
Ureteral reconstruction
50840-50 · Bilateral: 150%
$1,655.36
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).
How 50840 has changed in Redding
50840 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,099.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,099.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,099.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,099.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,200.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,200.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,200.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,200.13 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,225.58 | RVU24D |
| 2022-07-01 | Not available in this setting | $1,251.90 | RVU22C |
| 2021-04-01 | Not available in this setting | $1,259.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,259.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,288.81 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,288.81 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,288.81 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,288.81 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,288.01 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,288.01 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,287.60 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,287.60 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,288.72 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,288.72 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,288.72 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,288.72 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,290.80 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,290.80 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,290.80 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,290.80 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
50840 billing questions
How does this differ from implanting a ureter into bowel?
This service uses bowel to replace a ureteral segment and restore the route toward the bladder. Implanting a ureter into bowel is a urinary diversion, not ureter replacement.
What documentation supports reporting this code?
The operative report should describe the ureteral defect, the bowel segment used, the connections made, and the side or sides reconstructed.
How is bilateral ureter replacement reported?
When both ureters are replaced in the same session, report the bilateral procedure with modifier 50. CMS pays the bilateral procedure at 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.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure reduction.
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
Fee sheets
Put 50840 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →