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.

CMS RVU26DEffective Oct 1, 2026One payment locality25 Medicare services in 2024

In Redding, Medicare pays $1,099.35 for 50840 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,099.35Hospital or facility

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.

We’ll open 50840 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 50840 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

50840 in Redding vs other payment areas
  1. Redding · this page$1,099.35
  2. Bakersfield · California$1,107.66+$8.31
  3. Chico · California$1,099.35
  4. El Centro · California$1,099.82+$0.47
  5. Fresno · California$1,099.35
  6. Hanford-Corcoran · California$1,099.35

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

50840 in every other Medicare payment locality
Payment localityOfficeFacility
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

50840 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
50840 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

See 50840 in every payment locality

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
Facility calculation for 50840 in Redding
ComponentRVULocality factorAdjusted
Physician work21.83× 1.01722.2011
Practice expense8.40× 1.0969.2064
Malpractice2.81× 0.5361.5062
Total RVUs32.9137
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

Open 50840 in the RVU calculator

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

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 · 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.

  • 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 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).

When to use modifier 50

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,099.35RVU26D
2026-07-01Not available in this setting$1,099.35RVU26C
2026-04-01Not available in this setting$1,099.35RVU26B
2026-01-01Not available in this setting$1,099.35RVU26A
2025-10-01Not available in this setting$1,200.13RVU25D
2025-07-01Not available in this setting$1,200.13RVU25C
2025-04-01Not available in this setting$1,200.13RVU25B
2025-01-01Not available in this setting$1,200.13RVU25A
2024-10-01Not available in this setting$1,225.58RVU24D
2022-07-01Not available in this setting$1,251.90RVU22C
2021-04-01Not available in this setting$1,259.87RVU21B
2021-01-01Not available in this setting$1,259.87RVU21A
2020-10-01Not available in this setting$1,288.81RVU20D
2020-07-01Not available in this setting$1,288.81RVU20C
2020-04-01Not available in this setting$1,288.81RVU20B
2020-01-01Not available in this setting$1,288.81RVU20A
2019-10-01Not available in this setting$1,288.01RVU19D
2019-07-01Not available in this setting$1,288.01RVU19C
2019-04-01Not available in this setting$1,287.60RVU19B
2019-01-01Not available in this setting$1,287.60RVU19A
2018-10-01Not available in this setting$1,288.72RVU18D
2018-07-01Not available in this setting$1,288.72RVU18C
2018-04-01Not available in this setting$1,288.72RVU18B
2018-01-01Not available in this setting$1,288.72RVU18AR1
2017-10-01Not available in this setting$1,290.80RVU17D
2017-07-01Not available in this setting$1,290.80RVU17C
2017-04-01Not available in this setting$1,290.80RVU17B
2017-01-01Not available in this setting$1,290.80RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 50840 for an earlier date of service

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.

Browse all communities in California

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
RVUs for 50840PPRRVU2026_Oct_nonQPP.csv, line 5,994 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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