No office rate
This is the same-family code for ureter revision at the less complicated level. Use 50728 when the operative documentation supports a complicated revision.
On this page
CMS RVU26D · Effective 2026-10-01
50728 Ureter revision Medicare reimbursement rates in Alabama
Reports complex operative revision of a ureter to correct a significant abnormality, such as scarring or deformity after prior surgery or injury. Compare 50728 office and facility rates across CMS payment localities in Alabama.
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 50728 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$591.35
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Urologic surgery
About 50728: Complicated ureteral revision
Reports complex operative revision of a ureter to correct a significant abnormality, such as scarring or deformity after prior surgery or injury.
A urologist performs this operation to revise a ureter when its anatomy or function requires a complicated reconstruction. The work may address a ureter altered by prior surgery or injury, including significant scarring or narrowing. The surgeon dissects the affected ureter and reconstructs it to restore suitable drainage or continuity. This is generally an operating-room service in a facility setting, rather than an office procedure.
Select this code when the operative report supports a complicated ureteral revision, rather than the less complex revision represented by 50727. Document the affected anatomy, the condition being corrected, the extent of dissection, and the reconstructive steps that establish the complexity. Medicare assigns a 90-day 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 others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not.
CMS billing rules for 50728
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.88 · 62%
- Practice expense (office) RVU5.68 · 30%
- Malpractice RVU1.51 · 8%
81
Medicare services in 2024 · #5041 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.
50728 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
50700 describes ureteroplasty, a plastic repair of the ureter; 50728 is for complicated revision of the ureter.
No office rate
50760 identifies ureteroureterostomy, joining ureteral ends. Choose it when that specific reconstruction is performed rather than reporting a broader complicated revision.
No office rate
50780 is for connecting a ureter to the bladder. It is the more specific choice when the reconstruction is ureteral reimplantation.
Compare 50728 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$591.35
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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 50728 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
5,979
- Code
- 50728
- Physician work
- 11.88
- Practice expense
- 5.68
- Malpractice
- 1.51
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.88 | × 1.000 | 11.8800 |
| Practice expense | 5.68 | × 0.875 | 4.9700 |
| Malpractice | 1.51 | × 0.566 | 0.8547 |
| Total RVUs | 17.7047 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$591.35
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.88 | 1 |
| Practice expense | 5.68 | 0.875 |
| Malpractice | 1.51 | 0.566 |
(11.88 × 1 + 5.68 × 0.875 + 1.51 × 0.566) × $33.4009 = $591.35
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.
50728 billing questions
How does 50728 differ from 50727?
Both describe ureter revision, but 50728 is for a complicated revision. The operative report should explain the anatomy, dissection, and reconstruction supporting that level.
Can modifier 50 be used when both ureters are revised?
No. CMS identifies modifier 50 as inappropriate for this code; the code's descriptor or anatomy does not support the bilateral adjustment.
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?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made, and co-surgeons are permitted. Team surgery is not permitted for this code.
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.
5,97650722,,Release of ureter,A,,17.50,6.51,NA,6.51,,3.05,27.06,27.06,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97750725,,Release/revise ureter,A,,19.70,7.30,NA,7.30,,2.53,29.53,29.53,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97850727,,Revise ureter,A,,8.07,5.00,NA,5.00,,1.11,14.18,14.18,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97950728,,Revise ureter,A,,11.88,5.68,NA,5.68,,1.51,19.07,19.07,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98050740,,Fusion of ureter & kidney,A,,19.57,9.75,NA,9.75,,5.22,34.54,34.54,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98150750,,Fusion of ureter & kidney,A,,20.69,7.51,NA,7.51,,2.65,30.85,30.85,0,090,0.08,0.83,0.09,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98250760,,Ureteroureterostomy,A,,19.57,7.86,NA,7.86,,3.32,30.75,30.75,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515