CPT code 50800: Ureteral implantation2026 Medicare rate & RVUs in Delaware

Reports surgical connection of a ureter to an intestinal segment, commonly as part of urinary diversion after bladder removal or other reconstruction.

CMS RVU26DEffective Oct 1, 20261 payment locality81 Medicare services in 2024

CMS doesn’t publish an office rate for 50800 in Delaware.

—Office (non-facility)
$825.32Hospital or facility

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 50800 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What 50800 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 50800 covers

A urologist surgically connects a ureter to bowel so urine drains into the intestinal segment. This may be part of urinary diversion after cystectomy or another reconstruction in which the operative plan directs urine from the ureter into bowel. The service may include partial removal of intestine needed to create the connection. The operative report should identify the ureter and bowel segment involved and describe the anastomosis and any associated intestinal work.

Select this code for the ureter-to-bowel connection itself, rather than a broader operation that constructs a reservoir or substitutes bowel for a missing ureter. 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 other procedures are subject to the standard 50% reduction. For a bilateral procedure reported with modifier 50, payment is 150%. An assistant at surgery may be paid; co-surgeons are paid only with 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.

50800 in Delaware

50800 office and facility rates by payment locality
Payment localityOfficeFacility
DelawareUnavailable$825.32

How the 50800 rate is calculated

Each of 50800’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 · 50800

RVUs × geographic indexes × conversion factor

Work16.00

16.00 RVUs× 1.000 GPCI

Practice expense6.86

6.86 RVUs× 1.000 GPCI

Malpractice2.06

2.06 RVUs× 1.000 GPCI

Adjusted RVUs

24.9200

Conversion factor

$33.4009

Medicare rate

$832.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 50800

50800 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50800

Ureteral implantation

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 · 50800

Ureteral implantation

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

50800 without 50 · national facility

$832.35

Ureteral implantation

50800-50 · Bilateral: 150%

$1,248.53

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

50800 compared with similar codes

Compare codes · National

4 codes, side by side

  • 50800

    Ureteral implantation16 wRVU

    Not priced

  • 50810

    Ureter-bowel connection22.04 wRVU

    Not priced

  • 50820

    Urinary diversion23.47 wRVU

    Not priced

  • 50840

    Ureteral reconstruction21.83 wRVU

    Not priced

How to choose

50810Ureter-bowel connection
This code covers a ureter-to-bowel connection. Code 50810 represents a distinct ureter-and-bowel reconstruction; base selection on the operation documented, not simply the presence of bowel.
50820Urinary diversion
Code 50820 describes construction of a bowel-based urinary diversion. This code is for the ureter-to-bowel anastomosis rather than the broader diversion construction.
50840Ureteral reconstruction
Use 50840 when bowel is used to replace a ureter segment. This code applies when the ureter is connected to bowel.

50800 billing questions

When is this code appropriate instead of a bowel-based urinary reservoir code?

Use it for the ureter-to-bowel connection when that is the service performed. A code for constructing a bowel reservoir describes a broader reconstruction and should be selected when that construction is the operation performed.

Can partial intestinal resection be included?

Yes. Partial intestinal resection needed as part of the ureter-to-bowel reconstruction is encompassed by this service.

What should the operative report document?

Document the ureter and bowel segment connected, the anastomosis performed, and any partial intestinal resection. The report should make clear whether the operation was a ureter-to-bowel connection or a different urinary diversion or replacement procedure.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The code is classified as major surgery.

How are bilateral cases and other same-session procedures handled?

A bilateral procedure reported with modifier 50 is paid at 150%. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. 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 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 50800PPRRVU2026_Oct_nonQPP.csv, line 5,988 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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