Billing code 50100: Renal vessel surgeryMedicare rate & RVUs in Florida
Reports operative transposition or repositioning of an aberrant renal vessel, commonly to relieve obstruction associated with a crossing vessel near the ureteropelvic junction.
CMS doesn’t publish an office rate for 50100 in Florida.
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 9 sections
What 50100 covers
A urologist or other surgeon repositions an abnormally located renal vessel when its course creates a problem such as compression near the ureteropelvic junction. A common clinical context is a crossing vessel associated with impaired drainage from the kidney. The operative work centers on moving the vessel; this is distinct from opening or reconstructing the renal pelvis. The service is generally performed in an operating room.
Report 50100 when the operative documentation supports actual transposition or repositioning of the aberrant renal vessel. Document the vessel involved, its abnormal course, the clinical reason for moving it, and the work performed. CMS assigns a 90-day major-surgery 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 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.
Where 50100 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,151.23 |
| Miami | Unavailable | $1,269.10 |
| Rest Of Florida | Unavailable | $1,087.60 |
How the 50100 rate is calculated
Each of 50100’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 · 50100
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 17.01Practice expense 9.13Malpractice 4.54
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50100
50100 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50100
Renal vessel surgery
| 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 · 50100
Renal vessel surgery
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
50100 without 50 · national facility
$1,024.74
Renal vessel surgery
50100-50 · Bilateral: 150%
$1,537.11
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).
50100 compared with similar codes
Compare codes
50100 vs 50400 vs 50405 vs 50544: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50400Pyeloplasty
- 50100 moves an aberrant renal vessel; 50400 describes pyeloplasty, which reconstructs the renal pelvis or ureteropelvic junction.
- 50405Pyeloplasty
- Choose 50405 for complex pyeloplasty work, not solely because an aberrant vessel is repositioned.
- 50544Pyeloplasty
- 50544 describes laparoscopic pyeloplasty. It is distinguished by laparoscopic reconstruction of the drainage junction rather than transposition of a renal vessel.
50100 billing questions
When should 50100 be chosen instead of a pyeloplasty code?
Use 50100 for operative repositioning or transposition of an aberrant renal vessel. A pyeloplasty describes reconstruction of the renal pelvis or ureteropelvic junction rather than vessel movement.
Can 50100 be reported with a pyeloplasty?
The services describe different operative work: vessel repositioning and reconstruction of the urinary drainage junction. If both are performed, the record should distinguish the work, and applicable coding edits should be reviewed.
What documentation supports 50100?
Document the renal vessel’s abnormal course, the related clinical problem, and the operative steps that transposed or repositioned it. Include laterality when relevant to the procedure.
How is bilateral 50100 reported?
For a bilateral procedure, CMS payment is 150% when modifier 50 is used.
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 paid?
Assistant-at-surgery payment may be made. 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
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