No office rate
Use 50234 when the operative service includes nephrectomy and total ureter removal with bladder cuff through the same incision; 50650 describes ureter removal without the nephrectomy service.
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CMS RVU26D · Effective 2026-10-01
50650 Ureterectomy Medicare reimbursement rates in Georgia
Reports surgical removal of the ureter with its bladder cuff when the operative plan requires complete ureter removal rather than stone extraction or exploration. Compare 50650 office and facility rates across CMS payment localities in Georgia.
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 50650 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$921.79–$953.53
2 of 2 localities have a supported rate.
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.
Urology surgery
About 50650: Complete ureter removal with bladder cuff
Reports surgical removal of the ureter with its bladder cuff when the operative plan requires complete ureter removal rather than stone extraction or exploration.
A urologist removes the ureter along its course together with the portion of bladder attached to its lower end. This is a major operative service performed in a surgical setting, often for ureteral disease requiring complete excision, including urothelial malignancy. The removed tissue is submitted for pathologic examination. The operative report should establish that the ureter and bladder cuff were removed, rather than describing only a ureteral segment or a stone procedure.
Report 50650 when the documented work is complete ureter removal with a bladder cuff. If the operation also removes the kidney, compare the applicable nephrectomy-with-ureterectomy code instead. CMS assigns a 90-day 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 other procedures are reduced to 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50650
- 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 procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.35 · 66%
- Practice expense (office) RVU7.04 · 25%
- Malpractice RVU2.49 · 9%
108
Medicare services in 2024 · #4822 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.
50650 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
50236 includes nephrectomy with total ureter removal and bladder cuff through separate incisions. Select 50650 when the documented service is ureterectomy with cuff rather than that combined nephrectomy procedure.
No office rate
50548 describes laparoscopic nephrectomy with total ureter removal. 50650 is the ureterectomy code when the kidney is not part of the removal.
No office rate
50630 describes removal of a stone from the lower third of the ureter. It does not represent excision of the ureter with a bladder cuff.
Compare 50650 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$953.53
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$921.79
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50650 billing questions
How is 50650 different from ureterolithotomy?
50650 removes the ureter with a bladder cuff. Ureterolithotomy codes describe removal of a ureteral stone, with the code selected by the stone's ureteral location.
Is the bladder cuff included in 50650?
Yes. The cuff is part of the described removal; it is not a separate service under this code.
Can 50650 be reported with nephrectomy?
When the kidney is also removed as part of the nephroureterectomy, compare codes that include nephrectomy and total ureter removal, such as 50234, 50236, or 50548, as applicable to the documented procedure.
What documentation supports 50650?
The operative report should identify removal of the ureter in its entirety and removal of the bladder cuff. A report limited to exploration, a ureteral segment, or stone extraction supports a different service.
How does Medicare handle bilateral 50650?
CMS lists this as a bilateral procedure: when both sides are treated and modifier 50 is reported, payment is 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.
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.
5,96050620,,Removal of ureter stone,A,,16.02,6.21,NA,6.21,,2.06,24.29,24.29,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,9615062F,,Mammo result com to pt 5 day,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96250630,,Removal of ureter stone,A,,15.80,6.16,NA,6.16,,2.04,24.00,24.00,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96350650,,Removal of ureter,A,,18.35,7.04,NA,7.04,,2.49,27.88,27.88,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96450660,,Removal of ureter,A,,20.49,7.47,NA,7.47,,2.63,30.59,30.59,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96550684,,Injection for ureter x-ray,A,,0.74,3.02,,0.58,,0.08,3.84,1.40,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96650686,,Measure ureter pressure,A,,1.47,2.75,,0.75,,0.19,4.41,2.41,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00