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CMS RVU26D · Effective 2026-10-01

50605 Ureteral stent Medicare reimbursement rates in Guam

Reports surgical opening of the ureter to place an indwelling stent, typically during open ureteral surgery when internal drainage or support is needed. Compare 50605 office and facility rates across CMS payment localities in Guam.

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 50605 in Guam?

Guam 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

$917.26

1 of 1 localities have a supported rate.

Payment area: Hawaii, Guam

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.

Find 50605 in your payment locality →

Urologic surgery

About 50605: Ureterotomy with indwelling stent placement

Reports surgical opening of the ureter to place an indwelling stent, typically during open ureteral surgery when internal drainage or support is needed.

A surgeon, usually a urologist, opens the ureter and places an indwelling stent through that incision. The service may be performed during open ureteral reconstruction or another operation involving the ureter when the surgeon needs internal drainage or support. This is distinct from placing a stent endoscopically through the bladder or percutaneously through the kidney.

Report the code when the operative record supports both the ureterotomy and placement of an indwelling stent. Document the operative approach, ureteral site, reason for placement, and the stent inserted. 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 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.

CMS billing rules for 50605

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 RVU16.37 · 58%
  • Practice expense (office) RVU7.79 · 28%
  • Malpractice RVU3.86 · 14%

1.7K

Medicare services in 2024 · #2567 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.

50605 compared with similar codes

Office rates for Guam, from the same CMS release.

50600

Ureteral exploration

Exploration or drainage

No office rate

Use 50605 when the ureterotomy includes placement of an indwelling stent. Code 50600 describes ureterotomy for exploration or drainage.

52332

Ureteral stent

Indwelling stent placement

$404.53

Code 52332 describes endoscopic stent placement through the bladder. Code 50605 involves opening the ureter surgically to place the stent.

50693

Ureteral stent

Initial percutaneous placement

$1,050.77

Code 50693 describes percutaneous stent placement; 50605 is for placement through a surgical ureterotomy.

50688

Ureteral stent exchange

Via ileal conduit

No office rate

Code 50688 concerns changing a ureteral tube or stent through an established route, rather than placing a stent through a new ureterotomy.

Compare 50605 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

Office and facility base rates · shared scale starting at $0

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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 50605 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

5,956

Code
50605
Physician work
16.37
Practice expense
7.79
Malpractice
3.86

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Facility calculation for 50605 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work16.37× 1.00016.3700
Practice expense7.79× 1.1378.8572
Malpractice3.86× 0.5792.2349
Total RVUs27.4622
Conversion factor× 33.4009

Facility rate, Hawaii, Guam$917.26

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work16.371
Practice expense7.791.137
Malpractice3.860.579

(16.37 × 1 + 7.79 × 1.137 + 3.86 × 0.579) × $33.4009 = $917.26

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.

50605 billing questions

How is this different from cystoscopic stent placement?

This code is for placing the stent through a surgical incision in the ureter. Cystoscopic placement through the bladder is generally reported with 52332.

Does the operative note need to describe the ureterotomy?

Yes. The record should establish that the surgeon opened the ureter and placed an indwelling stent through that incision, including the site and clinical reason.

Can this be reported with another procedure performed in the same session?

It may be reported when the record supports a distinct procedure, but CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and others at 50%.

How is bilateral placement reported?

When the service is performed bilaterally, CMS payment uses modifier 50 and is set at 150%.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment 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 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.

RVUs for 50605PPRRVU2026_Oct_nonQPP.csv, line 5,956 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet