Billing code 50706: Ureteral dilationMedicare rate & RVUs in Guam
Reports balloon dilation of a narrowed ureter as an add-on during a primary ureteral procedure, with imaging guidance included when performed.
Medicare pays $876.95 for 50706 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
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 50706 covers
A urologist uses an endoluminal balloon to widen a narrowed segment of the ureter, including a stricture near the ureteropelvic junction. The balloon is positioned across the narrowing and expanded; fluoroscopy or contrast imaging may guide placement and confirm the treated segment. This service is generally performed in an operating room as part of a larger ureteral procedure, rather than as a stand-alone service.
Report 50706 only with a primary procedure, and document the ureteral stricture, its location, the balloon dilation performed, and the associated primary service. Imaging guidance is included when performed. CMS treats payment for this add-on as falling within the primary procedure’s global period. For bilateral dilation reported with modifier 50, CMS pays 150% of the unilateral amount.
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.
50706 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $876.95 | $151.97 |
How the 50706 rate is calculated
Each of 50706’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 · 50706
RVUs × geographic indexes × conversion factor
Work3.71
3.71 RVUs× 1.000 GPCI
Practice expense19.62
19.62 RVUs× 1.000 GPCI
Malpractice0.41
0.41 RVUs× 1.000 GPCI
Adjusted RVUs
23.7400
Conversion factor
$33.4009
Medicare rate
$792.94
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50706
The CMS indicators that decide how 50706 is paid alongside other services.
CMS payment indicators · 50706
Ureteral dilation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50706 without 50 · national office
$792.94
Ureteral dilation
50706-50 · Bilateral: 150%
$1,189.41
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).
50706 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 52341Ureteral stricture treatment
- 52341 reports endoscopic treatment of a ureteral stricture as the primary service. Code 50706 is an add-on for balloon dilation with a primary ureteral procedure.
- 52342UPJ stricture treatment
- 52342 is the endoscopic primary-service code for treatment of a ureteropelvic junction stricture; 50706 reports balloon dilation as an add-on.
- 50544Pyeloplasty
- 50544 reports laparoscopic pyeloplasty. Report 50706 only when balloon dilation is also performed and the add-on requirements are met.
50706 billing questions
Can 50706 be billed by itself?
No. It is an add-on code and must be reported with an eligible primary procedure; document that procedure and the balloon dilation performed.
How does this differ from endoscopic treatment of a ureteral stricture?
Code 50706 identifies balloon dilation as an add-on during a primary ureteral procedure. Codes such as 52341 describe endoscopic treatment of a ureteral stricture as the primary service.
Is imaging guidance separately reported with 50706?
Imaging guidance, including fluoroscopy or contrast imaging when performed, is included in this code’s service.
How is bilateral balloon dilation reported?
When the procedure is bilateral, report modifier 50. CMS pays 150% of the unilateral amount.
What documentation supports reporting 50706?
Document the stricture’s ureteral location, the balloon dilation and any imaging guidance performed, and the primary procedure reported with the add-on.
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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