Billing code 50947: Ureteral reimplantationMedicare rate & RVUs in Guam
Reports laparoscopic reimplantation of a ureter into the bladder, commonly to restore drainage after distal ureteral injury or obstruction.
CMS doesn’t publish an office rate for 50947 in Guam.
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 50947 covers
A urologist detaches the ureter from its abnormal or damaged endpoint and creates a new connection to the bladder using a laparoscopic approach. The operation may address a distal ureteral injury, stricture, or other condition requiring the ureter to be reimplanted. It is generally performed in an operating room under anesthesia; robotic assistance may be used to carry out the laparoscopic work.
Select this code when the documented operation is the laparoscopic ureter-to-bladder reimplantation represented by this code, rather than a repair without reimplantation or a more extensive reimplantation variant. The operative report should identify the ureter and bladder anastomosis, the laparoscopic approach, and any additional reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed 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.
50947 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $1,225.95 |
How the 50947 rate is calculated
Each of 50947’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 · 50947
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 25.14Practice expense 8.48Malpractice 3.32
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50947
50947 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50947
Ureteral reimplantation
| 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 · 50947
Ureteral reimplantation
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
50947 without 50 · national facility
$1,233.83
Ureteral reimplantation
50947-50 · Bilateral: 150%
$1,850.75
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).
50947 compared with similar codes
Compare codes
50947 vs 50948 vs 50780 vs 50900: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50948Ureteral reimplantation
- 50947 represents laparoscopic ureteral reimplantation; 50948 is the related code for a more extensive reconstructive variant, such as reimplantation with a psoas hitch.
- 50780Ureter reimplantation
- Both describe ureter-to-bladder reimplantation, but 50780 is the open procedure; 50947 is for the laparoscopic approach.
- 50900Ureter repair
- 50900 describes ureteral repair. Report 50947 when the operative service instead detaches and reimplants the ureter into the bladder laparoscopically.
50947 billing questions
How is 50947 distinguished from 50948?
50947 represents laparoscopic ureteral reimplantation. Use 50948 when the documented reimplantation includes the additional reconstructive work represented by that code, such as a psoas hitch.
Can a ureteral repair be reported instead?
Use 50947 when the ureter is reimplanted into the bladder. A repair code such as 50900 describes repair of the ureter, not this bladder reimplantation.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period. The operation's documentation should support the reimplantation and laparoscopic approach.
How are bilateral procedures and multiple procedures paid?
CMS pays bilateral reporting with modifier 50 at 150%. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant surgeon or co-surgeon be reported?
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
Fee sheets
Put 50947 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →