No office rate
50800 describes direct implantation of the ureter into bowel. This code represents a different ureter-bowel fusion service; use the operative report's description of the technique to select.
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CMS RVU26D · Effective 2026-10-01
50810 Ureter-bowel connection Medicare reimbursement rates in Indiana
Reports an operation connecting a ureter to bowel to redirect urine, when the documented surgical technique matches this ureter-bowel fusion service. Compare 50810 office and facility rates across CMS payment localities in Indiana.
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 50810 in Indiana?
Indiana 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
$1199.60
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Urologic surgery
About 50810: Ureter-to-bowel surgical connection
Reports an operation connecting a ureter to bowel to redirect urine, when the documented surgical technique matches this ureter-bowel fusion service.
A urologist performs this operation to connect a ureter with bowel so urine can drain into the intestinal tract. It may be part of urinary reconstruction or diversion, typically in a hospital operating room. The operative report should identify the ureter and bowel involved and describe the connection actually created; the code is not a general label for every urinary diversion or bowel reconstruction.
Select the code from the documented procedure, distinguishing this ureter-bowel fusion from direct ureter implantation, replacement of a ureter with bowel, or construction of a bowel bladder. 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 other procedures are subject to the standard 50% multiple-procedure reduction. CMS treats this as a single coded operation rather than a modifier-50 bilateral service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 50810
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU22.04 · 55%
- Practice expense (office) RVU11.88 · 30%
- Malpractice RVU5.89 · 15%
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.
50810 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
50840 replaces a ureter with bowel. This code connects a ureter to bowel without describing replacement of the ureter by an intestinal segment.
No office rate
50820 describes construction of a bowel bladder. This code is for a ureter-to-bowel connection, not creation of a bladder from bowel.
No office rate
50825 is another bowel-bladder construction service. Select this code when the documented operation is ureter-bowel fusion rather than bowel-bladder construction.
Compare 50810 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
Indiana →
Office / nonfacility
Unavailable
Facility
$1199.60
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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 50810 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,989
- Code
- 50810
- Physician work
- 22.04
- Practice expense
- 11.88
- Malpractice
- 5.89
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.04 | × 1.000 | 22.0400 |
| Practice expense | 11.88 | × 0.927 | 11.0128 |
| Malpractice | 5.89 | × 0.486 | 2.8625 |
| Total RVUs | 35.9153 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1199.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.04 | 1 |
| Practice expense | 11.88 | 0.927 |
| Malpractice | 5.89 | 0.486 |
(22.04 × 1 + 11.88 × 0.927 + 5.89 × 0.486) × $33.4009 = $1199.60
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.
50810 billing questions
How is this code distinguished from 50800?
50800 describes direct implantation of a ureter into bowel. Choose based on the operative technique documented; this code represents the ureter-bowel fusion service.
Is this code for replacing a ureter with bowel?
No. Replacement of a ureter with bowel is a different reconstructive service, represented by 50840. This code covers a ureter-to-bowel connection.
What documentation supports reporting this procedure?
The operative report should identify the ureter and bowel involved and describe the connection created. Documentation should support that the work was ureter-to-bowel fusion rather than another urinary diversion or reconstruction.
Can modifier 50 be used for a bilateral operation?
CMS treats this as a single coded operation rather than a modifier-50 bilateral service. Report the procedure according to the applicable code and operative documentation.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
5,98650783,,Reimplant ureter in bladder,A,,20.18,7.40,NA,7.40,,2.60,30.18,30.18,0,090,0.08,0.83,0.09,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98750785,,Reimplant ureter in bladder,A,,21.67,7.84,NA,7.84,,2.97,32.48,32.48,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98850800,,Implant ureter in bowel,A,,16.00,6.86,NA,6.86,,2.06,24.92,24.92,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98950810,,Fusion of ureter & bowel,A,,22.04,11.88,NA,11.88,,5.89,39.81,39.81,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99050815,,Urine shunt to intestine,A,,21.70,8.37,NA,8.37,,2.78,32.85,32.85,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99150820,,Construct bowel bladder,A,,23.47,8.57,NA,8.57,,3.25,35.29,35.29,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99250825,,Construct bowel bladder,A,,29.91,10.08,NA,10.08,,3.85,43.84,43.84,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915