No office rate
Choose 50825 when bowel is fashioned into a continent reservoir for catheterized emptying. Code 50820 describes an incontinent diversion, such as a conduit.
On this page
CMS RVU26D · Effective 2026-10-01
50825 Urinary diversion Medicare reimbursement rates in Indiana
Reports urinary diversion using bowel shaped into a continent reservoir, typically with a catheterizable abdominal outlet for controlled emptying. Compare 50825 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 50825 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
$1373.62
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 50825: Continent bowel urinary reservoir construction
Reports urinary diversion using bowel shaped into a continent reservoir, typically with a catheterizable abdominal outlet for controlled emptying.
A urologist fashions a segment of bowel into a storage reservoir, connects the ureters to it, and creates a continent outlet that the patient can catheterize through an abdominal stoma. The operation is performed in an operating room and may be part of urinary reconstruction after bladder removal or for a severely impaired bladder. Unlike an incontinent conduit, this approach stores urine for scheduled emptying rather than draining continuously into an external appliance.
Report this code when the operation constructs the continent bowel reservoir; documentation should identify the reservoir and its urinary connections and outlet. The bowel work included in the diversion is not separately represented by this code. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this anatomy.
CMS billing rules for 50825
- 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 RVU29.91 · 68%
- Practice expense (office) RVU10.08 · 23%
- Malpractice RVU3.85 · 9%
40
Medicare services in 2024 · #5502 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.
50825 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Code 50845 creates an appendiceal catheterizable channel to the bladder. Code 50825 constructs a bowel reservoir as the urinary storage destination.
No office rate
Code 50815 represents a different urinary diversion using bowel. Select 50825 when the operative service constructs a continent bowel reservoir.
Compare 50825 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
$1373.62
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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 50825 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,992
- Code
- 50825
- Physician work
- 29.91
- Practice expense
- 10.08
- Malpractice
- 3.85
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.91 | × 1.000 | 29.9100 |
| Practice expense | 10.08 | × 0.927 | 9.3442 |
| Malpractice | 3.85 | × 0.486 | 1.8711 |
| Total RVUs | 41.1253 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1373.62
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.91 | 1 |
| Practice expense | 10.08 | 0.927 |
| Malpractice | 3.85 | 0.486 |
(29.91 × 1 + 10.08 × 0.927 + 3.85 × 0.486) × $33.4009 = $1373.62
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.
50825 billing questions
How does this differ from code 50820?
Code 50825 describes construction of a continent bowel reservoir with a catheterizable outlet. Code 50820 is the relevant alternative for an incontinent diversion such as a bowel conduit.
Can the bowel anastomosis be reported separately?
The diversion code includes the bowel work associated with constructing the reservoir. Do not separately report that included work as another service.
Should modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code and its anatomy.
What documentation supports code selection?
Document that bowel was fashioned into a continent reservoir, along with the urinary connections and the catheterizable outlet. These details distinguish the procedure from an incontinent conduit or a catheterizable channel alone.
How are other procedures in the same session handled?
CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, while team surgery is not permitted.
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.
5,98950810,,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
5,99350830,,Revise urine flow,A,,32.93,10.70,NA,10.70,,4.23,47.86,47.86,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99450840,,Replace ureter by bowel,A,,21.83,8.40,NA,8.40,,2.81,33.04,33.04,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99550845,,Appendico-vesicostomy,A,,21.90,9.07,NA,9.07,,2.82,33.79,33.79,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,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