This code is associated with ureterolysis for retroperitoneal fibrosis. Select based on the documented procedure and indication.
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CMS RVU26D · Effective 2026-10-01
50940 Ureteral release Medicare reimbursement rates in Indiana
Reports operative freeing of a ureter from surrounding tissue, with repositioning when needed, to relieve tethering or entrapment. Compare 50940 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 50940 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
$750.58
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 50940: Ureteral release with possible repositioning
Reports operative freeing of a ureter from surrounding tissue, with repositioning when needed, to relieve tethering or entrapment.
This operation frees the ureter from tissue that is tethering or compressing it; the surgeon may reposition the ureter after release. A urologist or another surgeon may perform it in an operating room when the operative findings call for mobilizing the ureter, such as in the setting of scarring or endometriosis. The record should identify the affected ureter and describe the dissection and any repositioning performed.
Report the code for the ureteral release actually performed, rather than for repair of a ureteral defect or removal of a stone. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 50940
- 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 RVU15.53 · 65%
- Practice expense (office) RVU6.44 · 27%
- Malpractice RVU2.00 · 8%
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.
50940 compared with similar codes
Office rates for Indiana, from the same CMS release.
50900 represents repair of the ureter. Choose this code when the surgeon repairs a defect rather than freeing the ureter from surrounding tissue.
50945 describes laparoscopic ureterolithotomy, which removes a ureteral stone; it is not a code for ureteral release.
Compare 50940 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
$750.58
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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 50940 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,000
- Code
- 50940
- Physician work
- 15.53
- Practice expense
- 6.44
- Malpractice
- 2.00
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.53 | × 1.000 | 15.5300 |
| Practice expense | 6.44 | × 0.927 | 5.9699 |
| Malpractice | 2.00 | × 0.486 | 0.9720 |
| Total RVUs | 22.4719 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$750.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.53 | 1 |
| Practice expense | 6.44 | 0.927 |
| Malpractice | 2 | 0.486 |
(15.53 × 1 + 6.44 × 0.927 + 2 × 0.486) × $33.4009 = $750.58
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.
50940 billing questions
How is ureteral release different from ureteral repair?
This code describes freeing the ureter from surrounding tissue, with possible repositioning. Use a repair code when the operative work repairs a ureteral defect.
What operative documentation supports this code?
Document the side, the tissue or scarring tethering the ureter, and the dissection that freed it. Include whether the ureter was repositioned.
How should bilateral release be reported?
Report bilateral work with modifier 50. CMS pays the bilateral procedure 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 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.
