No office rate
50947 represents laparoscopic ureteral reimplantation; 50948 is the related code for a more extensive reconstructive variant, such as reimplantation with a psoas hitch.
On this page
CMS RVU26D · Effective 2026-10-01
50947 Ureteral reimplantation Medicare reimbursement rates in Indiana
Reports laparoscopic reimplantation of a ureter into the bladder, commonly to restore drainage after distal ureteral injury or obstruction. Compare 50947 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 50947 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
$1156.15
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.
Urology surgery
About 50947: Laparoscopic ureteral reimplantation
Reports laparoscopic reimplantation of a ureter into the bladder, commonly to restore drainage after distal ureteral injury or obstruction.
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.
CMS billing rules for 50947
- 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 RVU25.14 · 68%
- Practice expense (office) RVU8.48 · 23%
- Malpractice RVU3.32 · 9%
441
Medicare services in 2024 · #3659 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.
50947 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
Both describe ureter-to-bladder reimplantation, but 50780 is the open procedure; 50947 is for the laparoscopic approach.
No office rate
50900 describes ureteral repair. Report 50947 when the operative service instead detaches and reimplants the ureter into the bladder laparoscopically.
Compare 50947 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
$1156.15
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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 50947 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,002
- Code
- 50947
- Physician work
- 25.14
- Practice expense
- 8.48
- Malpractice
- 3.32
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.14 | × 1.000 | 25.1400 |
| Practice expense | 8.48 | × 0.927 | 7.8610 |
| Malpractice | 3.32 | × 0.486 | 1.6135 |
| Total RVUs | 34.6145 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$1156.15
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.14 | 1 |
| Practice expense | 8.48 | 0.927 |
| Malpractice | 3.32 | 0.486 |
(25.14 × 1 + 8.48 × 0.927 + 3.32 × 0.486) × $33.4009 = $1156.15
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.
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 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.
5,99950930,,Closure ureter/bowel fistula,A,,19.69,7.30,NA,7.30,,2.53,29.52,29.52,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00050940,,Release of ureter,A,,15.53,6.44,NA,6.44,,2.00,23.97,23.97,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00150945,,Laparoscopy ureterolithotomy,A,,17.52,6.19,NA,6.19,,2.25,25.96,25.96,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00250947,,Laparo new ureter/bladder,A,,25.14,8.48,NA,8.48,,3.32,36.94,36.94,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00350948,,Laparo new ureter/bladder,A,,23.22,7.63,NA,7.63,,3.02,33.87,33.87,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00450949,,Unlisted laps px ureter,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,00550951,,Endoscopy of ureter,A,,5.68,5.37,,1.66,,0.72,11.77,8.06,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,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