No office rate
Both describe pyeloplasty. Choose 50750 for a complicated repair, such as a secondary repair or urinary diversion; 50740 is for standard complexity.
On this page
CMS RVU26D · Effective 2026-10-01
50740 Pyeloplasty Medicare reimbursement rates in Iowa
Reports reconstruction of the renal pelvis and ureter, typically to correct narrowing where the ureter joins the kidney in a pyeloplasty. Compare 50740 office and facility rates across CMS payment localities in Iowa.
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 50740 in Iowa?
Iowa 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
$1020.85
1 of 1 localities have a supported rate.
Payment area: Iowa
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 50740: Renal pelvis and ureter reconstruction
Reports reconstruction of the renal pelvis and ureter, typically to correct narrowing where the ureter joins the kidney in a pyeloplasty.
A pyeloplasty reshapes the renal pelvis and reconstructs its junction with the ureter to improve urine drainage, commonly for obstruction at the ureteropelvic junction. The surgeon may remove a narrowed segment and reconnect the ureter to the renal pelvis. Urologists typically perform this operation in a hospital operating room; the approach may be open, laparoscopic, or robotic.
Select 50740 when the documented operation is a pyeloplasty of standard complexity; a complicated or secondary repair may fit 50750 instead. The operative report should identify the reconstruction and the anatomy treated. CMS assigns this major surgery a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. For bilateral surgery, modifier 50 is paid at 150%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 50740
- 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 RVU19.57 · 57%
- Practice expense (office) RVU9.75 · 28%
- Malpractice RVU5.22 · 15%
26
Medicare services in 2024 · #5762 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.
50740 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
50760 joins one ureteral segment to another. 50740 reconstructs the renal pelvis and the ureteropelvic junction.
No office rate
50780 reimplants the ureter into the bladder. 50740 repairs the junction between the renal pelvis and ureter.
Compare 50740 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
Iowa →
Office / nonfacility
Unavailable
Facility
$1020.85
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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 50740 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
5,980
- Code
- 50740
- Physician work
- 19.57
- Practice expense
- 9.75
- Malpractice
- 5.22
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.57 | × 1.000 | 19.5700 |
| Practice expense | 9.75 | × 0.915 | 8.9213 |
| Malpractice | 5.22 | × 0.397 | 2.0723 |
| Total RVUs | 30.5636 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1020.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.57 | 1 |
| Practice expense | 9.75 | 0.915 |
| Malpractice | 5.22 | 0.397 |
(19.57 × 1 + 9.75 × 0.915 + 5.22 × 0.397) × $33.4009 = $1020.85
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.
50740 billing questions
How do I choose between 50740 and 50750?
Use 50740 for a pyeloplasty of standard complexity. The documented operation must support 50750 when the repair is complicated, such as a secondary repair or urinary diversion.
Is this code for a ureter implanted into the bladder?
No. 50740 addresses reconstruction of the renal pelvis and its junction with the ureter. Ureteral reimplantation into the bladder is represented by a different code family, including 50780 and its related codes.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period for this major surgery.
Can modifier 50 be used for bilateral pyeloplasty?
For bilateral surgery, CMS pays 50740 with modifier 50 at 150% of the payment for a single-side service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted for this code.
How is 50740 affected when other procedures are performed in the same session?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and reduces the other procedures to 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.
5,97750725,,Release/revise ureter,A,,19.70,7.30,NA,7.30,,2.53,29.53,29.53,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97850727,,Revise ureter,A,,8.07,5.00,NA,5.00,,1.11,14.18,14.18,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97950728,,Revise ureter,A,,11.88,5.68,NA,5.68,,1.51,19.07,19.07,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98050740,,Fusion of ureter & kidney,A,,19.57,9.75,NA,9.75,,5.22,34.54,34.54,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98150750,,Fusion of ureter & kidney,A,,20.69,7.51,NA,7.51,,2.65,30.85,30.85,0,090,0.08,0.83,0.09,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98250760,,Ureteroureterostomy,A,,19.57,7.86,NA,7.86,,3.32,30.75,30.75,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98350770,,Splicing of ureters,A,,20.69,7.51,NA,7.51,,2.65,30.85,30.85,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136