No office rate
Both describe ureter revision. Choose by matching the actual operative work to the full descriptor for each code; the general label “complex revision” alone does not establish 50728.
On this page
CMS RVU26D · Effective 2026-10-01
50727 Ureter revision Medicare reimbursement rates in Massachusetts
This code covers operative revision of a ureter by removing an abnormal segment and reconnecting the remaining ureter when reconstruction is required. Compare 50727 office and facility rates across CMS payment localities in Massachusetts.
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 50727 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$479.26–$513.00
2 of 2 localities have a supported rate.
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 50727: Ureteral segment revision and reconstruction
This code covers operative revision of a ureter by removing an abnormal segment and reconnecting the remaining ureter when reconstruction is required.
A urologist uses this service to revise a ureter that needs operative reconstruction, typically by removing an abnormal segment and joining the remaining ureteral ends. The clinical problem may involve a ureteral narrowing, injury, or an unsuccessful prior repair. This is generally performed in an operating room rather than as an office procedure; the operative report should establish the affected ureter, the reason for revision, and the reconstruction performed.
Report the code when the documented work supports ureteral resection and reanastomosis, rather than a less extensive repair, endoscopic dilation, or reimplantation into the bladder. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon services may be paid; team surgery is not permitted.
CMS billing rules for 50727
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.07 · 57%
- Practice expense (office) RVU5.00 · 35%
- Malpractice RVU1.11 · 8%
172
Medicare services in 2024 · #4463 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.
50727 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
50700 describes ureteroplasty. 50727 is the better fit when the surgeon removes an abnormal ureteral segment and reconnects the remaining ends.
No office rate
50760 describes ureteroureterostomy as the procedure performed. For 50727, the operative service is a revision involving resection and reanastomosis.
No office rate
50780 is for reimplanting the ureter into the bladder. Use 50727 when the reconstruction is ureteral resection and reanastomosis rather than bladder reimplantation.
Compare 50727 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$513.00
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$479.26
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50727 billing questions
When is 50727 appropriate instead of ureteroplasty?
Use 50727 when the operative work supports revision by resection and reanastomosis. A plastic repair without that reconstruction may point to 50700; base the choice on the documented technique.
How should 50727 be distinguished from 50728?
Both are ureter revision codes, so compare the operative work with the full descriptors for each. Do not select 50728 solely because the case involved prior surgery or was described generally as complex.
Are related postoperative visits separately reported?
Related postoperative care during the 90-day global period is included. The day-before preoperative visit is also included.
Can modifier 50 be used for bilateral ureter revision?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery and co-surgeon services may be paid under the CMS rules for this code. Team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
5,97550715,,Release of ureter,A,,20.12,9.14,NA,9.14,,4.26,33.52,33.52,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97650722,,Release of ureter,A,,17.50,6.51,NA,6.51,,3.05,27.06,27.06,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97750725,,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