CPT 50810: Ureter-bowel connectionMedicare rate & RVUs in Ohio
Reports an operation connecting a ureter to bowel to redirect urine, when the documented surgical technique matches this ureter-bowel fusion service.
CMS doesn’t publish an office rate for 50810 in Ohio.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 50810 covers
A urologist performs this operation to connect a ureter with bowel so urine can drain into the intestinal tract. It may be part of urinary reconstruction or diversion, typically in a hospital operating room. The operative report should identify the ureter and bowel involved and describe the connection actually created; the code is not a general label for every urinary diversion or bowel reconstruction.
Select the code from the documented procedure, distinguishing this ureter-bowel fusion from direct ureter implantation, replacement of a ureter with bowel, or construction of a bowel bladder. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS treats this as a single coded operation rather than a modifier-50 bilateral service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
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.
50810 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $1,296.74 |
How the 50810 rate is calculated
Each of 50810’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 50810
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 22.04Practice expense 11.88Malpractice 5.89
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50810
50810 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50810
Ureter-bowel connection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50810
Ureter-bowel connection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
50810 without 51 · national facility
$1,329.69
Ureter-bowel connection
50810-51 · Second procedure: 50%
$664.85
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
50810 compared with similar codes
Compare codes
50810 vs 50800 vs 50840 vs 50820 vs 50825: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50800Ureteral implantation
- 50800 describes direct implantation of the ureter into bowel. This code represents a different ureter-bowel fusion service; use the operative report's description of the technique to select.
- 50840Ureteral reconstruction
- 50840 replaces a ureter with bowel. This code connects a ureter to bowel without describing replacement of the ureter by an intestinal segment.
- 50820Urinary diversion
- 50820 describes construction of a bowel bladder. This code is for a ureter-to-bowel connection, not creation of a bladder from bowel.
- 50825Urinary diversion
- 50825 is another bowel-bladder construction service. Select this code when the documented operation is ureter-bowel fusion rather than bowel-bladder construction.
50810 billing questions
How is this code distinguished from 50800?
50800 describes direct implantation of a ureter into bowel. Choose based on the operative technique documented; this code represents the ureter-bowel fusion service.
Is this code for replacing a ureter with bowel?
No. Replacement of a ureter with bowel is a different reconstructive service, represented by 50840. This code covers a ureter-to-bowel connection.
What documentation supports reporting this procedure?
The operative report should identify the ureter and bowel involved and describe the connection created. Documentation should support that the work was ureter-to-bowel fusion rather than another urinary diversion or reconstruction.
Can modifier 50 be used for a bilateral operation?
CMS treats this as a single coded operation rather than a modifier-50 bilateral service. Report the procedure according to the applicable code and operative documentation.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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