No office rate
Use 50930 for a ureter-to-bowel fistula; 50920 describes closure of a ureter-to-skin fistula.
On this page
CMS RVU26D · Effective 2026-10-01
50930 Fistula closure Medicare reimbursement rates in Ohio
Operative closure of an abnormal connection between a ureter and bowel, reported when surgery treats a ureteral-enteric fistula rather than a skin fistula. Compare 50930 office and facility rates across CMS payment localities in Ohio.
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 50930 in Ohio?
Ohio 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
$965.46
1 of 1 localities have a supported rate.
Payment area: Ohio
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 50930: Ureter-to-bowel fistula closure
Operative closure of an abnormal connection between a ureter and bowel, reported when surgery treats a ureteral-enteric fistula rather than a skin fistula.
A urologic surgeon closes an abnormal passage between a ureter and an intestinal segment. The connection can allow urine to enter the bowel or bowel contents to reach the urinary tract. The operation is performed in an operating room; other surgical specialists may participate when the bowel also requires operative management.
Choose this code when the operative report documents a ureter-to-bowel fistula and its surgical closure, rather than a ureter-to-skin fistula or repair of a ureter without a fistula. The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50930
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU19.69 · 67%
- Practice expense (office) RVU7.30 · 25%
- Malpractice RVU2.53 · 9%
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.
50930 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
50900 is ureter repair without the specific bowel-fistula closure. Use 50930 when the operative service closes a ureter-to-bowel fistula.
No office rate
50800 creates a direct connection between the ureter and intestine, such as for urinary diversion; 50930 closes an abnormal connection.
Compare 50930 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
Ohio →
Office / nonfacility
Unavailable
Facility
$965.46
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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 50930 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
5,999
- Code
- 50930
- Physician work
- 19.69
- Practice expense
- 7.30
- Malpractice
- 2.53
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.69 | × 1.000 | 19.6900 |
| Practice expense | 7.30 | × 0.913 | 6.6649 |
| Malpractice | 2.53 | × 1.008 | 2.5502 |
| Total RVUs | 28.9051 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$965.46
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.69 | 1 |
| Practice expense | 7.3 | 0.913 |
| Malpractice | 2.53 | 1.008 |
(19.69 × 1 + 7.3 × 0.913 + 2.53 × 1.008) × $33.4009 = $965.46
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.
50930 billing questions
How is this code distinguished from 50920?
50930 is for a fistula connecting the ureter and bowel. 50920 is for a ureter-to-skin fistula.
What documentation supports reporting 50930?
The operative report should identify the ureter and bowel involved, describe the abnormal connection, and document its surgical closure.
Is modifier 50 appropriate?
No. The CMS facts specify that bilateral adjustment is inappropriate for this code’s descriptor or anatomy.
How does the global period affect postoperative billing?
The 90-day major-surgery global includes the day-before preoperative visit and 90 days of related postoperative care.
What happens when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. 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.
5,99650860,,Transplant ureter to skin,A,,16.65,6.67,NA,6.67,,2.14,25.46,25.46,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99750900,,Repair of ureter,A,,14.66,6.25,NA,6.25,,1.88,22.79,22.79,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99850920,,Closure ureter/skin fistula,A,,15.41,6.41,NA,6.41,,1.98,23.80,23.80,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99950930,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703