Billing code 50740: PyeloplastyMedicare rate & RVUs in Oregon
Reports reconstruction of the renal pelvis and ureter, typically to correct narrowing where the ureter joins the kidney in a pyeloplasty.
CMS doesn’t publish an office rate for 50740 in Oregon.
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 50740 covers
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.
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.
Where 50740 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,155.64 |
| Rest Of Oregon | Unavailable | $1,100.58 |
How the 50740 rate is calculated
Each of 50740’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 · 50740
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 19.57Practice expense 9.75Malpractice 5.22
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50740
50740 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50740
Pyeloplasty
| 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) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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 · 50740
Pyeloplasty
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 50 · payment effect
With and without the modifier
50740 without 50 · national facility
$1,153.67
Pyeloplasty
50740-50 · Bilateral: 150%
$1,730.51
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
50740 compared with similar codes
Compare codes
50740 vs 50750 vs 50760 vs 50780: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50750Ureteral reconstruction
- Both describe pyeloplasty. Choose 50750 for a complicated repair, such as a secondary repair or urinary diversion; 50740 is for standard complexity.
- 50760Ureter repair
- 50760 joins one ureteral segment to another. 50740 reconstructs the renal pelvis and the ureteropelvic junction.
- 50780Ureter reimplantation
- 50780 reimplants the ureter into the bladder. 50740 repairs the junction between the renal pelvis and ureter.
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 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
Fee sheets
Put 50740 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →