No office rate
Choose 50840 when bowel substitutes for a damaged ureteral segment. Code 50800 describes implantation of the ureter into bowel.
On this page
CMS RVU26D · Effective 2026-10-01
50840 Ureteral reconstruction Medicare reimbursement rates in Pennsylvania
Replaces a damaged or missing ureteral segment with bowel to restore urine flow from the kidney toward the bladder. Compare 50840 office and facility rates across CMS payment localities in Pennsylvania.
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 50840 in Pennsylvania?
Pennsylvania 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
$1075.40–$1146.31
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 50840: Bowel-segment ureter replacement
Replaces a damaged or missing ureteral segment with bowel to restore urine flow from the kidney toward the bladder.
This operation uses a segment of bowel, commonly ileum, to bridge a damaged or missing portion of a ureter and carry urine toward the bladder. A urologist performs the reconstruction in an operating room, typically for a long ureteral defect or severe stricture that cannot be managed by a shorter repair. The bowel segment is joined to the urinary tract at each end to restore continuity.
Report the code when the bowel segment substitutes for the ureter, not when a ureter is simply implanted into bowel as a diversion. The operative report should identify the affected side or sides, the defect, the bowel segment, and the reconstruction performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50840
- 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 RVU21.83 · 66%
- Practice expense (office) RVU8.40 · 25%
- Malpractice RVU2.81 · 9%
25
Medicare services in 2024 · #5795 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.
50840 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Code 50810 describes a ureter-to-bowel diversion connection; 50840 reconstructs the ureter using bowel as its replacement segment.
No office rate
Code 50820 is for urinary diversion through an intestinal conduit. Code 50840 uses bowel to replace a ureteral segment and restore its continuity.
Compare 50840 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 Philadelphia →
Office / nonfacility
Unavailable
Facility
$1146.31
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1075.40
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50840 billing questions
How does this differ from implanting a ureter into bowel?
This service uses bowel to replace a ureteral segment and restore the route toward the bladder. Implanting a ureter into bowel is a urinary diversion, not ureter replacement.
What documentation supports reporting this code?
The operative report should describe the ureteral defect, the bowel segment used, the connections made, and the side or sides reconstructed.
How is bilateral ureter replacement reported?
When both ureters are replaced in the same session, report the bilateral procedure with modifier 50. CMS pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and other procedures at 50% under the standard multiple procedure 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.
5,99150820,,Construct bowel bladder,A,,23.47,8.57,NA,8.57,,3.25,35.29,35.29,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99250825,,Construct bowel bladder,A,,29.91,10.08,NA,10.08,,3.85,43.84,43.84,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99350830,,Revise urine flow,A,,32.93,10.70,NA,10.70,,4.23,47.86,47.86,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99450840,,Replace ureter by bowel,A,,21.83,8.40,NA,8.40,,2.81,33.04,33.04,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99550845,,Appendico-vesicostomy,A,,21.90,9.07,NA,9.07,,2.82,33.79,33.79,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99650860,,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