$732.99–$829.63
50706 is for balloon dilation of a ureteral stricture. Use 50700 when the surgeon performs plastic reconstruction rather than dilation.
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CMS RVU26D · Effective 2026-10-01
50700 Ureter repair Medicare reimbursement rates in Texas
Reports surgical plastic reconstruction of a narrowed or defective ureter to restore urinary drainage, rather than endoscopic dilation or a defined anastomosis. Compare 50700 office and facility rates across CMS payment localities in Texas.
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 50700 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 50700 pays more and less in Texas
Urologic surgery
About 50700: Plastic reconstruction of the ureter
Reports surgical plastic reconstruction of a narrowed or defective ureter to restore urinary drainage, rather than endoscopic dilation or a defined anastomosis.
Ureteroplasty is reconstructive surgery on the ureter to correct a narrowing or other defect by reshaping or repairing the ureter so urine can drain from the kidney toward the bladder. A urologist typically performs the operation in a surgical setting when a ureteral stricture or similar defect requires reconstruction. The operative report should identify the affected ureter and describe the lesion and repair performed.
Select 50700 when the operation is plastic reconstruction of the ureter itself; use a code for a defined anastomosis or reimplantation when that is the procedure performed. Document the side, site, pathology, and operative work. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same 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 available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50700
- 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 RVU16.27 · 65%
- Practice expense (office) RVU6.59 · 26%
- Malpractice RVU2.09 · 8%
29
Medicare services in 2024 · #5690 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.
50700 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
50760 identifies ureteroureterostomy, joining ureteral segments. 50700 is for plastic ureteral repair not represented by that defined anastomosis.
No office rate
50780 identifies ureteral reimplantation into the bladder. 50700 applies to plastic ureteral reconstruction when reimplantation is not the operation performed.
Compare 50700 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $839.25 |
| Beaumont | Office Unavailable | Facility $808.59 |
| Brazoria | Office Unavailable | Facility $820.36 |
| Dallas | Office Unavailable | Facility $827.45 |
| Fort Worth | Office Unavailable | Facility $826.16 |
| Galveston | Office Unavailable | Facility $824.15 |
| Houston | Office Unavailable | Facility $862.41 |
| Rest Of Texas | Office Unavailable | Facility $815.36 |
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50700 billing questions
When is 50700 a better fit than ureteral balloon dilation?
Use 50700 for surgical plastic reconstruction of the ureter. Code 50706 describes balloon dilation of a ureteral stricture, rather than reconstructive repair.
Should 50700 be used for a ureter-to-ureter anastomosis?
When the operation is a ureteroureterostomy joining ureteral segments, consider 50760. Report 50700 for plastic reconstruction that is not captured by that defined anastomosis.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle bilateral reporting?
CMS lists bilateral reporting with modifier 50 and payment at 150%. Documentation should support work on both ureters.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are paid 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.
5,96950693,,Plmt ureteral stent prq,A,,3.86,24.06,,1.00,,0.42,28.34,5.28,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97050694,,Plmt ureteral stent prq,A,,5.12,26.09,,1.19,,0.55,31.76,6.86,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97150695,,Plmt ureteral stent prq,A,,6.63,30.77,,1.44,,0.71,38.11,8.78,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97250700,,Revision of ureter,A,,16.27,6.59,NA,6.59,,2.09,24.95,24.95,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97350705,,Ureteral embolization/occl,A,,3.93,48.58,,0.36,,0.49,53.00,4.78,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,97450706,,Balloon dilate urtrl strix,A,,3.71,19.62,,0.53,,0.41,23.74,4.65,0,ZZZ,0.00,0.00,0.00,0,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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