No office rate
Choose 50785 when the surgeon secures the bladder to the psoas to obtain reach for implantation. 50780 represents reimplantation without that distinguishing hitch.
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CMS RVU26D · Effective 2026-10-01
50785 Ureteral reimplantation Medicare reimbursement rates in Texas
Reports ureteral reimplantation when the bladder is mobilized and secured to the psoas muscle to bridge a gap before connecting the ureter. Compare 50785 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 50785 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 50785 pays more and less in Texas
Urologic surgery
About 50785: Ureteral reimplantation with psoas hitch
Reports ureteral reimplantation when the bladder is mobilized and secured to the psoas muscle to bridge a gap before connecting the ureter.
A urologist uses this reconstructive procedure when the ureter needs to be reconnected to the bladder and the available ureteral length is insufficient for a tension-free connection. The surgeon mobilizes the bladder, anchors it to the psoas muscle, and implants the ureter into the bladder. Common settings include hospital operating rooms for distal ureteral injury, stricture, or loss of ureteral length that requires this added reach.
Select this code when the operative report supports both ureteral reimplantation and a psoas hitch; the hitch is the distinguishing feature, not simply the diagnosis or need for reimplantation. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures at 50%. For bilateral work, modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50785
- 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 RVU21.67 · 67%
- Practice expense (office) RVU7.84 · 24%
- Malpractice RVU2.97 · 9%
303
Medicare services in 2024 · #3991 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.
50785 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
50782 identifies extensive tailoring of the ureter. 50785 is distinguished by the bladder-to-psoas hitch; select based on the reconstruction documented.
No office rate
50783 uses a bladder flap for the reimplantation. 50785 describes gaining reach by mobilizing and securing the bladder to the psoas.
Compare 50785 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 $1090.19 |
| Beaumont | Office Unavailable | Facility $1054.25 |
| Brazoria | Office Unavailable | Facility $1066.47 |
| Dallas | Office Unavailable | Facility $1076.24 |
| Fort Worth | Office Unavailable | Facility $1074.91 |
| Galveston | Office Unavailable | Facility $1071.76 |
| Houston | Office Unavailable | Facility $1126.12 |
| Rest Of Texas | Office Unavailable | Facility $1061.88 |
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50785 billing questions
When should 50785 be selected instead of 50780?
Use 50785 when the surgeon documents securing the mobilized bladder to the psoas to gain reach for ureteral implantation. A reimplantation without that hitch is represented by 50780.
How does 50785 differ from 50783?
50785 identifies use of a psoas hitch to bring the bladder toward the ureter. 50783 identifies reimplantation using a bladder flap.
What documentation supports reporting 50785?
The operative report should describe the ureteral reimplantation and the bladder mobilization and fixation to the psoas. A diagnosis such as ureteral injury or stricture alone does not establish the hitch.
Can modifier 50 be used for bilateral reimplantation?
Yes. CMS treats this as a bilateral procedure; modifier 50 is paid at 150% under the stated rule.
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%. Related postoperative care within the 90-day global is included.
May an assistant or co-surgeon be reported?
Assistant-at-surgery services 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.
5,98450780,,Reimplant ureter in bladder,A,,19.45,7.64,NA,7.64,,3.05,30.14,30.14,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98550782,,Reimplant ureter in bladder,A,,19.17,7.19,NA,7.19,,2.48,28.84,28.84,0,090,0.08,0.83,0.09,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98650783,,Reimplant ureter in bladder,A,,20.18,7.40,NA,7.40,,2.60,30.18,30.18,0,090,0.08,0.83,0.09,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98750785,,Reimplant ureter in bladder,A,,21.67,7.84,NA,7.84,,2.97,32.48,32.48,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98850800,,Implant ureter in bowel,A,,16.00,6.86,NA,6.86,,2.06,24.92,24.92,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,98950810,,Fusion of ureter & bowel,A,,22.04,11.88,NA,11.88,,5.89,39.81,39.81,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,99050815,,Urine shunt to intestine,A,,21.70,8.37,NA,8.37,,2.78,32.85,32.85,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00