Billing code 50825: Urinary diversionMedicare rate & RVUs in Utah
Reports urinary diversion using bowel shaped into a continent reservoir, typically with a catheterizable abdominal outlet for controlled emptying.
CMS doesn’t publish an office rate for 50825 in Utah.
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 50825 covers
A urologist fashions a segment of bowel into a storage reservoir, connects the ureters to it, and creates a continent outlet that the patient can catheterize through an abdominal stoma. The operation is performed in an operating room and may be part of urinary reconstruction after bladder removal or for a severely impaired bladder. Unlike an incontinent conduit, this approach stores urine for scheduled emptying rather than draining continuously into an external appliance.
Report this code when the operation constructs the continent bowel reservoir; documentation should identify the reservoir and its urinary connections and outlet. The bowel work included in the diversion is not separately represented by this code. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this anatomy.
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.
50825 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $1,430.98 |
How the 50825 rate is calculated
Each of 50825’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 · 50825
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 29.91Practice expense 10.08Malpractice 3.85
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50825
50825 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50825
Urinary diversion
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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 · 50825
Urinary diversion
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 51 · payment effect
With and without the modifier
50825 without 51 · national facility
$1,464.30
Urinary diversion
50825-51 · Second procedure: 50%
$732.15
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
50825 compared with similar codes
Compare codes
50825 vs 50820 vs 50845 vs 50815: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50820Urinary diversion
- Choose 50825 when bowel is fashioned into a continent reservoir for catheterized emptying. Code 50820 describes an incontinent diversion, such as a conduit.
- 50845Bladder channel
- Code 50845 creates an appendiceal catheterizable channel to the bladder. Code 50825 constructs a bowel reservoir as the urinary storage destination.
- 50815Urinary diversion
- Code 50815 represents a different urinary diversion using bowel. Select 50825 when the operative service constructs a continent bowel reservoir.
50825 billing questions
How does this differ from code 50820?
Code 50825 describes construction of a continent bowel reservoir with a catheterizable outlet. Code 50820 is the relevant alternative for an incontinent diversion such as a bowel conduit.
Can the bowel anastomosis be reported separately?
The diversion code includes the bowel work associated with constructing the reservoir. Do not separately report that included work as another service.
Should modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code and its anatomy.
What documentation supports code selection?
Document that bowel was fashioned into a continent reservoir, along with the urinary connections and the catheterizable outlet. These details distinguish the procedure from an incontinent conduit or a catheterizable channel alone.
How are other procedures in the same session handled?
CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and other procedures are paid at 50%. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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
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