No office rate
50660 includes reimplantation of the remaining ureter into the bladder after removal. 50650 is distinguished by removal with a bladder cuff.
On this page
CMS RVU26D · Effective 2026-10-01
50660 Ureterectomy Medicare reimbursement rates in Virginia
Reports removal of a diseased ureteral segment followed by reimplantation of the remaining ureter into the bladder, typically during reconstructive surgery. Compare 50660 office and facility rates across CMS payment localities in Virginia.
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 50660 in Virginia?
Virginia 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
$991.67–$1113.03
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 50660: Ureterectomy with bladder reimplantation
Reports removal of a diseased ureteral segment followed by reimplantation of the remaining ureter into the bladder, typically during reconstructive surgery.
A urologist removes the involved portion of a ureter and reconnects the remaining ureter to the bladder. The operation may be performed for a distal ureteral tumor, stricture, or injury when the affected segment must be excised and urinary drainage restored. It is a surgical service performed in an operating room; the code reflects both ureteral removal and bladder reimplantation, not reimplantation alone.
Select this code when the operative report supports ureteral excision with reimplantation into the bladder. Document the location and extent of the removed ureter, the reason for excision, and the reconstructive work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50660
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU20.49 · 67%
- Practice expense (office) RVU7.47 · 24%
- Malpractice RVU2.63 · 9%
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.
50660 compared with similar codes
Office rates for Virginia, from the same CMS release.
No office rate
50780 describes ureter-to-bladder anastomosis; use 50660 when the service also includes ureteral excision.
No office rate
50610 is for ureteral stone removal, not excision of a ureteral segment followed by bladder reimplantation.
Compare 50660 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$1113.03
Virginia →
Office / nonfacility
Unavailable
Facility
$991.67
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50660 billing questions
When should this code be selected instead of 50650?
Use 50660 when the ureter is removed and the remaining ureter is reimplanted into the bladder. Code 50650 describes ureteral removal with a bladder cuff, not this reimplantation service.
Can the bladder reimplantation be reported separately?
The reimplantation is part of the service represented by 50660. Do not separately report a code for that same reimplantation work.
Should modifier 50 be appended for bilateral ureterectomy?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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.
What documentation supports reporting 50660?
The operative report should identify the ureteral segment removed and document reimplantation of the remaining ureter into the bladder, along with the clinical reason for excision.
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 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.
5,9615062F,,Mammo result com to pt 5 day,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96250630,,Removal of ureter stone,A,,15.80,6.16,NA,6.16,,2.04,24.00,24.00,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96350650,,Removal of ureter,A,,18.35,7.04,NA,7.04,,2.49,27.88,27.88,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96450660,,Removal of ureter,A,,20.49,7.47,NA,7.47,,2.63,30.59,30.59,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96550684,,Injection for ureter x-ray,A,,0.74,3.02,,0.58,,0.08,3.84,1.40,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96650686,,Measure ureter pressure,A,,1.47,2.75,,0.75,,0.19,4.41,2.41,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,96750688,,Change of ureter tube/stent,A,,1.17,0.83,NA,0.83,,0.13,2.13,2.13,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00