No office rate
50820 describes cystectomy with construction of a urinary diversion. Choose 50830 when the operative service revises an existing cutaneous diversion.
On this page
CMS RVU26D · Effective 2026-10-01
50830 Urinary diversion Medicare reimbursement rates in Washington
Revision of an existing urinary diversion that drains through the skin, reported when surgery corrects a problem with the diversion or restores urine flow. Compare 50830 office and facility rates across CMS payment localities in Washington.
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 50830 in Washington?
Washington 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
$1598.04–$1708.83
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.
Urology surgery
About 50830: Revision of urinary cutaneous diversion
Revision of an existing urinary diversion that drains through the skin, reported when surgery corrects a problem with the diversion or restores urine flow.
This operation revises an existing urinary diversion that carries urine to a skin opening, such as a conduit or cutaneous stoma. A urologist typically performs it in a hospital operating room when the diversion is narrowed, retracted, or otherwise malfunctioning and requires surgical correction. It is a revision, not the initial construction of a diversion.
Select the code based on the operative work on the existing cutaneous diversion. The operative report should identify the diversion, the problem addressed, and the reconstructive steps performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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 service. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50830
- 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 RVU32.93 · 69%
- Practice expense (office) RVU10.70 · 22%
- Malpractice RVU4.23 · 9%
41
Medicare services in 2024 · #5486 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.
50830 compared with similar codes
Office rates for Washington, from the same CMS release.
No office rate
50825 describes cystectomy with construction of a continent diversion. It is not the code for revising an existing cutaneous diversion.
No office rate
50860 describes creating a ureter-to-skin diversion. 50830 describes surgical revision of a diversion already in place.
Compare 50830 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
Rest Of Washington →
Office / nonfacility
Unavailable
Facility
$1598.04
Seattle (King Cnty) →
Office / nonfacility
Unavailable
Facility
$1708.83
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50830 billing questions
How is this different from a code for creating a urinary diversion?
Use 50830 for surgical revision of an existing cutaneous diversion. Codes for creating a diversion describe its initial construction, rather than correction of an existing one.
What documentation supports reporting 50830?
Document the existing cutaneous diversion, the problem prompting revision, and the operative steps used to correct it or restore urine flow.
Is modifier 50 appropriate?
No. CMS identifies the descriptor or anatomy as unsuitable for bilateral reporting, so modifier 50 is inappropriate.
How does the global period affect postoperative care?
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 paid?
Assistant-at-surgery payment may be made. 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.
5,99050815,,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
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