50650 Removal of ureter
Also known as: open ureterectomy, ureteral removal, ureter resection
Surgical removal of the ureter (ureterectomy) through an open incision for malignancy or other indications.
In Plain Language
surgical removal of ureter; complete ureter removal
Clinical Context
Used for urothelial carcinoma or severe ureteral disease. Often combined with kidney removal (nephroureterectomy).
RVU Breakdown
| Work RVU | 18.35 |
| Total RVU | 18.35 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 18.35, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50650?
CPT 50650 (Removal of ureter) is a Surgery code. Surgical removal of the ureter (ureterectomy) through an open incision for malignancy or other indications.
What is the wRVU value for CPT 50650?
The work RVU for CPT 50650 is 18.35. This code is primarily used by Urology, Oncology. It has a 90-day global period.
When is CPT 50650 used?
Used for urothelial carcinoma or severe ureteral disease. Often combined with kidney removal (nephroureterectomy).
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.