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See a sample rate comparisonCPT 50940 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Deligation Of Ureter
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 62 - Co-Surgeons 51 - Multiple procedures 59 - Distinct Procedural Service 50 - Bilateral Procedure 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50940 |
| Medicaid Fee Schedule | View Medicaid rates for 50940 |
National average reimbursement for CPT 50940 by major payers:
$1,194.03
$1,191.35
$1,223.05
$1,446.04
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CPT 50940
5 of 25 sample ratesHigher to lower in this preview
Thr/Stt Southlake Asc, LLC
$6,068.00Published rateNewport Beach Endoscopy Center, LLC
Newport Beach Endoscopy Center LLC
$1,687.00Published rateDigestivecare, LLC, Digestivecare Endoscopy Unit
Digestive Care, Inc.
$1,049.00Published rateLaporte Medical Group Surgical Center, LLC
Laporte Medical Group Surgical Center LLC
$656.00Published rateAmerican Access Care Of Towson Asc LLC
$150.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50940 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50940 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 50940 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 50940-CPT | High | Deligation Of Ureter |
| 50945-CPT | High | Remove Stone From Urine Tract, Surgery Aided By A Scope (Laparoscope) To Remove One Or More Stones From The Upper Portion Of The Urinary Tract Between The Kidneys And The Bladder. |
| 50947-CPT | High | Surgery To Move Urinary Tract, Surgery Using A Scope (Laparoscope) To Move One Of The Ureters (Upper Urinary Tract From Kidneys To Bladder). The Procedure May Include Inserting A Support Device (Stent) To Help Keep The Ureter Open. |
| 50948-CPT | High | Surgery To Move Urinary Tract, Surgery Using A Scope (Laparoscope) To Move One Of The Ureters (Upper Urinary Tract From Kidneys To Bladder). The Procedure May Include Inserting A Support Device (Stent) To Help Keep The Ureter Open. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50940. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50940 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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