CPT 50706
Global ZZZ ActiveBalloon dilate urtrl strix
CPT 50706 Billing & Documentation Guide
CPT code 50706 (Balloon dilate urtrl strix) is classified under Surgery (Urinary/Reproductive) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.71, a non-facility practice expense RVU of 19.62, and a malpractice RVU of 0.41, a total non-facility RVU of 23.74 and facility RVU of 4.65. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $822.09, though rates vary from $693.89 to $1089.87 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 50706, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 50706 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 50706 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 50706
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.71 | 3.71 |
| Practice Expense RVU | 19.62 | 0.53 |
| Malpractice RVU | 0.41 | 0.41 |
| Total RVU | 23.74 | 4.65 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 50706
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $911.21 | $156.73 | $851.6 - $1089.87 | 29 |
| Florida | $808.08 | $168.34 | $770.99 - $840.74 | 3 |
| Georgia | $765.67 | $157.38 | $724.79 - $806.55 | 2 |
| Illinois | $783.73 | $167.62 | $743.63 - $822.07 | 4 |
| Michigan | $758.55 | $159.82 | $737.69 - $779.4 | 2 |
| North Carolina | $744.09 | $149.18 | $744.09 - $744.09 | 1 |
| New York | $879.49 | $168.16 | $756.1 - $936.46 | 5 |
| Ohio | $736.03 | $153.88 | $736.03 - $736.03 | 1 |
| Pennsylvania | $781.57 | $157.01 | $738.45 - $824.68 | 2 |
| Texas | $782.49 | $154.75 | $732.99 - $829.63 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 50706
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 50706 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12001 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 50706
What does CPT code 50706 mean? +
CPT code 50706 represents: Balloon dilate urtrl strix. It's in the Surgery (Urinary/Reproductive) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 50706? +
The 2026 Medicare national average non-facility payment for CPT 50706 is $822.09. Rates range from $693.89 to $1089.87 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 50706? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 50706? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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