CPT code 50325: Kidney graft preparation, living donor2026 Medicare rate & RVUs in Maine

Back-table preparation of a living-donor kidney graft before transplantation, reported for graft work distinct from donor kidney removal and recipient implantation.

CMS RVU26DEffective Oct 1, 20262 payment localities2K Medicare services in 2024

CMS doesn’t publish an office rate for 50325 in Maine.

—Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Maine
  2. What 50325 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 50325 covers

CPT 50325 identifies back-table preparation of a kidney graft from a living donor before transplantation. The transplant surgeon prepares the procured graft outside the recipient; this work is distinct from removing the kidney from the donor and from implanting it in the recipient. It is part of the kidney-transplant operative episode.

Report it for preparation of the living-donor graft, separately from donor nephrectomy or recipient transplant surgery when those services are performed. Medicare assigns physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Medicare's standard multiple-procedure reduction applies when procedures are performed in the same session.

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.

Where 50325 pays more and less in Maine

50325 office and facility rates by payment locality
Payment localityOfficeFacility
Rest of MaineUnavailableUnavailable
Southern Maine, MEUnavailableUnavailable

How the 50325 rate is calculated

Each of 50325’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 50325

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 50325

The CMS indicators that decide how 50325 is paid alongside other services.

CMS payment indicators · 50325

Kidney graft preparation, living donor

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

50325 without 51 · national facility

$0.00

Kidney graft preparation, living donor

50325-51 · Second procedure: 50%

$0.00

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

50325 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 50325

    Kidney graft preparation, living donor0 wRVU

    Not priced

  • 50323

    Kidney graft preparation, cadaver donor0 wRVU

    Not priced

  • 50320

    Donor nephrectomy, living donor, open approach21.87 wRVU

    Not priced

  • 50327

    Graft preparation, venous reconstruction3.9 wRVU

    Not priced

  • 50360

    Kidney transplant, without recipient nephrectomy38.88 wRVU

    Not priced

How to choose

50323Kidney graft preparationCadaver donor
Both describe backbench preparation of a kidney graft, but 50325 is for a living-donor graft and 50323 is for a cadaver-donor graft.
50320Donor nephrectomyLiving donor, open approach
50320 describes removal of a kidney from a living donor. 50325 describes preparation of the procured graft before transplantation.
50327Graft preparationVenous reconstruction
50325 represents standard graft preparation. 50327 identifies venous reconstruction of the graft on the back table.
50360Kidney transplantWithout recipient nephrectomy
50360 is the recipient's kidney transplant procedure without recipient nephrectomy; 50325 is preparation of the living-donor graft before implantation.

50325 billing questions

When should 50325 be used instead of 50323?

Use 50325 for backbench preparation of a living-donor kidney graft. Code 50323 is for preparation of a cadaver-donor graft.

Does 50325 include removal of the donor kidney?

No. It describes preparation of the graft after procurement; 50320 describes removal of a kidney from a living donor.

Does 50325 include implantation into the recipient?

No. It represents graft preparation before implantation. The recipient's transplant procedure is distinct and may be reported when performed.

How does Medicare price 50325?

Its physician fee schedule status is C, carrier priced. CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.

What should the operative documentation support?

Document that the graft came from a living donor and that backbench preparation was performed before transplantation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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