CPT code 50327: Graft preparation, venous reconstruction2026 Medicare rate & RVUs in Nevada
Reports backbench reconstruction of a donor kidney’s renal vein when venous work beyond routine graft preparation is needed before transplantation.
In Nevada, Medicare pays $189.18 for 50327 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50327 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 50327 covers
The transplant surgeon performs this backbench work on a donor kidney before it is implanted in the recipient. It covers reconstruction of the graft’s renal vein, such as work needed to establish suitable venous outflow when the vein’s anatomy or condition requires more than routine preparation. The service is performed in the transplant operative setting, not as a recipient nephrectomy or as the kidney implantation itself.
Report this code when the operative documentation identifies renal venous reconstruction on the graft, rather than only routine dissection and preparation. The note should describe the venous anatomy and the reconstructive work performed. Distinguish it from standard graft preparation and from reconstruction of the renal artery or ureter. CMS applies the standard multiple procedure reduction when multiple procedures are performed in the same session: the highest-valued procedure is paid in full, and the others are paid at 50%.
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.
How Nevada compares for 50327
Across 109 of 109 payment localities, the facility rate for 50327 runs from $170.31 in Wisconsin to $247.07 in Miami, FL. Nevada pays $189.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$189.18
- Los Angeles, CA · California$194.53+$5.35
- Washington, DC area · District of Columbia$211.06+$21.88
- Miami, FL · Florida$247.07+$57.89
- Chicago, IL · Illinois$239.05+$49.87
- Manhattan, NY · New York$227.67+$38.49
- Alaska · Alaska$246.88+$57.70
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $176.35 |
| ArkansasArkansas | — | $174.15 |
| ArizonaArizona | — | $188.95 |
| Bakersfield, CACalifornia | — | $187.12 |
| Chico, CACalifornia | — | $184.43 |
| El Centro, CACalifornia | — | $184.59 |
| Fresno, CACalifornia | — | $184.43 |
| Hanford, CACalifornia | — | $184.43 |
| Madera, CACalifornia | — | $184.43 |
| Merced, CACalifornia | — | $184.43 |
| Modesto, CACalifornia | — | $184.43 |
| Napa, CACalifornia | — | $196.38 |
| Oxnard, CACalifornia | — | $191.44 |
| Redding, CACalifornia | — | $184.43 |
| Rest of CaliforniaCalifornia | — | $184.43 |
| Riverside, CACalifornia | — | $195.14 |
| Sacramento, CACalifornia | — | $188.98 |
| Salinas, CACalifornia | — | $188.21 |
| San Diego, CACalifornia | — | $189.43 |
| Marin County, CACalifornia | — | $201.77 |
| San Francisco, CACalifornia | — | $200.63 |
| San Benito County, CACalifornia | — | $207.29 |
| Santa Clara County, CACalifornia | — | $202.65 |
| San Luis Obispo, CACalifornia | — | $185.76 |
| Santa Cruz, CACalifornia | — | $188.64 |
| Santa Maria, CACalifornia | — | $188.03 |
| Santa Rosa, CACalifornia | — | $190.22 |
| Stockton, CACalifornia | — | $184.43 |
| Vallejo, CACalifornia | — | $194.74 |
| Visalia, CACalifornia | — | $184.43 |
| Yuba City, CACalifornia | — | $184.43 |
| ColoradoColorado | — | $190.96 |
| ConnecticutConnecticut | — | $206.74 |
| DelawareDelaware | — | $191.63 |
| Fort Lauderdale, FLFlorida | — | $222.12 |
| Rest of FloridaFlorida | — | $210.16 |
| Atlanta, GAGeorgia | — | $202.33 |
| Rest of GeorgiaGeorgia | — | $197.79 |
| Hawaii, Guam, HIHawaii | — | $184.92 |
| IowaIowa | — | $171.95 |
| IdahoIdaho | — | $174.64 |
| East St. Louis, ILIllinois | — | $226.11 |
| Rest of IllinoisIllinois | — | $210.83 |
| Suburban Chicago, ILIllinois | — | $222.26 |
| IndianaIndiana | — | $175.29 |
| KansasKansas | — | $175.18 |
| KentuckyKentucky | — | $188.44 |
| New Orleans, LALouisiana | — | $197.44 |
| Rest of LouisianaLouisiana | — | $189.75 |
| Metropolitan Boston, MAMassachusetts | — | $202.42 |
| Rest of MassachusettsMassachusetts | — | $191.68 |
| Baltimore area, MDMaryland | — | $207.00 |
| Rest of MarylandMaryland | — | $193.66 |
| Rest of MaineMaine | — | $179.62 |
| Southern Maine, MEMaine | — | $182.12 |
| Detroit, MIMichigan | — | $216.55 |
| Rest of MichiganMichigan | — | $196.33 |
| MinnesotaMinnesota | — | $172.11 |
| Metropolitan Kansas City, MOMissouri | — | $192.06 |
| Metropolitan St. Louis, MOMissouri | — | $193.30 |
| Rest of MissouriMissouri | — | $189.57 |
| MississippiMississippi | — | $181.69 |
| MontanaMontana | — | $194.66 |
| North CarolinaNorth Carolina | — | $180.59 |
| North DakotaNorth Dakota | — | $174.89 |
| NebraskaNebraska | — | $171.56 |
| New HampshireNew Hampshire | — | $191.83 |
| Northern New JerseyNew Jersey | — | $210.18 |
| Rest of New JerseyNew Jersey | — | $206.04 |
| New MexicoNew Mexico | — | $198.86 |
| NYC suburbs and Long Island, NYNew York | — | $237.56 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $210.55 |
| Queens, NYNew York | — | $223.48 |
| Rest of New YorkNew York | — | $183.25 |
| OhioOhio | — | $192.29 |
| OklahomaOklahoma | — | $183.96 |
| Portland, OROregon | — | $191.71 |
| Rest of OregonOregon | — | $184.68 |
| Metropolitan Philadelphia, PAPennsylvania | — | $204.79 |
| Rest of PennsylvaniaPennsylvania | — | $190.34 |
| Puerto RicoPuerto Rico | — | $194.57 |
| Rhode IslandRhode Island | — | $194.62 |
| South CarolinaSouth Carolina | — | $187.36 |
| South DakotaSouth Dakota | — | $172.55 |
| TennesseeTennessee | — | $176.44 |
| Austin, TXTexas | — | $192.98 |
| Beaumont, TXTexas | — | $189.56 |
| Brazoria, TXTexas | — | $188.14 |
| Dallas, TXTexas | — | $191.03 |
| Fort Worth, TXTexas | — | $191.16 |
| Galveston, TXTexas | — | $189.81 |
| Houston, TXTexas | — | $208.11 |
| Rest of TexasTexas | — | $189.90 |
| UtahUtah | — | $189.46 |
| VirginiaVirginia | — | $184.38 |
| Virgin Islands, VIUnited States Virgin Islands | — | $194.57 |
| VermontVermont | — | $177.92 |
| Rest of WashingtonWashington | — | $190.08 |
| King County, WAWashington | — | $202.18 |
| WisconsinWisconsin | — | $170.31 |
| West VirginiaWest Virginia | — | $205.05 |
| WyomingWyoming | — | $186.04 |
50327 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 50327 rate is calculated
Each of 50327’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 · 50327
RVUs × geographic indexes × conversion factor
Work3.90
3.90 RVUs× 1.000 GPCI
Practice expense0.93
0.93 RVUs× 1.000 GPCI
Malpractice1.00
1.00 RVUs× 1.000 GPCI
Adjusted RVUs
5.8300
Conversion factor
$33.4009
Medicare rate
$194.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,898
- Code
- 50327
- Physician work
- 3.90
- Practice expense
- 0.93
- Malpractice
- 1.00
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.000 | 3.9000 |
| Practice expense | 0.93 | × 1.001 | 0.9309 |
| Malpractice | 1.00 | × 0.833 | 0.8330 |
| Total RVUs | 5.6639 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$189.18
Facility: (3.9 × 1 + 0.93 × 1.001 + 1 × 0.833) × $33.4009 = $189.18
Payment rules and modifiers for 50327
The CMS indicators that decide how 50327 is paid alongside other services.
CMS payment indicators · 50327
Graft preparation, venous reconstruction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
50327 without 51 · national facility
$194.73
Graft preparation, venous reconstruction
50327-51 · Second procedure: 50%
$97.37
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%).
How 50327 has changed in Nevada
50327 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $189.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $189.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $189.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $189.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $203.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $203.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $203.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $203.19 | RVU25A |
| 2024-10-01 | Not available in this setting | $208.67 | RVU24D |
| 2024-07-01 | Not available in this setting | $208.67 | RVU24C |
| 2024-04-01 | Not available in this setting | $208.67 | RVU24B |
| 2024-03-09 | Not available in this setting | $208.67 | RVU24AR |
| 2024-01-01 | Not available in this setting | $205.26 | RVU24A |
| 2023-10-01 | Not available in this setting | $220.37 | RVU23D |
| 2023-07-01 | Not available in this setting | $220.37 | RVU23C |
| 2023-04-01 | Not available in this setting | $220.37 | RVU23B |
| 2023-01-01 | Not available in this setting | $220.37 | RVU23A |
| 2022-10-01 | Not available in this setting | $234.06 | RVU22D |
| 2022-07-01 | Not available in this setting | $234.06 | RVU22C |
| 2022-04-01 | Not available in this setting | $234.06 | RVU22B |
| 2022-01-01 | Not available in this setting | $234.06 | RVU22A |
| 2021-10-01 | Not available in this setting | $234.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $234.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $234.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $234.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $232.53 | RVU20D |
| 2020-07-01 | Not available in this setting | $232.53 | RVU20C |
| 2020-04-01 | Not available in this setting | $232.53 | RVU20B |
| 2020-01-01 | Not available in this setting | $232.53 | RVU20A |
| 2019-10-01 | Not available in this setting | $224.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $224.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $224.91 | RVU19B |
| 2019-01-01 | Not available in this setting | $224.91 | RVU19A |
| 2018-10-01 | Not available in this setting | $224.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $224.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $224.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $224.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $226.67 | RVU17D |
| 2017-07-01 | Not available in this setting | $226.67 | RVU17C |
| 2017-04-01 | Not available in this setting | $226.67 | RVU17B |
| 2017-01-01 | Not available in this setting | $226.67 | RVU17A |
| 2016-10-01 | Not available in this setting | $228.26 | RVU16D |
| 2016-07-01 | Not available in this setting | $228.26 | RVU16C |
| 2016-04-01 | Not available in this setting | $228.26 | RVU16B |
| 2016-01-01 | Not available in this setting | $228.26 | RVU16A |
| 2015-10-01 | Not available in this setting | $228.76 | RVU15D |
| 2015-07-01 | Not available in this setting | $228.76 | RVU15C |
| 2015-04-01 | Not available in this setting | $227.62 | RVU15B |
| 2015-01-01 | Not available in this setting | $227.62 | RVU15A |
| 2014-10-01 | Not available in this setting | $226.09 | RVU14D |
| 2014-07-01 | Not available in this setting | $226.09 | RVU14C |
| 2014-04-01 | Not available in this setting | $226.09 | RVU14B |
| 2014-01-01 | Not available in this setting | $226.09 | RVU14A |
| 2013-10-01 | Not available in this setting | $224.22 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
50327 billing questions
When is this code appropriate instead of standard graft preparation?
Use it for documented reconstruction of the donor kidney’s renal vein, not for routine backbench preparation alone. The operative report should identify the venous work performed.
Can this be reported with standard renal graft preparation?
It may be reported with the applicable standard preparation code when both services are performed and documented. The standard code describes routine graft preparation; this code represents the additional venous reconstruction.
How does this differ from arterial reconstruction?
This code concerns reconstruction of the renal vein. Use the related arterial reconstruction code when the work is on the graft’s renal artery.
What documentation supports reporting this service?
The operative report should identify the graft’s venous anatomy and describe the reconstruction performed. A general statement that the kidney was prepared is not enough to establish venous reconstruction.
How does the multiple procedure reduction affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
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
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 50327 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist