CPT code 50327: Graft preparation, venous reconstruction2026 Medicare rate & RVUs in West Virginia

Reports backbench reconstruction of a donor kidney’s renal vein when venous work beyond routine graft preparation is needed before transplantation.

CMS RVU26DEffective Oct 1, 2026One payment locality3.6K Medicare services in 2024

In West Virginia, Medicare pays $205.05 for 50327 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$205.05Hospital or facility

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.

We’ll open 50327 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 50327 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 West Virginia 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. West Virginia pays $205.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

50327 in West Virginia vs other payment areas
  1. West Virginia · this page$205.05
  2. Los Angeles, CA · California$194.53−$10.52
  3. Washington, DC area · District of Columbia$211.06+$6.01
  4. Miami, FL · Florida$247.07+$42.02
  5. Chicago, IL · Illinois$239.05+$34.00
  6. Manhattan, NY · New York$227.67+$22.62
  7. Alaska · Alaska$246.88+$41.83

Other areas in West Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

50327 in every other Medicare payment locality
Payment localityOfficeFacility
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

50327 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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50327 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 50327 in every payment locality

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

Office or facility?

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 West Virginia 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

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Facility calculation for 50327 in West Virginia
ComponentRVULocality factorAdjusted
Physician work3.90× 1.0003.9000
Practice expense0.93× 0.8690.8082
Malpractice1.00× 1.4311.4310
Total RVUs6.1392
Conversion factor× 33.4009

Facility rate, West Virginia$205.05

Facility: (3.9 × 1 + 0.93 × 0.869 + 1 × 1.431) × $33.4009 = $205.05

Open 50327 in the RVU calculator

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

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

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%).

When to use modifier 51

How 50327 has changed in West Virginia

50327 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$205.05RVU26D
2026-07-01Not available in this setting$205.05RVU26C
2026-04-01Not available in this setting$205.05RVU26B
2026-01-01Not available in this setting$205.05RVU26A
2025-10-01Not available in this setting$211.61RVU25D
2025-07-01Not available in this setting$211.61RVU25C
2025-04-01Not available in this setting$211.61RVU25B
2025-01-01Not available in this setting$211.61RVU25A
2024-10-01Not available in this setting$217.80RVU24D
2024-07-01Not available in this setting$217.80RVU24C
2024-04-01Not available in this setting$217.80RVU24B
2024-03-09Not available in this setting$217.80RVU24AR
2024-01-01Not available in this setting$214.24RVU24A
2023-10-01Not available in this setting$218.85RVU23D
2023-07-01Not available in this setting$218.85RVU23C
2023-04-01Not available in this setting$218.85RVU23B
2023-01-01Not available in this setting$218.85RVU23A
2022-10-01Not available in this setting$221.16RVU22D
2022-07-01Not available in this setting$221.16RVU22C
2022-04-01Not available in this setting$221.16RVU22B
2022-01-01Not available in this setting$221.16RVU22A
2021-10-01Not available in this setting$221.74RVU21D
2021-07-01Not available in this setting$221.74RVU21C
2021-04-01Not available in this setting$221.74RVU21B
2021-01-01Not available in this setting$221.74RVU21A
2020-10-01Not available in this setting$228.47RVU20D
2020-07-01Not available in this setting$228.47RVU20C
2020-04-01Not available in this setting$228.47RVU20B
2020-01-01Not available in this setting$228.47RVU20A
2019-10-01Not available in this setting$228.97RVU19D
2019-07-01Not available in this setting$228.97RVU19C
2019-04-01Not available in this setting$228.97RVU19B
2019-01-01Not available in this setting$228.97RVU19A
2018-10-01Not available in this setting$228.56RVU18D
2018-07-01Not available in this setting$228.56RVU18C
2018-04-01Not available in this setting$228.56RVU18B
2018-01-01Not available in this setting$228.56RVU18AR1
2017-10-01Not available in this setting$227.59RVU17D
2017-07-01Not available in this setting$227.59RVU17C
2017-04-01Not available in this setting$227.59RVU17B
2017-01-01Not available in this setting$227.59RVU17A
2016-10-01Not available in this setting$226.43RVU16D
2016-07-01Not available in this setting$226.43RVU16C
2016-04-01Not available in this setting$226.43RVU16B
2016-01-01Not available in this setting$226.43RVU16A
2015-10-01Not available in this setting$226.63RVU15D
2015-07-01Not available in this setting$226.63RVU15C
2015-04-01Not available in this setting$225.50RVU15B
2015-01-01Not available in this setting$225.50RVU15A
2014-10-01Not available in this setting$218.76RVU14D
2014-07-01Not available in this setting$218.76RVU14C
2014-04-01Not available in this setting$218.76RVU14B
2014-01-01Not available in this setting$218.76RVU14A
2013-10-01Not available in this setting$212.09RVU13D
2013-07-01Not available in this setting$212.09RVU13C
2013-04-01Not available in this setting$212.09RVU13B
2013-01-01Not available in this setting$212.09RVU13AR

Price 50327 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

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
RVUs for 50327PPRRVU2026_Oct_nonQPP.csv, line 5,898 (RVU26D)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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