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CPT code 50328: Kidney graft prep, living donor, arterial2026 Medicare rate & RVUs

Reports backbench preparation of a living-donor kidney graft’s artery before transplantation, including work to prepare or reconstruct arterial inflow.

CMS RVU26DEffective Oct 1, 2026109 payment localities813 Medicare services in 2024

Medicare pays $170.01 for 50328 nationally in a facility.

Medicare rate · 50328

Kidney graft prep, living donor, arterial

Office or facility?

Work RVUs
3.41
Total RVUs
5.09
Global days
XXX

National rate · 2026

$170.01

Facility setting, before claim adjustments.

See every locality for 50328 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 50328 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 50328 covers

A transplant surgeon performs this backbench service on a kidney obtained from a living donor, after procurement and before the graft is implanted in the recipient. The work focuses on preparing the graft’s artery for the vascular connection needed at transplantation, with or without arterial reconstruction. It is distinct from removing the donor kidney and from implanting the kidney in the recipient.

Report the code when the operative record supports arterial preparation of a living-donor renal graft. Documentation should identify the living-donor graft and describe the arterial work performed, including any reconstruction. When other procedures are performed in the same session, CMS applies the standard multiple procedure reduction: 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.

Where 50328 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

50328 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$154.12
AlaskaUnavailable$215.84
ArizonaUnavailable$165.03
ArkansasUnavailable$152.22
Atlanta, GAUnavailable$176.56
Austin, TXUnavailable$168.55
Bakersfield, CAUnavailable$163.57
Baltimore area, MDUnavailable$180.64
Beaumont, TXUnavailable$165.51
Brazoria, TXUnavailable$164.36

50328 rates by state

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

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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
50328 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

How the 50328 rate is calculated

Each of 50328’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 · 50328

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense0.82

0.82 RVUs× 1.000 GPCI

Malpractice0.86

0.86 RVUs× 1.000 GPCI

Adjusted RVUs

5.0900

Conversion factor

$33.4009

Medicare rate

$170.01

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

Payment rules and modifiers for 50328

The CMS indicators that decide how 50328 is paid alongside other services.

CMS payment indicators · 50328

Kidney graft prep, living donor, arterial

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

50328 without 51 · national facility

$170.01

Kidney graft prep, living donor, arterial

50328-51 · Second procedure: 50%

$85.01

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

50328 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 50328

    Kidney graft prep, living donor, arterial3.41 wRVU

    Not priced

  • 50327

    Graft preparation, venous reconstruction3.9 wRVU

    Not priced

  • 50325

    Kidney graft preparation, living donor0 wRVU

    Not priced

  • 50360

    Kidney transplant, without recipient nephrectomy38.88 wRVU

    Not priced

How to choose

50327Graft preparationVenous reconstruction
Choose 50328 for arterial preparation of a living-donor graft; 50327 describes the corresponding arterial work for a cadaver-donor graft.
50325Kidney graft preparationLiving donor
Both concern living-donor graft backbench preparation, but 50325 addresses venous preparation rather than arterial preparation.
50360Kidney transplantWithout recipient nephrectomy
50360 describes implantation of a kidney in the recipient without recipient nephrectomy; 50328 describes backbench arterial preparation of the living-donor graft.

Codes related to 50328

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 50328
CodeHow it relatesNational office range
Same family
50327Graft preparation, venous reconstructionBackbench arterial preparation for a cadaver-donor renal graft.No office rate
50325Kidney graft preparation, living donorBackbench venous preparation for a living-donor renal graft.No office rate
Often billed with
50360Kidney transplant, without recipient nephrectomyRecipient kidney implantation may be reported with graft preparation in the transplant operation.No office rate

50328 billing questions

How does this differ from 50327?

Both codes describe backbench arterial preparation, but 50328 is for a living-donor renal graft and 50327 is for a cadaver-donor graft.

Is this the donor nephrectomy or the recipient transplant?

No. This code covers preparation of the living-donor graft’s artery before implantation; it does not describe removing the kidney from the donor or implanting it in the recipient.

What operative documentation supports reporting it?

The record should establish that the graft came from a living donor and describe the arterial preparation or reconstruction performed on the backbench.

How is it paid when other procedures occur in the same session?

CMS pays the highest-valued procedure in full and pays the other procedures at 50% under the standard multiple procedure reduction.

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 50328PPRRVU2026_Oct_nonQPP.csv, line 5,899 (RVU26D)

Open CMS sourceHow we calculate rates

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