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

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, 2026One payment locality813 Medicare services in 2024

In Ohio, Medicare pays $167.86 for 50328 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$167.86Hospital or facility

Check a contract rate as a % of Medicare · 50328 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 50328 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 50328 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 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.

How Ohio compares for 50328

Across 109 of 109 payment localities, the facility rate for 50328 runs from $148.98 in Wisconsin to $215.84 in Alaska. Ohio pays $167.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

50328 in Ohio vs other payment areas
  1. Ohio · this page$167.86
  2. Los Angeles, CA · California$170.04+$2.18
  3. Washington, DC area · District of Columbia$184.28+$16.42
  4. Miami, FL · Florida$215.05+$47.19
  5. Chicago, IL · Illinois$208.14+$40.28
  6. Manhattan, NY · New York$198.57+$30.71
  7. Alaska · Alaska$215.84+$47.98

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

Every other payment area

50328 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$154.12
ArkansasArkansas—$152.22
ArizonaArizona—$165.03
Bakersfield, CACalifornia—$163.57
Chico, CACalifornia—$161.25
El Centro, CACalifornia—$161.39
Fresno, CACalifornia—$161.25
Hanford, CACalifornia—$161.25

50328 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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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

See 50328 in every payment locality

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.

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,899

Code
50328
Physician work
3.41
Practice expense
0.82
Malpractice
0.86

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Facility calculation for 50328 in Ohio
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense0.82× 0.9130.7487
Malpractice0.86× 1.0080.8669
Total RVUs5.0255
Conversion factor× 33.4009

Facility rate, Ohio$167.86

Facility: (3.41 × 1 + 0.82 × 0.913 + 0.86 × 1.008) × $33.4009 = $167.86

Open 50328 in the RVU calculator

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

How 50328 has changed in Ohio

50328 · 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$167.86RVU26D
2026-07-01Not available in this setting$167.86RVU26C
2026-04-01Not available in this setting$167.86RVU26B
2026-01-01Not available in this setting$167.86RVU26A
2025-10-01Not available in this setting$179.88RVU25D
2025-07-01Not available in this setting$179.88RVU25C
2025-04-01Not available in this setting$179.88RVU25B
2025-01-01Not available in this setting$179.88RVU25A
2024-10-01Not available in this setting$184.55RVU24D
2024-07-01Not available in this setting$184.55RVU24C
2024-04-01Not available in this setting$184.55RVU24B
2024-03-09Not available in this setting$184.55RVU24AR
2024-01-01Not available in this setting$181.54RVU24A
2023-10-01Not available in this setting$187.70RVU23D
2023-07-01Not available in this setting$187.70RVU23C
2023-04-01Not available in this setting$187.70RVU23B
2023-01-01Not available in this setting$187.70RVU23A
2022-10-01Not available in this setting$193.30RVU22D
2022-07-01Not available in this setting$193.30RVU22C
2022-04-01Not available in this setting$193.30RVU22B
2022-01-01Not available in this setting$193.30RVU22A
2021-10-01Not available in this setting$192.68RVU21D
2021-07-01Not available in this setting$192.68RVU21C
2021-04-01Not available in this setting$192.68RVU21B
2021-01-01Not available in this setting$192.68RVU21A
2020-10-01Not available in this setting$197.17RVU20D
2020-07-01Not available in this setting$197.17RVU20C
2020-04-01Not available in this setting$197.17RVU20B
2020-01-01Not available in this setting$197.17RVU20A
2019-10-01Not available in this setting$195.04RVU19D
2019-07-01Not available in this setting$195.04RVU19C
2019-04-01Not available in this setting$195.04RVU19B
2019-01-01Not available in this setting$195.04RVU19A
2018-10-01Not available in this setting$195.15RVU18D
2018-07-01Not available in this setting$195.15RVU18C
2018-04-01Not available in this setting$195.15RVU18B
2018-01-01Not available in this setting$195.15RVU18AR1
2017-10-01Not available in this setting$194.43RVU17D
2017-07-01Not available in this setting$194.43RVU17C
2017-04-01Not available in this setting$194.43RVU17B
2017-01-01Not available in this setting$194.43RVU17A
2016-10-01Not available in this setting$194.16RVU16D
2016-07-01Not available in this setting$194.16RVU16C
2016-04-01Not available in this setting$194.16RVU16B
2016-01-01Not available in this setting$194.16RVU16A
2015-10-01Not available in this setting$194.15RVU15D
2015-07-01Not available in this setting$194.15RVU15C
2015-04-01Not available in this setting$193.18RVU15B
2015-01-01Not available in this setting$193.18RVU15A
2014-10-01Not available in this setting$192.32RVU14D
2014-07-01Not available in this setting$192.32RVU14C
2014-04-01Not available in this setting$192.32RVU14B
2014-01-01Not available in this setting$192.32RVU14A
2013-10-01Not available in this setting$189.92RVU13D
2013-07-01Not available in this setting$189.92RVU13C
2013-04-01Not available in this setting$189.92RVU13B
2013-01-01Not available in this setting$189.92RVU13AR

Price 50328 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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