CPT code 50329: Graft reconstruction, ureteral reconstruction2026 Medicare rate & RVUs in Hawaii, Guam, HI
Reports reconstruction of a donor kidney graft’s ureter on the backbench before transplantation when the ureter requires operative repair.
In Hawaii, Guam, HI, Medicare pays $154.56 for 50329 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50329 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 50329 covers
A transplant surgeon performs this work on the donor kidney outside the recipient’s body, before the graft is implanted. The service addresses reconstruction of the graft’s ureter; it is distinct from preparing the kidney’s surrounding tissues or reconstructing its artery or vein. It is generally part of the operative work surrounding a kidney transplant, rather than a procedure performed on the recipient’s native ureter.
Report 50329 when the operative record supports actual reconstruction of the donor graft’s ureter, not merely routine graft preparation. Documentation should identify the ureteral work performed and distinguish it from any preparation or reconstruction of other graft structures. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and applies a 50% reduction to the others.
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 Hawaii, Guam, HI compares for 50329
Across 109 of 109 payment localities, the facility rate for 50329 runs from $142.38 in Wisconsin to $206.35 in Alaska. Hawaii, Guam, HI pays $154.56. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$154.56
- Los Angeles, CA · California$162.58+$8.02
- Washington, DC area · District of Columbia$176.31+$21.75
- Miami, FL · Florida$206.12+$51.56
- Chicago, IL · Illinois$199.46+$44.90
- Manhattan, NY · New York$190.10+$35.54
- Alaska · Alaska$206.35+$51.79
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $147.37 |
| ArkansasArkansas | — | $145.54 |
| ArizonaArizona | — | $157.86 |
| Bakersfield, CACalifornia | — | $156.39 |
| Chico, CACalifornia | — | $154.15 |
| El Centro, CACalifornia | — | $154.29 |
| Fresno, CACalifornia | — | $154.15 |
| Hanford, CACalifornia | — | $154.15 |
| Madera, CACalifornia | — | $154.15 |
| Merced, CACalifornia | — | $154.15 |
| Modesto, CACalifornia | — | $154.15 |
| Napa, CACalifornia | — | $164.17 |
| Oxnard, CACalifornia | — | $160.00 |
| Redding, CACalifornia | — | $154.15 |
| Rest of CaliforniaCalifornia | — | $154.15 |
| Riverside, CACalifornia | — | $163.05 |
| Sacramento, CACalifornia | — | $157.97 |
| Salinas, CACalifornia | — | $157.32 |
| San Diego, CACalifornia | — | $158.34 |
| Marin County, CACalifornia | — | $168.69 |
| San Francisco, CACalifornia | — | $167.75 |
| San Benito County, CACalifornia | — | $173.29 |
| Santa Clara County, CACalifornia | — | $169.44 |
| San Luis Obispo, CACalifornia | — | $155.27 |
| Santa Cruz, CACalifornia | — | $157.69 |
| Santa Maria, CACalifornia | — | $157.17 |
| Santa Rosa, CACalifornia | — | $159.01 |
| Stockton, CACalifornia | — | $154.15 |
| Vallejo, CACalifornia | — | $162.81 |
| Visalia, CACalifornia | — | $154.15 |
| Yuba City, CACalifornia | — | $154.15 |
| ColoradoColorado | — | $159.57 |
| ConnecticutConnecticut | — | $172.67 |
| DelawareDelaware | — | $160.09 |
| Fort Lauderdale, FLFlorida | — | $185.40 |
| Rest of FloridaFlorida | — | $175.46 |
| Atlanta, GAGeorgia | — | $168.98 |
| Rest of GeorgiaGeorgia | — | $165.17 |
| IowaIowa | — | $143.73 |
| IdahoIdaho | — | $145.97 |
| East St. Louis, ILIllinois | — | $188.69 |
| Rest of IllinoisIllinois | — | $176.00 |
| Suburban Chicago, ILIllinois | — | $185.53 |
| IndianaIndiana | — | $146.51 |
| KansasKansas | — | $146.41 |
| KentuckyKentucky | — | $157.41 |
| New Orleans, LALouisiana | — | $164.90 |
| Rest of LouisianaLouisiana | — | $158.50 |
| Metropolitan Boston, MAMassachusetts | — | $169.13 |
| Rest of MassachusettsMassachusetts | — | $160.16 |
| Baltimore area, MDMaryland | — | $172.88 |
| Rest of MarylandMaryland | — | $161.79 |
| Rest of MaineMaine | — | $150.10 |
| Southern Maine, MEMaine | — | $152.20 |
| Detroit, MIMichigan | — | $180.77 |
| Rest of MichiganMichigan | — | $163.97 |
| MinnesotaMinnesota | — | $143.90 |
| Metropolitan Kansas City, MOMissouri | — | $160.44 |
| Metropolitan St. Louis, MOMissouri | — | $161.47 |
| Rest of MissouriMissouri | — | $158.35 |
| MississippiMississippi | — | $151.81 |
| MontanaMontana | — | $162.61 |
| North CarolinaNorth Carolina | — | $150.91 |
| North DakotaNorth Dakota | — | $146.20 |
| NebraskaNebraska | — | $143.41 |
| New HampshireNew Hampshire | — | $160.27 |
| Northern New JerseyNew Jersey | — | $175.58 |
| Rest of New JerseyNew Jersey | — | $172.10 |
| New MexicoNew Mexico | — | $166.07 |
| NevadaNevada | — | $158.06 |
| NYC suburbs and Long Island, NYNew York | — | $198.31 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $175.86 |
| Queens, NYNew York | — | $186.63 |
| Rest of New YorkNew York | — | $153.13 |
| OhioOhio | — | $160.62 |
| OklahomaOklahoma | — | $153.69 |
| Portland, OROregon | — | $160.20 |
| Rest of OregonOregon | — | $154.32 |
| Metropolitan Philadelphia, PAPennsylvania | — | $171.04 |
| Rest of PennsylvaniaPennsylvania | — | $159.00 |
| Puerto RicoPuerto Rico | — | $162.53 |
| Rhode IslandRhode Island | — | $162.60 |
| South CarolinaSouth Carolina | — | $156.52 |
| South DakotaSouth Dakota | — | $144.25 |
| TennesseeTennessee | — | $147.46 |
| Austin, TXTexas | — | $161.23 |
| Beaumont, TXTexas | — | $158.35 |
| Brazoria, TXTexas | — | $157.20 |
| Dallas, TXTexas | — | $159.60 |
| Fort Worth, TXTexas | — | $159.70 |
| Galveston, TXTexas | — | $158.58 |
| Houston, TXTexas | — | $173.77 |
| Rest of TexasTexas | — | $158.64 |
| UtahUtah | — | $158.27 |
| VirginiaVirginia | — | $154.07 |
| Virgin Islands, VIUnited States Virgin Islands | — | $162.53 |
| VermontVermont | — | $148.71 |
| Rest of WashingtonWashington | — | $158.83 |
| King County, WAWashington | — | $168.95 |
| WisconsinWisconsin | — | $142.38 |
| West VirginiaWest Virginia | — | $171.20 |
| WyomingWyoming | — | $155.45 |
50329 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 50329 rate is calculated
Each of 50329’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 · 50329
RVUs × geographic indexes × conversion factor
Work3.26
3.26 RVUs× 1.000 GPCI
Practice expense0.78
0.78 RVUs× 1.000 GPCI
Malpractice0.83
0.83 RVUs× 1.000 GPCI
Adjusted RVUs
4.8700
Conversion factor
$33.4009
Medicare rate
$162.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,900
- Code
- 50329
- Physician work
- 3.26
- Practice expense
- 0.78
- Malpractice
- 0.83
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.26 | × 1.000 | 3.2600 |
| Practice expense | 0.78 | × 1.137 | 0.8869 |
| Malpractice | 0.83 | × 0.579 | 0.4806 |
| Total RVUs | 4.6274 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam, HI$154.56
Facility: (3.26 × 1 + 0.78 × 1.137 + 0.83 × 0.579) × $33.4009 = $154.56
Payment rules and modifiers for 50329
The CMS indicators that decide how 50329 is paid alongside other services.
CMS payment indicators · 50329
Graft reconstruction, ureteral 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
50329 without 51 · national facility
$162.66
Graft reconstruction, ureteral reconstruction
50329-51 · Second procedure: 50%
$81.33
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 50329 has changed in Hawaii, Guam, HI
50329 · 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 | $154.56 | RVU26D |
| 2026-07-01 | Not available in this setting | $154.56 | RVU26C |
| 2026-04-01 | Not available in this setting | $154.56 | RVU26B |
| 2026-01-01 | Not available in this setting | $154.56 | RVU26A |
| 2025-10-01 | Not available in this setting | $168.27 | RVU25D |
| 2025-07-01 | Not available in this setting | $168.27 | RVU25C |
| 2025-04-01 | Not available in this setting | $168.27 | RVU25B |
| 2025-01-01 | Not available in this setting | $168.27 | RVU25A |
| 2024-10-01 | Not available in this setting | $171.83 | RVU24D |
| 2024-07-01 | Not available in this setting | $171.83 | RVU24C |
| 2024-04-01 | Not available in this setting | $171.83 | RVU24B |
| 2024-03-09 | Not available in this setting | $171.83 | RVU24AR |
| 2024-01-01 | Not available in this setting | $169.03 | RVU24A |
| 2023-10-01 | Not available in this setting | $177.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $177.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $177.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $177.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $182.91 | RVU22D |
| 2022-07-01 | Not available in this setting | $182.91 | RVU22C |
| 2022-04-01 | Not available in this setting | $182.91 | RVU22B |
| 2022-01-01 | Not available in this setting | $182.91 | RVU22A |
| 2021-10-01 | Not available in this setting | $183.79 | RVU21D |
| 2021-07-01 | Not available in this setting | $183.79 | RVU21C |
| 2021-04-01 | Not available in this setting | $183.79 | RVU21B |
| 2021-01-01 | Not available in this setting | $183.79 | RVU21A |
| 2020-10-01 | Not available in this setting | $187.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $187.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $187.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $187.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $185.16 | RVU19D |
| 2019-07-01 | Not available in this setting | $185.16 | RVU19C |
| 2019-04-01 | Not available in this setting | $185.16 | RVU19B |
| 2019-01-01 | Not available in this setting | $185.16 | RVU19A |
| 2018-10-01 | Not available in this setting | $184.29 | RVU18D |
| 2018-07-01 | Not available in this setting | $184.29 | RVU18C |
| 2018-04-01 | Not available in this setting | $184.29 | RVU18B |
| 2018-01-01 | Not available in this setting | $184.29 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $184.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $184.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $184.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $184.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $183.03 | RVU16D |
| 2016-07-01 | Not available in this setting | $183.03 | RVU16C |
| 2016-04-01 | Not available in this setting | $183.03 | RVU16B |
| 2016-01-01 | Not available in this setting | $183.03 | RVU16A |
| 2015-10-01 | Not available in this setting | $187.00 | RVU15D |
| 2015-07-01 | Not available in this setting | $187.00 | RVU15C |
| 2015-04-01 | Not available in this setting | $186.07 | RVU15B |
| 2015-01-01 | Not available in this setting | $186.07 | RVU15A |
| 2014-10-01 | Not available in this setting | $179.70 | RVU14D |
| 2014-07-01 | Not available in this setting | $179.70 | RVU14C |
| 2014-04-01 | Not available in this setting | $179.70 | RVU14B |
| 2014-01-01 | Not available in this setting | $179.70 | RVU14A |
| 2013-10-01 | Not available in this setting | $174.93 | 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 Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
50329 billing questions
How does 50329 differ from standard backbench graft preparation?
50329 identifies reconstruction of the donor graft’s ureter. Codes 50323 and 50325 describe standard backbench preparation for cadaveric and donor renal grafts, respectively; the record should support the distinct work reported.
Is this the code for reconstruction of a graft artery or vein?
No. 50329 is for ureteral reconstruction; 50327 addresses renal artery reconstruction and 50328 renal vein reconstruction.
What documentation supports reporting 50329?
The operative report should describe the ureteral reconstruction performed on the donor kidney graft before implantation. A note documenting only routine graft preparation does not establish ureteral reconstruction.
How does the multiple-procedure payment rule affect 50329?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the other procedures by 50%.
Can 50329 be reported with a kidney transplant procedure?
Ureteral reconstruction is backbench work associated with preparing a graft for transplantation, while 50360 and 50365 describe recipient kidney transplant procedures. The operative documentation should support each reported service.
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 50329 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist