CPT code 50329: Graft reconstruction, ureteral reconstruction2026 Medicare rate & RVUs in Iowa

Reports reconstruction of a donor kidney graft’s ureter on the backbench before transplantation when the ureter requires operative repair.

CMS RVU26DEffective Oct 1, 2026One payment locality205 Medicare services in 2024

In Iowa, Medicare pays $143.73 for 50329 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$143.73Hospital or facility

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.

We’ll open 50329 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 50329 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 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 Iowa 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. Iowa pays $143.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

50329 in Iowa vs other payment areas
  1. Iowa · this page$143.73
  2. Los Angeles, CA · California$162.58+$18.85
  3. Washington, DC area · District of Columbia$176.31+$32.58
  4. Miami, FL · Florida$206.12+$62.39
  5. Chicago, IL · Illinois$199.46+$55.73
  6. Manhattan, NY · New York$190.10+$46.37
  7. Alaska · Alaska$206.35+$62.62

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

Every other payment area

50329 in every other Medicare payment locality
Payment localityOfficeFacility
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

50329 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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50329 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 50329 in every payment locality

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

Office or facility?

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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Facility calculation for 50329 in Iowa
ComponentRVULocality factorAdjusted
Physician work3.26× 1.0003.2600
Practice expense0.78× 0.9150.7137
Malpractice0.83× 0.3970.3295
Total RVUs4.3032
Conversion factor× 33.4009

Facility rate, Iowa$143.73

Facility: (3.26 × 1 + 0.78 × 0.915 + 0.83 × 0.397) × $33.4009 = $143.73

Open 50329 in the RVU calculator

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

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

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%).

When to use modifier 51

How 50329 has changed in Iowa

50329 · 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$143.73RVU26D
2026-07-01Not available in this setting$143.73RVU26C
2026-04-01Not available in this setting$143.73RVU26B
2026-01-01Not available in this setting$143.73RVU26A
2025-10-01Not available in this setting$156.19RVU25D
2025-07-01Not available in this setting$156.19RVU25C
2025-04-01Not available in this setting$156.19RVU25B
2025-01-01Not available in this setting$156.19RVU25A
2024-10-01Not available in this setting$159.67RVU24D
2024-07-01Not available in this setting$159.67RVU24C
2024-04-01Not available in this setting$159.67RVU24B
2024-03-09Not available in this setting$159.67RVU24AR
2024-01-01Not available in this setting$157.06RVU24A
2023-10-01Not available in this setting$162.31RVU23D
2023-07-01Not available in this setting$162.31RVU23C
2023-04-01Not available in this setting$162.31RVU23B
2023-01-01Not available in this setting$162.31RVU23A
2022-10-01Not available in this setting$165.22RVU22D
2022-07-01Not available in this setting$165.22RVU22C
2022-04-01Not available in this setting$165.22RVU22B
2022-01-01Not available in this setting$165.22RVU22A
2021-10-01Not available in this setting$166.13RVU21D
2021-07-01Not available in this setting$166.13RVU21C
2021-04-01Not available in this setting$166.13RVU21B
2021-01-01Not available in this setting$166.13RVU21A
2020-10-01Not available in this setting$170.66RVU20D
2020-07-01Not available in this setting$170.66RVU20C
2020-04-01Not available in this setting$170.66RVU20B
2020-01-01Not available in this setting$170.66RVU20A
2019-10-01Not available in this setting$169.92RVU19D
2019-07-01Not available in this setting$169.92RVU19C
2019-04-01Not available in this setting$169.92RVU19B
2019-01-01Not available in this setting$169.92RVU19A
2018-10-01Not available in this setting$169.27RVU18D
2018-07-01Not available in this setting$169.27RVU18C
2018-04-01Not available in this setting$169.27RVU18B
2018-01-01Not available in this setting$169.27RVU18AR1
2017-10-01Not available in this setting$169.57RVU17D
2017-07-01Not available in this setting$169.57RVU17C
2017-04-01Not available in this setting$169.57RVU17B
2017-01-01Not available in this setting$169.57RVU17A
2016-10-01Not available in this setting$168.63RVU16D
2016-07-01Not available in this setting$168.63RVU16C
2016-04-01Not available in this setting$168.63RVU16B
2016-01-01Not available in this setting$168.63RVU16A
2015-10-01Not available in this setting$171.86RVU15D
2015-07-01Not available in this setting$171.86RVU15C
2015-04-01Not available in this setting$171.00RVU15B
2015-01-01Not available in this setting$171.00RVU15A
2014-10-01Not available in this setting$165.18RVU14D
2014-07-01Not available in this setting$165.18RVU14C
2014-04-01Not available in this setting$165.18RVU14B
2014-01-01Not available in this setting$165.18RVU14A
2013-10-01Not available in this setting$159.41RVU13D
2013-07-01Not available in this setting$159.41RVU13C
2013-04-01Not available in this setting$159.41RVU13B
2013-01-01Not available in this setting$159.41RVU13AR

Price 50329 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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
RVUs for 50329PPRRVU2026_Oct_nonQPP.csv, line 5,900 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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