CPT code 50340: Recipient nephrectomy, native kidney removal2026 Medicare rate & RVUs

Medicare pays $937.90 for 50340 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 50340 covers

This code describes removal of a native kidney from the person receiving a renal transplant. A urologist or transplant surgeon may perform the operation in a hospital operating room when a recipient’s native kidney needs removal, including for disease or to make room for a graft. It is distinct from taking a kidney from a living or deceased donor and from removing a transplanted kidney graft.

Report the service when the recipient nephrectomy is performed as a distinct operation. If the surgeon performs the nephrectomy as part of renal transplantation, use the transplant code that includes recipient nephrectomy rather than reporting this code separately. The operative report should identify the recipient’s native kidney, the side, and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery payment is not permitted.

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 50340 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

50340 rates by state

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

How the 50340 rate is calculated

Each of 50340’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.

Payment rules and modifiers for 50340

50340 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 50

50340 compared with similar codes

How to choose

50365Kidney transplantWith recipient nephrectomy

Use 50365 when renal transplantation and recipient nephrectomy are performed together; it includes the nephrectomy. Use 50340 for a distinct recipient nephrectomy without that combined transplant service.

50360Kidney transplantWithout recipient nephrectomy

50360 reports renal transplantation without recipient nephrectomy. When the recipient’s native kidney is removed during transplantation, use 50365 instead.

50370Allograft removalTransplanted kidney

50370 removes a transplanted renal allograft. This code is for removal of the recipient’s native kidney.

Codes related to 50340

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

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

Open CMS sourceHow we calculate rates