CPT code 50340: Recipient nephrectomy, native kidney removal2026 Medicare rate & RVUs in New York
Reports removal of a kidney from a renal transplant recipient, such as when a diseased native kidney requires removal apart from the transplant procedure.
CMS doesn’t publish an office rate for 50340 in New York.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | Unavailable | $1,096.72 |
| NYC suburbs and Long Island, NY | Unavailable | $1,139.44 |
| Poughkeepsie and northern NYC suburbs, NY | Unavailable | $1,018.15 |
| Queens, NY | Unavailable | $1,086.34 |
| Rest of New York | Unavailable | $883.75 |
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.
How the rate is built · 50340
RVUs × geographic indexes × conversion factor
Work13.69
13.69 RVUs× 1.000 GPCI
Practice expense10.74
10.74 RVUs× 1.000 GPCI
Malpractice3.65
3.65 RVUs× 1.000 GPCI
Adjusted RVUs
28.0800
Conversion factor
$33.4009
Medicare rate
$937.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50340
50340 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50340
Recipient nephrectomy, native kidney removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| 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. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 50340
Recipient nephrectomy, native kidney removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
50340 without 50 · national facility
$937.90
Recipient nephrectomy, native kidney removal
50340-50 · Bilateral: 150%
$1,406.85
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
50340 compared with similar codes
Compare codes · National
4 codes, side by side
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.
50340 billing questions
Should this code be reported with renal transplantation?
When recipient nephrectomy is performed during renal transplantation, use 50365, which includes recipient nephrectomy. Do not report 50340 separately for that same work.
How does this differ from 50370?
50340 is removal of a recipient’s native kidney. 50370 is removal of a transplanted renal allograft.
What documentation supports reporting this code?
The operative report should establish that the kidney removed was the recipient’s native kidney and identify the side and procedure performed.
How is bilateral removal reported?
For bilateral recipient nephrectomy, report modifier 50; CMS payment for the bilateral procedure is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for the nephrectomy.
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
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