CPT code 50360: Kidney transplant, without recipient nephrectomy2026 Medicare rate & RVUs in Louisiana
Reports implantation of a donor kidney into a recipient when the transplant operation does not include removal of a recipient kidney.
CMS doesn’t publish an office rate for 50360 in Louisiana.
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 50360 covers
A transplant surgeon implants a donor kidney into a recipient, connecting its blood vessels to the recipient’s circulation and establishing urinary drainage, commonly by connecting the ureter to the bladder. The operation takes place in an operating room, usually in a hospital. This code describes transplantation without removal of a recipient kidney as part of the operation; it is not the code for transplanting a patient’s own kidney.
Select this service when the operative report supports donor-kidney implantation and confirms that recipient nephrectomy was not performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons and team surgery are permitted when their respective requirements are met.
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 50360 pays more and less in Louisiana
| Payment locality | Office | Facility |
|---|---|---|
| New Orleans, LA | Unavailable | $2,299.95 |
| Rest of Louisiana | Unavailable | $2,203.37 |
How the 50360 rate is calculated
Each of 50360’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 · 50360
RVUs × geographic indexes × conversion factor
Work38.88
38.88 RVUs× 1.000 GPCI
Practice expense19.75
19.75 RVUs× 1.000 GPCI
Malpractice10.03
10.03 RVUs× 1.000 GPCI
Adjusted RVUs
68.6600
Conversion factor
$33.4009
Medicare rate
$2,293.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 50360
50360 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50360
Kidney transplant, without recipient nephrectomy
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 2 | 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 · 50360
Kidney transplant, without recipient nephrectomy
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 51 · payment effect
With and without the modifier
50360 without 51 · national facility
$2,293.31
Kidney transplant, without recipient nephrectomy
50360-51 · Second procedure: 50%
$1,146.66
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%).
50360 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 50365Kidney transplantWith recipient nephrectomy
- Choose 50365 when recipient nephrectomy is part of the transplant operation; 50360 describes implantation without that removal.
- 50380Kidney transplantPatient's own kidney
- 50380 describes autotransplantation of the patient’s own kidney. Use 50360 for implantation of a donor kidney.
- 50323Kidney graft preparationCadaver donor
- 50323 describes preparation of a cadaver donor renal allograft before implantation; 50360 describes transplanting the graft into the recipient.
50360 billing questions
How does this differ from 50365?
50360 is for donor-kidney implantation without recipient nephrectomy. Use 50365 when the transplant operation also includes recipient nephrectomy.
Can donor-kidney preparation be reported separately?
Backbench preparation is described by separate codes, including 50323 for a cadaver donor renal allograft and 50325 for donor graft preparation. Report the applicable preparation service when it was performed and documented.
Does the 90-day global period include transplant follow-up?
It includes the day-before preoperative visit and 90 days of related postoperative care. The operative report and follow-up documentation should support the relationship to the transplant.
Should modifier 50 be used for a kidney transplant?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are also permitted when applicable requirements are met.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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
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