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CPT code 50380: Kidney transplant, patient's own kidney2026 Medicare rate & RVUs

Reports surgery that relocates and reimplants a patient's own kidney, rather than transplanting a kidney from a living or deceased donor.

CMS RVU26DEffective Oct 1, 2026109 payment localities19 Medicare services in 2024

Medicare pays $1,978.67 for 50380 nationally in a facility.

Medicare rate · 50380

Kidney transplant, patient's own kidney

Office or facility?

Work RVUs
29.36
Total RVUs
59.24
Global days
090

National rate · 2026

$1,978.67

Facility setting, before claim adjustments.

See every locality for 50380 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 50380 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 50380 covers

A renal autotransplant moves a patient's own kidney to another location and reconnects it surgically. Urologic or transplant surgeons may perform it when the kidney needs to be removed temporarily for reconstruction or when relocating it offers a treatment option for a complex renal vascular or urinary problem. The operation is generally performed in a hospital operating room.

Report 50380 when the operative record supports removal and reimplantation of the patient's own kidney; donor-kidney allotransplant codes describe a different operation. The record should identify the kidney as the patient's own and document its relocation and reimplantation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Report the operation without modifier 50.

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 50380 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

50380 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,772.69
AlaskaUnavailable$2,398.75
ArizonaUnavailable$1,918.03
ArkansasUnavailable$1,747.52
Atlanta, GAUnavailable$2,046.21
Austin, TXUnavailable$1,993.30
Bakersfield, CAUnavailable$1,965.10
Baltimore area, MDUnavailable$2,110.32
Beaumont, TXUnavailable$1,893.84
Brazoria, TXUnavailable$1,922.07

50380 rates by state

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

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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
50380 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

How the 50380 rate is calculated

Each of 50380’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 · 50380

RVUs × geographic indexes × conversion factor

Office or facility?

Work29.36

29.36 RVUs× 1.000 GPCI

Practice expense22.01

22.01 RVUs× 1.000 GPCI

Malpractice7.87

7.87 RVUs× 1.000 GPCI

Adjusted RVUs

59.2400

Conversion factor

$33.4009

Medicare rate

$1,978.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 50380

50380 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 50380

Kidney transplant, patient's own kidney

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
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.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 50380

Kidney transplant, patient's own kidney

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

50380 without 51 · national facility

$1,978.67

Kidney transplant, patient's own kidney

50380-51 · Second procedure: 50%

$989.34

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

50380 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 50380

    Kidney transplant, patient's own kidney29.36 wRVU

    Not priced

  • 50360

    Kidney transplant, without recipient nephrectomy38.88 wRVU

    Not priced

  • 50365

    Kidney transplant, with recipient nephrectomy44.98 wRVU

    Not priced

  • 50320

    Donor nephrectomy, living donor, open approach21.87 wRVU

    Not priced

How to choose

50360Kidney transplantWithout recipient nephrectomy
Use 50360 for transplantation of a kidney from another person without recipient nephrectomy. Use 50380 when the patient's own kidney is relocated and reimplanted.
50365Kidney transplantWith recipient nephrectomy
50365 describes allotransplantation with removal of the recipient's kidney. It is not the code for reimplanting the patient's own kidney.
50320Donor nephrectomyLiving donor, open approach
50320 reports removal of a kidney from a living donor. It describes donor procurement, not relocation and reimplantation of the patient's own kidney.

Codes related to 50380

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

Codes related to 50380
CodeHow it relatesNational office range
Used instead
50360Kidney transplant, without recipient nephrectomyAllotransplant without recipient nephrectomy; used when the transplanted kidney comes from another person.No office rate
50365Kidney transplant, with recipient nephrectomyAllotransplant with recipient nephrectomy, rather than reimplantation of the patient's own kidney.No office rate
Same family
50323Kidney graft preparation, cadaver donorPreparation of a deceased-donor renal allograft, within the renal transplant procedure family.No office rate

50380 billing questions

How is 50380 different from 50360 or 50365?

50380 is for relocating and reimplanting the patient's own kidney. Codes 50360 and 50365 describe transplantation of a kidney from another person, with 50365 including recipient nephrectomy.

What documentation supports 50380?

The operative report should establish that the kidney belongs to the patient and describe its removal, relocation, and reimplantation.

Should modifier 50 be reported?

No. Report the operation without modifier 50; CMS treats the descriptor or anatomy as ineligible for bilateral adjustment.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be paid?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted.

What happens when another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others.

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 50380PPRRVU2026_Oct_nonQPP.csv, line 5,905 (RVU26D)

Open CMS sourceHow we calculate rates

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