CPT code 50380: Kidney transplant, patient's own kidney2026 Medicare rate & RVUs in Michigan
Reports surgery that relocates and reimplants a patient's own kidney, rather than transplanting a kidney from a living or deceased donor.
CMS doesn’t publish an office rate for 50380 in Michigan.
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 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 in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | $2,133.26 |
| Rest of Michigan | Unavailable | $1,948.62 |
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
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
| 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) | 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 · 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.
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%).
50380 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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