CPT code 50547: Donor nephrectomy, laparoscopic procurement2026 Medicare rate & RVUs in Montana
Reports laparoscopic removal and preparation of a living donor kidney for transplantation, performed by a surgeon during donor procurement.
In Montana, Medicare pays $1,539.69 for 50547 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 50547 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 50547 covers
This service covers laparoscopic surgery to procure a kidney from a living donor for transplantation, including preparing the kidney for the transplant. A urologist or transplant surgeon typically performs it in a hospital operating room. The code describes work on the donor; it does not represent implantation into the recipient.
Report it when the operative record supports living-donor procurement by laparoscopy, rather than removal for treatment of the donor’s kidney disease. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For eligible procedures 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 identifies a bilateral procedure, paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery 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.
How Montana compares for 50547
Across 109 of 109 payment localities, the facility rate for 50547 runs from $1,371.40 in Arkansas to $1,905.01 in Alaska. Montana pays $1,539.69. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,539.69
- Los Angeles, CA · California$1,590.77+$51.08
- Washington, DC area · District of Columbia$1,694.20+$154.51
- Miami, FL · Florida$1,881.70+$342.01
- Chicago, IL · Illinois$1,821.41+$281.72
- Manhattan, NY · New York$1,794.92+$255.23
- Alaska · Alaska$1,905.01+$365.32
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,389.69 |
| ArkansasArkansas | — | $1,371.40 |
| ArizonaArizona | — | $1,495.15 |
| Bakersfield, CACalifornia | — | $1,519.28 |
| Chico, CACalifornia | — | $1,502.18 |
| El Centro, CACalifornia | — | $1,503.23 |
| Fresno, CACalifornia | — | $1,502.18 |
| Hanford, CACalifornia | — | $1,502.18 |
| Madera, CACalifornia | — | $1,502.18 |
| Merced, CACalifornia | — | $1,502.18 |
| Modesto, CACalifornia | — | $1,502.18 |
| Napa, CACalifornia | — | $1,640.43 |
| Oxnard, CACalifornia | — | $1,570.51 |
| Redding, CACalifornia | — | $1,502.18 |
| Rest of CaliforniaCalifornia | — | $1,502.18 |
| Riverside, CACalifornia | — | $1,569.85 |
| Sacramento, CACalifornia | — | $1,550.08 |
| Salinas, CACalifornia | — | $1,543.90 |
| San Diego, CACalifornia | — | $1,561.76 |
| Marin County, CACalifornia | — | $1,700.94 |
| San Francisco, CACalifornia | — | $1,693.78 |
| San Benito County, CACalifornia | — | $1,745.13 |
| Santa Clara County, CACalifornia | — | $1,715.83 |
| San Luis Obispo, CACalifornia | — | $1,522.46 |
| Santa Cruz, CACalifornia | — | $1,561.73 |
| Santa Maria, CACalifornia | — | $1,544.63 |
| Santa Rosa, CACalifornia | — | $1,575.58 |
| Stockton, CACalifornia | — | $1,502.18 |
| Vallejo, CACalifornia | — | $1,630.11 |
| Visalia, CACalifornia | — | $1,502.18 |
| Yuba City, CACalifornia | — | $1,502.18 |
| ColoradoColorado | — | $1,534.44 |
| ConnecticutConnecticut | — | $1,637.84 |
| DelawareDelaware | — | $1,517.46 |
| Fort Lauderdale, FLFlorida | — | $1,716.54 |
| Rest of FloridaFlorida | — | $1,625.38 |
| Atlanta, GAGeorgia | — | $1,592.60 |
| Rest of GeorgiaGeorgia | — | $1,529.65 |
| Hawaii, Guam, HIHawaii | — | $1,516.00 |
| IowaIowa | — | $1,372.94 |
| IdahoIdaho | — | $1,391.32 |
| East St. Louis, ILIllinois | — | $1,716.10 |
| Rest of IllinoisIllinois | — | $1,617.74 |
| Suburban Chicago, ILIllinois | — | $1,721.56 |
| IndianaIndiana | — | $1,397.36 |
| KansasKansas | — | $1,390.30 |
| KentuckyKentucky | — | $1,469.85 |
| New Orleans, LALouisiana | — | $1,540.95 |
| Rest of LouisianaLouisiana | — | $1,477.03 |
| Metropolitan Boston, MAMassachusetts | — | $1,643.59 |
| Rest of MassachusettsMassachusetts | — | $1,536.05 |
| Baltimore area, MDMaryland | — | $1,638.22 |
| Rest of MarylandMaryland | — | $1,537.07 |
| Rest of MaineMaine | — | $1,422.72 |
| Southern Maine, MEMaine | — | $1,458.10 |
| Detroit, MIMichigan | — | $1,668.19 |
| Rest of MichiganMichigan | — | $1,526.27 |
| MinnesotaMinnesota | — | $1,405.42 |
| Metropolitan Kansas City, MOMissouri | — | $1,506.50 |
| Metropolitan St. Louis, MOMissouri | — | $1,517.90 |
| Rest of MissouriMissouri | — | $1,469.55 |
| MississippiMississippi | — | $1,419.55 |
| North CarolinaNorth Carolina | — | $1,432.43 |
| North DakotaNorth Dakota | — | $1,414.92 |
| NebraskaNebraska | — | $1,372.71 |
| New HampshireNew Hampshire | — | $1,533.11 |
| Northern New JerseyNew Jersey | — | $1,683.94 |
| Rest of New JerseyNew Jersey | — | $1,638.26 |
| New MexicoNew Mexico | — | $1,543.33 |
| NevadaNevada | — | $1,505.39 |
| NYC suburbs and Long Island, NYNew York | — | $1,864.77 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,667.78 |
| Queens, NYNew York | — | $1,774.00 |
| Rest of New YorkNew York | — | $1,453.94 |
| OhioOhio | — | $1,500.77 |
| OklahomaOklahoma | — | $1,442.65 |
| Portland, OROregon | — | $1,552.23 |
| Rest of OregonOregon | — | $1,475.63 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,615.57 |
| Rest of PennsylvaniaPennsylvania | — | $1,489.85 |
| Puerto RicoPuerto Rico | — | $1,542.14 |
| Rhode IslandRhode Island | — | $1,549.21 |
| South CarolinaSouth Carolina | — | $1,472.66 |
| South DakotaSouth Dakota | — | $1,400.17 |
| TennesseeTennessee | — | $1,399.62 |
| Austin, TXTexas | — | $1,545.16 |
| Beaumont, TXTexas | — | $1,482.71 |
| Brazoria, TXTexas | — | $1,496.37 |
| Dallas, TXTexas | — | $1,516.02 |
| Fort Worth, TXTexas | — | $1,514.04 |
| Galveston, TXTexas | — | $1,507.43 |
| Houston, TXTexas | — | $1,622.92 |
| Rest of TexasTexas | — | $1,495.62 |
| UtahUtah | — | $1,490.32 |
| VirginiaVirginia | — | $1,470.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,542.14 |
| VermontVermont | — | $1,431.28 |
| Rest of WashingtonWashington | — | $1,525.89 |
| King County, WAWashington | — | $1,651.49 |
| WisconsinWisconsin | — | $1,374.46 |
| West VirginiaWest Virginia | — | $1,569.17 |
| WyomingWyoming | — | $1,485.32 |
50547 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 50547 rate is calculated
Each of 50547’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 · 50547
RVUs × geographic indexes × conversion factor
Work25.68
25.68 RVUs× 1.000 GPCI
Practice expense14.12
14.12 RVUs× 1.000 GPCI
Malpractice6.31
6.31 RVUs× 1.000 GPCI
Adjusted RVUs
46.1100
Conversion factor
$33.4009
Medicare rate
$1,540.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,937
- Code
- 50547
- Physician work
- 25.68
- Practice expense
- 14.12
- Malpractice
- 6.31
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.68 | × 1.000 | 25.6800 |
| Practice expense | 14.12 | × 1.000 | 14.1200 |
| Malpractice | 6.31 | × 0.998 | 6.2974 |
| Total RVUs | 46.0974 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1539.69
Facility: (25.68 × 1 + 14.12 × 1 + 6.31 × 0.998) × $33.4009 = $1539.69
Payment rules and modifiers for 50547
50547 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 50547
Donor nephrectomy, laparoscopic procurement
| 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 · 50547
Donor nephrectomy, laparoscopic procurement
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
50547 without 50 · national facility
$1,540.12
Donor nephrectomy, laparoscopic procurement
50547-50 · Bilateral: 150%
$2,310.18
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).
How 50547 has changed in Montana
50547 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,539.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,539.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,539.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,539.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,588.07 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,588.07 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,588.07 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,588.07 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,616.64 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,616.64 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,616.64 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,616.64 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,590.26 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,629.97 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,629.97 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,629.97 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,629.97 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,656.02 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,656.02 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,656.02 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,656.02 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,650.77 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,650.77 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,650.77 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,650.77 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,743.97 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,743.97 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,743.97 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,743.97 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,800.30 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,800.30 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,800.30 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,800.30 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,801.84 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,801.84 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,801.84 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,801.84 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,754.99 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,754.99 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,754.99 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,754.99 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,711.80 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,711.80 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,711.80 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,711.80 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,709.45 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,709.45 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,700.95 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,700.95 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,661.54 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,661.54 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,661.54 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,661.54 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,626.89 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,626.89 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,626.89 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,626.89 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
50547 billing questions
How does this differ from a routine laparoscopic nephrectomy?
Use this code for laparoscopic kidney procurement from a living donor for transplantation. A nephrectomy performed to treat the donor’s disease is a different service.
Does the code include preparation of the donor kidney?
Yes. Kidney preparation for transplantation is part of the donor procurement service represented by this code.
Does this code describe the recipient’s transplant operation?
No. It reports the donor-side procurement operation, not implantation of the kidney into the recipient.
What documentation supports reporting this code?
The operative report should establish that the patient was a living donor and that the kidney was removed laparoscopically for transplantation. It should also describe the procurement and preparation performed.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What payment rules affect this service?
The 90-day global includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction; a bilateral procedure reported with modifier 50 is paid at 150%.
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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