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Billing code 50360: Kidney transplantMedicare rate & RVUs

Reports implantation of a donor kidney into a recipient when the transplant operation does not include removal of a recipient kidney.

CMS RVU26DEffective Oct 1, 2026109 payment localities11.8K Medicare services in 2024

Medicare pays $2,293.31 for 50360 nationally in a facility.

Medicare rate · 50360

Kidney transplant

Swap in your local Medicare rate.

Work RVUs
38.88
Total RVUs
68.66
Global days
090

National rate · 2026

$2,293.31

Facility setting, before claim adjustments.

See every locality for 50360 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 50360 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 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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

50360 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,065.45
Alaska*Unavailable$2,835.08
ArizonaUnavailable$2,224.61
ArkansasUnavailable$2,037.81
AtlantaUnavailable$2,375.09
AustinUnavailable$2,295.97
BakersfieldUnavailable$2,250.32
Baltimore/Surr. CntysUnavailable$2,441.64
BeaumontUnavailable$2,210.15
BrazoriaUnavailable$2,224.06

50360 rates by state

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

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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
50360 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 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

Swap in your local Medicare rate.

Work 38.88Practice expense 19.75Malpractice 10.03

68.6600 adjusted RVUs×$33.4009 conversion factor=$2,293.31

All indexes start 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

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)2Permitted.
Team surgery (66)2Permitted.
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 · 50360

Kidney transplant

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

50360 without 51 · national facility

$2,293.31

Kidney transplant

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%).

When to use modifier 51

50360 compared with similar codes

Compare codes

50360 vs 50365 vs 50380 vs 50323: national Medicare rates

Swap in your local Medicare rate.

  • 50360
    Kidney transplant · 38.88 wRVU
    —
  • 50365
    Kidney transplant · 44.98 wRVU
    —
  • 50380
    Kidney transplant · 29.36 wRVU
    —
  • 50323
    · 0 wRVU
    —

How to choose

50365Kidney transplant
Choose 50365 when recipient nephrectomy is part of the transplant operation; 50360 describes implantation without that removal.
50380Kidney transplant
50380 describes autotransplantation of the patient’s own kidney. Use 50360 for implantation of a donor kidney.
50323Prep cadaver renal allograft
50323 describes preparation of a cadaver donor renal allograft before implantation; 50360 describes transplanting the graft into the recipient.

Codes related to 50360

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

Codes related to 50360
CodeHow it relatesNational office range
Same family
50365Kidney transplantKidney allotransplantation when recipient nephrectomy is also performed.No office rate
Often billed with
50323Prep cadaver renal allograftCadaver donor renal allograft preparation may accompany implantation when performed and documented.No office rate
50325Prep donor renal graftDonor renal graft preparation may accompany implantation when performed and documented.No office rate
Used instead
50380Kidney transplantTransplants the recipient’s own kidney rather than a donor kidney.No office rate

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
RVUs for 50360PPRRVU2026_Oct_nonQPP.csv, line 5,902 (RVU26D)

Open CMS sourceHow we calculate rates

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