No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
50380 Kidney transplant Medicare reimbursement rates
Reports surgery that relocates and reimplants a patient's own kidney, rather than transplanting a kidney from a living or deceased donor. Compare 50380 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 50380?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 50380 pays more and less
Urologic surgery
About 50380: Renal autotransplantation and reimplantation
Reports surgery that relocates and reimplants a patient's own kidney, rather than transplanting a kidney from a living or deceased donor.
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.
CMS billing rules for 50380
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU29.36 · 50%
- Practice expense (office) RVU22.01 · 37%
- Malpractice RVU7.87 · 13%
19
Medicare services in 2024 · #5949 by national volume
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.
50380 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
50365 describes allotransplantation with removal of the recipient's kidney. It is not the code for reimplanting the patient's own kidney.
No office rate
50320 reports removal of a kidney from a living donor. It describes donor procurement, not relocation and reimplantation of the patient's own kidney.
See how rates vary across the country
50380 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 50380 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1772.69 |
| Alaska* | Office Unavailable | Facility $2398.75 |
| Arizona | Office Unavailable | Facility $1918.03 |
| Arkansas | Office Unavailable | Facility $1747.52 |
| Atlanta | Office Unavailable | Facility $2046.21 |
| Austin | Office Unavailable | Facility $1993.30 |
| Bakersfield | Office Unavailable | Facility $1965.10 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $2110.32 |
| Beaumont | Office Unavailable | Facility $1893.84 |
| Brazoria | Office Unavailable | Facility $1922.07 |
| Chicago | Office Unavailable | Facility $2329.62 |
| Chico | Office Unavailable | Facility $1943.95 |
| Colorado | Office Unavailable | Facility $1979.92 |
| Connecticut | Office Unavailable | Facility $2110.09 |
| Dallas | Office Unavailable | Facility $1947.23 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $2192.19 |
| Delaware | Office Unavailable | Facility $1948.20 |
| Detroit | Office Unavailable | Facility $2133.26 |
| East St. Louis | Office Unavailable | Facility $2186.40 |
| El Centro | Office Unavailable | Facility $1945.26 |
| Fort Lauderdale | Office Unavailable | Facility $2200.62 |
| Fort Worth | Office Unavailable | Facility $1943.29 |
| Fresno | Office Unavailable | Facility $1943.95 |
| Galveston | Office Unavailable | Facility $1936.16 |
| Hanford-Corcoran | Office Unavailable | Facility $1943.95 |
| Hawaii, Guam | Office Unavailable | Facility $1968.72 |
| Houston | Office Unavailable | Facility $2080.21 |
| Idaho | Office Unavailable | Facility $1781.33 |
| Indiana | Office Unavailable | Facility $1789.89 |
| Iowa | Office Unavailable | Facility $1757.67 |
| Kansas | Office Unavailable | Facility $1777.71 |
| Kentucky | Office Unavailable | Facility $1874.72 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $2065.09 |
| Madera | Office Unavailable | Facility $1943.95 |
| Manhattan | Office Unavailable | Facility $2314.56 |
| Merced | Office Unavailable | Facility $1943.95 |
| Metropolitan Boston | Office Unavailable | Facility $2132.58 |
| Metropolitan Kansas City | Office Unavailable | Facility $1927.78 |
| Metropolitan Philadelphia | Office Unavailable | Facility $2077.20 |
| Metropolitan St. Louis | Office Unavailable | Facility $1943.91 |
| Miami | Office Unavailable | Facility $2410.73 |
| Minnesota | Office Unavailable | Facility $1814.93 |
| Mississippi | Office Unavailable | Facility $1807.88 |
| Modesto | Office Unavailable | Facility $1943.95 |
| Montana** | Office Unavailable | Facility $1978.14 |
| Napa | Office Unavailable | Facility $2144.90 |
| Nebraska | Office Unavailable | Facility $1758.56 |
| Nevada** | Office Unavailable | Facility $1935.51 |
| New Hampshire | Office Unavailable | Facility $1975.95 |
| New Mexico | Office Unavailable | Facility $1970.49 |
| New Orleans | Office Unavailable | Facility $1971.04 |
| North Carolina | Office Unavailable | Facility $1834.52 |
| North Dakota** | Office Unavailable | Facility $1822.53 |
| Northern Nj | Office Unavailable | Facility $2175.95 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $2405.65 |
| Ohio | Office Unavailable | Facility $1916.81 |
| Oklahoma | Office Unavailable | Facility $1841.39 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $2040.83 |
| Portland | Office Unavailable | Facility $2008.67 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $2147.84 |
| Puerto Rico | Office Unavailable | Facility $1982.81 |
| Queens | Office Unavailable | Facility $2291.42 |
| Redding | Office Unavailable | Facility $1943.95 |
| Rest Of California | Office Unavailable | Facility $1943.95 |
| Rest Of Florida | Office Unavailable | Facility $2078.54 |
| Rest Of Georgia | Office Unavailable | Facility $1949.74 |
| Rest Of Illinois | Office Unavailable | Facility $2062.70 |
| Rest Of Louisiana | Office Unavailable | Facility $1883.09 |
| Rest Of Maine | Office Unavailable | Facility $1820.49 |
| Rest Of Maryland | Office Unavailable | Facility $1975.74 |
| Rest Of Massachusetts | Office Unavailable | Facility $1979.96 |
| Rest Of Michigan | Office Unavailable | Facility $1948.62 |
| Rest Of Missouri | Office Unavailable | Facility $1870.38 |
| Rest Of New Jersey | Office Unavailable | Facility $2111.03 |
| Rest Of New York | Office Unavailable | Facility $1863.84 |
| Rest Of Oregon | Office Unavailable | Facility $1897.66 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1903.93 |
| Rest Of Texas | Office Unavailable | Facility $1915.68 |
| Rest Of Washington | Office Unavailable | Facility $1967.56 |
| Rhode Island | Office Unavailable | Facility $1993.17 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $2028.25 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $2011.83 |
| Salinas | Office Unavailable | Facility $2003.99 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $2031.79 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $2231.03 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $2222.10 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $2289.51 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $2252.97 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1975.56 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $2035.35 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $2006.19 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $2053.73 |
| Seattle (King Cnty) | Office Unavailable | Facility $2146.48 |
| South Carolina | Office Unavailable | Facility $1883.37 |
| South Dakota** | Office Unavailable | Facility $1804.13 |
| Southern Maine | Office Unavailable | Facility $1875.06 |
| Stockton | Office Unavailable | Facility $1943.95 |
| Suburban Chicago | Office Unavailable | Facility $2208.31 |
| Tennessee | Office Unavailable | Facility $1790.06 |
| Utah | Office Unavailable | Facility $1907.75 |
| Vallejo | Office Unavailable | Facility $2132.02 |
| Vermont | Office Unavailable | Facility $1841.46 |
| Virgin Islands | Office Unavailable | Facility $1982.81 |
| Virginia | Office Unavailable | Facility $1888.89 |
| Visalia | Office Unavailable | Facility $1943.95 |
| West Virginia | Office Unavailable | Facility $1995.66 |
| Wisconsin | Office Unavailable | Facility $1765.89 |
| Wyoming** | Office Unavailable | Facility $1910.32 |
| Yuba City | Office Unavailable | Facility $1943.95 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,90250360,,Rnl altrnsplj w/o rcp nfrct,A,,38.88,19.75,NA,19.75,,10.03,68.66,68.66,0,090,0.08,0.83,0.09,2,0,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90350365,,Rnl altrnsplj w/rcp nfrct,A,,44.98,26.78,NA,26.78,,12.06,83.82,83.82,0,090,0.08,0.83,0.09,2,1,2,2,2,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90450370,,Rmvl transplanted rnl algrft,A,,18.41,11.96,NA,11.96,,4.66,35.03,35.03,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90550380,,Rnl autotrnsplj rimpltj kdn,A,,29.36,22.01,NA,22.01,,7.87,59.24,59.24,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90650382,,Change ureter stent percut,A,,5.12,22.71,,0.80,,0.57,28.40,6.49,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90750384,,Remove ureter stent percut,A,,4.63,19.38,,0.72,,0.53,24.54,5.88,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90850385,,Change stent via transureth,A,,4.09,25.23,,1.08,,0.50,29.82,5.67,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00