No office rate
Use 50370 for removal of the transplanted kidney; use 50340 for recipient nephrectomy rather than allograft removal.
On this page
CMS RVU26D · Effective 2026-10-01
50370 Allograft removal Medicare reimbursement rates in Alaska
Reports operative removal of a transplanted kidney, such as a failed renal allograft removed for graft-related infection, intolerance, or another clinical indication. Compare 50370 office and facility rates across CMS payment localities in Alaska.
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 50370 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1433.57
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
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.
Urologic surgery
About 50370: Removal of transplanted kidney
Reports operative removal of a transplanted kidney, such as a failed renal allograft removed for graft-related infection, intolerance, or another clinical indication.
This service is removal of a kidney previously placed by renal transplantation. A transplant or urologic surgeon typically performs the operation in a hospital or other surgical facility. Situations may include a failed graft, persistent infection involving the graft, graft intolerance, or a graft-related malignancy. The operative work concerns the transplanted kidney, not simply removal of a recipient’s native kidney or preparation of a donor kidney.
Report the code when the operative documentation supports removal of the renal allograft and identifies the clinical reason and the structure removed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 50370
- 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 RVU18.41 · 53%
- Practice expense (office) RVU11.96 · 34%
- Malpractice RVU4.66 · 13%
353
Medicare services in 2024 · #3849 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.
50370 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
50360 reports implantation of a renal allograft without recipient nephrectomy. It describes new graft placement, not removal of an existing transplanted kidney.
No office rate
50365 reports renal allotransplantation with recipient nephrectomy. This code reports removal of a transplanted kidney, not the new implantation and recipient-nephrectomy service.
Compare 50370 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.
1 of 1 payment localities
Alaska* →
Office / nonfacility
Unavailable
Facility
$1433.57
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 50370 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
5,904
- Code
- 50370
- Physician work
- 18.41
- Practice expense
- 11.96
- Malpractice
- 4.66
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.41 | × 1.500 | 27.6150 |
| Practice expense | 11.96 | × 1.065 | 12.7374 |
| Malpractice | 4.66 | × 0.551 | 2.5677 |
| Total RVUs | 42.9201 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$1433.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.41 | 1.5 |
| Practice expense | 11.96 | 1.065 |
| Malpractice | 4.66 | 0.551 |
(18.41 × 1.5 + 11.96 × 1.065 + 4.66 × 0.551) × $33.4009 = $1433.57
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
50370 billing questions
How is this different from recipient nephrectomy?
This code is for removal of a transplanted kidney. Recipient nephrectomy, code 50340, concerns removal of a recipient kidney rather than removal of the renal allograft.
Can this be reported with a new kidney transplant?
It may be reported with a transplant procedure when the failed allograft is removed and a new kidney is implanted during the same operative episode. Document the separate removal and implantation work.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be used for removal of two grafts?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What should the operative report establish?
It should identify the transplanted kidney that was removed, describe the removal performed, and document the clinical indication, such as graft failure or graft-related infection.
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.
5,90150340,,Recipient nephrectomy,A,,13.69,10.74,NA,10.74,,3.65,28.08,28.08,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609