50323
No office ratePrep cadaver renal allograft
This code covers venous reconstruction on the graft. Code 50323 describes standard preparation of a cadaver donor kidney, without substituting for separately documented venous reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
50327 Graft preparation Medicare reimbursement rates in Delaware
Reports backbench reconstruction of a donor kidney’s renal vein when venous work beyond routine graft preparation is needed before transplantation. Compare 50327 office and facility rates across CMS payment localities in Delaware.
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 50327 in Delaware?
Delaware 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
$191.63
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Transplant surgery
About 50327: Renal graft venous reconstruction
Reports backbench reconstruction of a donor kidney’s renal vein when venous work beyond routine graft preparation is needed before transplantation.
The transplant surgeon performs this backbench work on a donor kidney before it is implanted in the recipient. It covers reconstruction of the graft’s renal vein, such as work needed to establish suitable venous outflow when the vein’s anatomy or condition requires more than routine preparation. The service is performed in the transplant operative setting, not as a recipient nephrectomy or as the kidney implantation itself.
Report this code when the operative documentation identifies renal venous reconstruction on the graft, rather than only routine dissection and preparation. The note should describe the venous anatomy and the reconstructive work performed. Distinguish it from standard graft preparation and from reconstruction of the renal artery or ureter. CMS applies the standard multiple procedure reduction when multiple procedures are performed in the same session: the highest-valued procedure is paid in full, and the others are paid at 50%.
CMS billing rules for 50327
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU3.90 · 67%
- Practice expense (office) RVU0.93 · 16%
- Malpractice RVU1.00 · 17%
3.6K
Medicare services in 2024 · #2057 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.
50327 compared with similar codes
Office rates for Delaware, from the same CMS release.
50325
No office ratePrep donor renal graft
This code covers venous reconstruction on the graft. Code 50325 describes standard preparation of a living donor kidney.
No office rate
Choose 50327 for reconstruction of the renal vein and 50328 for reconstruction of the renal artery.
No office rate
This code concerns the graft’s renal vein; 50329 concerns reconstruction of the graft’s ureter.
Compare 50327 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
Delaware →
Office / nonfacility
Unavailable
Facility
$191.63
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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 50327 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,898
- Code
- 50327
- Physician work
- 3.90
- Practice expense
- 0.93
- Malpractice
- 1.00
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.005 | 3.9195 |
| Practice expense | 0.93 | × 0.988 | 0.9188 |
| Malpractice | 1.00 | × 0.899 | 0.8990 |
| Total RVUs | 5.7373 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$191.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1.005 |
| Practice expense | 0.93 | 0.988 |
| Malpractice | 1 | 0.899 |
(3.9 × 1.005 + 0.93 × 0.988 + 1 × 0.899) × $33.4009 = $191.63
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.
50327 billing questions
When is this code appropriate instead of standard graft preparation?
Use it for documented reconstruction of the donor kidney’s renal vein, not for routine backbench preparation alone. The operative report should identify the venous work performed.
Can this be reported with standard renal graft preparation?
It may be reported with the applicable standard preparation code when both services are performed and documented. The standard code describes routine graft preparation; this code represents the additional venous reconstruction.
How does this differ from arterial reconstruction?
This code concerns reconstruction of the renal vein. Use the related arterial reconstruction code when the work is on the graft’s renal artery.
What documentation supports reporting this service?
The operative report should identify the graft’s venous anatomy and describe the reconstruction performed. A general statement that the kidney was prepared is not enough to establish venous reconstruction.
How does the multiple procedure reduction affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
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.
5,89550320,,Remove kidney living donor,A,,21.87,16.68,NA,16.68,,5.85,44.40,44.40,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89650323,,Prep cadaver renal allograft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89750325,,Prep donor renal graft,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89850327,,Prep renal graft/venous,A,,3.90,0.93,NA,0.93,,1.00,5.83,5.83,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89950328,,Prep renal graft/arterial,A,,3.41,0.82,NA,0.82,,0.86,5.09,5.09,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,90050329,,Prep renal graft/ureteral,A,,3.26,0.78,NA,0.78,,0.83,4.87,4.87,0,XXX,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503