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 in Guam
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 in Guam.
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 in Guam?
Guam 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
$1968.72
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 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 rates for Guam, 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.
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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1968.72
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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 50380 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
5,905
- Code
- 50380
- Physician work
- 29.36
- Practice expense
- 22.01
- Malpractice
- 7.87
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.36 | × 1.000 | 29.3600 |
| Practice expense | 22.01 | × 1.137 | 25.0254 |
| Malpractice | 7.87 | × 0.579 | 4.5567 |
| Total RVUs | 58.9421 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1968.72
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.36 | 1 |
| Practice expense | 22.01 | 1.137 |
| Malpractice | 7.87 | 0.579 |
(29.36 × 1 + 22.01 × 1.137 + 7.87 × 0.579) × $33.4009 = $1968.72
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.
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014