No office rate
Choose 50328 for arterial preparation of a living-donor graft; 50327 describes the corresponding arterial work for a cadaver-donor graft.
On this page
CMS RVU26D · Effective 2026-10-01
50328 Kidney graft prep Medicare reimbursement rates in Idaho
Reports backbench preparation of a living-donor kidney graft’s artery before transplantation, including work to prepare or reconstruct arterial inflow. Compare 50328 office and facility rates across CMS payment localities in Idaho.
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 50328 in Idaho?
Idaho 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
$152.68
1 of 1 localities have a supported rate.
Payment area: Idaho
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 50328: Living donor renal graft arterial preparation
Reports backbench preparation of a living-donor kidney graft’s artery before transplantation, including work to prepare or reconstruct arterial inflow.
A transplant surgeon performs this backbench service on a kidney obtained from a living donor, after procurement and before the graft is implanted in the recipient. The work focuses on preparing the graft’s artery for the vascular connection needed at transplantation, with or without arterial reconstruction. It is distinct from removing the donor kidney and from implanting the kidney in the recipient.
Report the code when the operative record supports arterial preparation of a living-donor renal graft. Documentation should identify the living-donor graft and describe the arterial work performed, including any reconstruction. When other procedures are performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and the others are paid at 50%.
CMS billing rules for 50328
- 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 RVU3.41 · 67%
- Practice expense (office) RVU0.82 · 16%
- Malpractice RVU0.86 · 17%
813
Medicare services in 2024 · #3131 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.
50328 compared with similar codes
Office rates for Idaho, from the same CMS release.
50325
No office ratePrep donor renal graft
Both concern living-donor graft backbench preparation, but 50325 addresses venous preparation rather than arterial preparation.
No office rate
50360 describes implantation of a kidney in the recipient without recipient nephrectomy; 50328 describes backbench arterial preparation of the living-donor graft.
Compare 50328 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
Idaho →
Office / nonfacility
Unavailable
Facility
$152.68
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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 50328 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
5,899
- Code
- 50328
- Physician work
- 3.41
- Practice expense
- 0.82
- Malpractice
- 0.86
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.41 | × 1.000 | 3.4100 |
| Practice expense | 0.82 | × 0.920 | 0.7544 |
| Malpractice | 0.86 | × 0.473 | 0.4068 |
| Total RVUs | 4.5712 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$152.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.41 | 1 |
| Practice expense | 0.82 | 0.92 |
| Malpractice | 0.86 | 0.473 |
(3.41 × 1 + 0.82 × 0.92 + 0.86 × 0.473) × $33.4009 = $152.68
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.
50328 billing questions
How does this differ from 50327?
Both codes describe backbench arterial preparation, but 50328 is for a living-donor renal graft and 50327 is for a cadaver-donor graft.
Is this the donor nephrectomy or the recipient transplant?
No. This code covers preparation of the living-donor graft’s artery before implantation; it does not describe removing the kidney from the donor or implanting it in the recipient.
What operative documentation supports reporting it?
The record should establish that the graft came from a living donor and describe the arterial preparation or reconstruction performed on the backbench.
How is it paid when other procedures occur in the same session?
CMS pays the highest-valued procedure in full and pays the other procedures at 50% under the standard 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 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.
5,89650323,,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
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772