50300
No office rateRemove cadaver donor kidney
Choose 50320 for procurement from a living donor. Code 50300 describes procurement from a deceased donor.
On this page
CMS RVU26D · Effective 2026-10-01
50320 Donor nephrectomy Medicare reimbursement rates in Iowa
Open removal of a kidney from a living donor for transplantation, including cold preservation of the procured kidney. Compare 50320 office and facility rates across CMS payment localities in Iowa.
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 50320 in Iowa?
Iowa 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
$1317.82
1 of 1 localities have a supported rate.
Payment area: Iowa
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 50320: Open living-donor kidney removal
Open removal of a kidney from a living donor for transplantation, including cold preservation of the procured kidney.
This code represents open surgical removal of a kidney from a living donor for transplantation, with cold preservation included. A transplant surgeon or urologist typically performs the operation in a hospital operating room. It applies to procurement from a living donor, rather than removal from a deceased donor or laparoscopic procurement.
Report it for the donor’s operation, not the recipient’s transplant procedure. The operative report should identify the living-donor procurement, the kidney removed, and the approach. Separately performed backbench preparation or reconstruction may be reported with the applicable code when documented. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 50320
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU21.87 · 49%
- Practice expense (office) RVU16.68 · 38%
- Malpractice RVU5.85 · 13%
25
Medicare services in 2024 · #5794 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.
50320 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Both codes concern living-donor kidney procurement. Choose 50320 for the open approach and 50547 for the laparoscopic approach.
No office rate
Code 50320 reports kidney removal from the living donor; 50360 reports transplantation into the recipient without recipient nephrectomy.
Compare 50320 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
Iowa →
Office / nonfacility
Unavailable
Facility
$1317.82
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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 50320 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
5,895
- Code
- 50320
- Physician work
- 21.87
- Practice expense
- 16.68
- Malpractice
- 5.85
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.87 | × 1.000 | 21.8700 |
| Practice expense | 16.68 | × 0.915 | 15.2622 |
| Malpractice | 5.85 | × 0.397 | 2.3224 |
| Total RVUs | 39.4547 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1317.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.87 | 1 |
| Practice expense | 16.68 | 0.915 |
| Malpractice | 5.85 | 0.397 |
(21.87 × 1 + 16.68 × 0.915 + 5.85 × 0.397) × $33.4009 = $1317.82
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.
50320 billing questions
How does this differ from code 50547?
Code 50320 is for open procurement from a living donor. Code 50547 is the laparoscopic approach to living-donor kidney procurement.
How does this differ from code 50300?
Code 50320 applies to a living donor; code 50300 applies to kidney removal from a deceased donor.
Is cold preservation included?
Yes. Cold preservation is included in this donor nephrectomy service.
Can backbench graft preparation be reported separately?
When separately performed and documented, backbench preparation or reconstruction may be reported with the applicable preparation code, such as 50325 or 50327.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
5,89250280,,Exc/unroofing cyst kidney,A,,16.66,6.67,NA,6.67,,2.14,25.47,25.47,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89350290,,Excision perinephric cyst,A,,15.75,6.48,NA,6.48,,2.02,24.25,24.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,89450300,,Remove cadaver donor kidney,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136