$1,428.14
G0341 is for percutaneous islet cell transplantation; G0342 is for the laparoscopic approach.
On this page
CMS RVU26D · Effective 2026-10-01
G0342 Islet cell transplant Medicare reimbursement rates in Kentucky
Reports islet cell transplantation performed laparoscopically, commonly as part of treatment for chronic pancreatitis after pancreatic islet harvest. Compare G0342 office and facility rates across CMS payment localities in Kentucky.
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 G0342 in Kentucky?
Kentucky 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
$684.48
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 G0342: Laparoscopic islet cell transplantation
Reports islet cell transplantation performed laparoscopically, commonly as part of treatment for chronic pancreatitis after pancreatic islet harvest.
This service covers laparoscopic delivery of pancreatic islet cells for transplantation. A common clinical setting is autologous islet transplantation after pancreatectomy for chronic pancreatitis, with the islets infused into the portal circulation. A surgeon performs the laparoscopic portion in an operating room; the operative record should identify the laparoscopic approach and describe the transplant procedure performed.
Select this code when the islet transplantation is performed laparoscopically, rather than by percutaneous access or laparotomy. Documentation should establish the approach and the transplant work, including the operative context and islet delivery. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. 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. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted. Modifier 50 is not appropriate for this procedure.
CMS billing rules for G0342
- 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 RVU11.62 · 54%
- Practice expense (office) RVU6.79 · 32%
- Malpractice RVU3.10 · 14%
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.
G0342 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
G0343 describes islet cell transplantation by laparotomy. Use G0342 when the transplant procedure is performed laparoscopically.
48160
No office ratePancreas removal/transplant
48160 describes pancreatectomy with autologous islet transplantation as a combined operation. G0342 identifies laparoscopic islet transplantation.
Compare G0342 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$684.48
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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 G0342 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
15,209
- Code
- G0342
- Physician work
- 11.62
- Practice expense
- 6.79
- Malpractice
- 3.10
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.62 | × 1.000 | 11.6200 |
| Practice expense | 6.79 | × 0.889 | 6.0363 |
| Malpractice | 3.10 | × 0.915 | 2.8365 |
| Total RVUs | 20.4928 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$684.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.62 | 1 |
| Practice expense | 6.79 | 0.889 |
| Malpractice | 3.1 | 0.915 |
(11.62 × 1 + 6.79 × 0.889 + 3.1 × 0.915) × $33.4009 = $684.48
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.
G0342 billing questions
How does G0342 differ from G0341 and G0343?
Choose G0342 for laparoscopic islet transplantation. G0341 describes a percutaneous approach, while G0343 describes transplantation performed by laparotomy.
What documentation supports G0342?
The operative report should identify the laparoscopic approach and describe the islet transplantation performed, including its operative context and delivery.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and related postoperative care through 90 days after surgery.
Can an assistant surgeon be reported?
Medicare may pay for an assistant at surgery. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Should modifier 50 be used?
No. Modifier 50 is not appropriate for this transplant procedure.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to 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.
15,206G0339,,"Robot lin-radsurg com, first",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,207G0340,,Robt lin-radsurg fractx 2-5,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,208G0341,,Percutaneous islet celltrans,A,,6.81,39.52,,0.80,,0.89,47.22,8.50,0,000,0.00,0.00,0.00,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,209G0342,,Laparoscopy islet cell trans,A,,11.62,6.79,NA,6.79,,3.10,21.51,21.51,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,210G0343,,Laparotomy islet cell transp,A,,19.35,10.38,NA,10.38,,5.15,34.88,34.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,211G0372,,Md service required for pmd,A,,0.17,0.10,,0.05,,0.01,0.28,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,212G0378,,Hospital observation per hr,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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631