No office rate
Choose 50365 when recipient nephrectomy is part of the transplant operation; 50360 describes implantation without that removal.
On this page
CMS RVU26D · Effective 2026-10-01
50360 Kidney transplant Medicare reimbursement rates in Missouri
Reports implantation of a donor kidney into a recipient when the transplant operation does not include removal of a recipient kidney. Compare 50360 office and facility rates across CMS payment localities in Missouri.
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 50360 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2193.56–$2262.31
3 of 3 localities have a supported rate.
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.
Where 50360 pays more and less in Missouri
Transplant surgery
About 50360: Renal allotransplant without nephrectomy
Reports implantation of a donor kidney into a recipient when the transplant operation does not include removal of a recipient kidney.
A transplant surgeon implants a donor kidney into a recipient, connecting its blood vessels to the recipient’s circulation and establishing urinary drainage, commonly by connecting the ureter to the bladder. The operation takes place in an operating room, usually in a hospital. This code describes transplantation without removal of a recipient kidney as part of the operation; it is not the code for transplanting a patient’s own kidney.
Select this service when the operative report supports donor-kidney implantation and confirms that recipient nephrectomy was not performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid, and co-surgeons and team surgery are permitted when their respective requirements are met.
CMS billing rules for 50360
- 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 permitted.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU38.88 · 57%
- Practice expense (office) RVU19.75 · 29%
- Malpractice RVU10.03 · 15%
11.8K
Medicare services in 2024 · #1389 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.
50360 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
50380 describes autotransplantation of the patient’s own kidney. Use 50360 for implantation of a donor kidney.
50323
No office ratePrep cadaver renal allograft
50323 describes preparation of a cadaver donor renal allograft before implantation; 50360 describes transplanting the graft into the recipient.
Compare 50360 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$2245.36
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$2262.31
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$2193.56
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50360 billing questions
How does this differ from 50365?
50360 is for donor-kidney implantation without recipient nephrectomy. Use 50365 when the transplant operation also includes recipient nephrectomy.
Can donor-kidney preparation be reported separately?
Backbench preparation is described by separate codes, including 50323 for a cadaver donor renal allograft and 50325 for donor graft preparation. Report the applicable preparation service when it was performed and documented.
Does the 90-day global period include transplant follow-up?
It includes the day-before preoperative visit and 90 days of related postoperative care. The operative report and follow-up documentation should support the relationship to the transplant.
Should modifier 50 be used for a kidney transplant?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are also permitted when applicable requirements are met.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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.
5,89950328,,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
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