Billing code 50327: Graft preparationMedicare rate & RVUs in Oregon
Reports backbench reconstruction of a donor kidney’s renal vein when venous work beyond routine graft preparation is needed before transplantation.
CMS doesn’t publish an office rate for 50327 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 50327 covers
The transplant surgeon performs this backbench work on a donor kidney before it is implanted in the recipient. It covers reconstruction of the graft’s renal vein, such as work needed to establish suitable venous outflow when the vein’s anatomy or condition requires more than routine preparation. The service is performed in the transplant operative setting, not as a recipient nephrectomy or as the kidney implantation itself.
Report this code when the operative documentation identifies renal venous reconstruction on the graft, rather than only routine dissection and preparation. The note should describe the venous anatomy and the reconstructive work performed. Distinguish it from standard graft preparation and from reconstruction of the renal artery or ureter. CMS applies the standard multiple procedure reduction when multiple procedures are performed in the same session: the highest-valued procedure is paid in full, and the others are paid at 50%.
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.
Where 50327 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $191.71 |
| Rest Of Oregon | Unavailable | $184.68 |
How the 50327 rate is calculated
Each of 50327’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 50327
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.90Practice expense 0.93Malpractice 1.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 50327
The CMS indicators that decide how 50327 is paid alongside other services.
CMS payment indicators · 50327
Graft preparation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
50327 without 51 · national facility
$194.73
Graft preparation
50327-51 · Second procedure: 50%
$97.37
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
50327 compared with similar codes
Compare codes
50327 vs 50323 vs 50325 vs 50328 vs 50329: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 50323Prep cadaver renal allograft
- This code covers venous reconstruction on the graft. Code 50323 describes standard preparation of a cadaver donor kidney, without substituting for separately documented venous reconstruction.
- 50325Prep donor renal graft
- This code covers venous reconstruction on the graft. Code 50325 describes standard preparation of a living donor kidney.
- 50328Kidney graft prep
- Choose 50327 for reconstruction of the renal vein and 50328 for reconstruction of the renal artery.
- 50329Graft reconstruction
- This code concerns the graft’s renal vein; 50329 concerns reconstruction of the graft’s ureter.
50327 billing questions
When is this code appropriate instead of standard graft preparation?
Use it for documented reconstruction of the donor kidney’s renal vein, not for routine backbench preparation alone. The operative report should identify the venous work performed.
Can this be reported with standard renal graft preparation?
It may be reported with the applicable standard preparation code when both services are performed and documented. The standard code describes routine graft preparation; this code represents the additional venous reconstruction.
How does this differ from arterial reconstruction?
This code concerns reconstruction of the renal vein. Use the related arterial reconstruction code when the work is on the graft’s renal artery.
What documentation supports reporting this service?
The operative report should identify the graft’s venous anatomy and describe the reconstruction performed. A general statement that the kidney was prepared is not enough to establish venous reconstruction.
How does the multiple procedure reduction affect payment?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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