No office rate
Use 50365 when renal transplantation and recipient nephrectomy are performed together; it includes the nephrectomy. Use 50340 for a distinct recipient nephrectomy without that combined transplant service.
On this page
CMS RVU26D · Effective 2026-10-01
50340 Recipient nephrectomy Medicare reimbursement rates in Rhode Island
Reports removal of a kidney from a renal transplant recipient, such as when a diseased native kidney requires removal apart from the transplant procedure. Compare 50340 office and facility rates across CMS payment localities in Rhode Island.
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 50340 in Rhode Island?
Rhode Island 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
$945.26
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Renal surgery
About 50340: Kidney recipient nephrectomy
Reports removal of a kidney from a renal transplant recipient, such as when a diseased native kidney requires removal apart from the transplant procedure.
This code describes removal of a native kidney from the person receiving a renal transplant. A urologist or transplant surgeon may perform the operation in a hospital operating room when a recipient’s native kidney needs removal, including for disease or to make room for a graft. It is distinct from taking a kidney from a living or deceased donor and from removing a transplanted kidney graft.
Report the service when the recipient nephrectomy is performed as a distinct operation. If the surgeon performs the nephrectomy as part of renal transplantation, use the transplant code that includes recipient nephrectomy rather than reporting this code separately. The operative report should identify the recipient’s native kidney, the side, and the work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery payment is not permitted.
CMS billing rules for 50340
- 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 RVU13.69 · 49%
- Practice expense (office) RVU10.74 · 38%
- Malpractice RVU3.65 · 13%
24
Medicare services in 2024 · #5818 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.
50340 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
50360 reports renal transplantation without recipient nephrectomy. When the recipient’s native kidney is removed during transplantation, use 50365 instead.
No office rate
50370 removes a transplanted renal allograft. This code is for removal of the recipient’s native kidney.
Compare 50340 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$945.26
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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 50340 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
5,901
- Code
- 50340
- Physician work
- 13.69
- Practice expense
- 10.74
- Malpractice
- 3.65
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.69 | × 1.019 | 13.9501 |
| Practice expense | 10.74 | × 1.033 | 11.0944 |
| Malpractice | 3.65 | × 0.892 | 3.2558 |
| Total RVUs | 28.3003 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$945.26
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.69 | 1.019 |
| Practice expense | 10.74 | 1.033 |
| Malpractice | 3.65 | 0.892 |
(13.69 × 1.019 + 10.74 × 1.033 + 3.65 × 0.892) × $33.4009 = $945.26
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.
50340 billing questions
Should this code be reported with renal transplantation?
When recipient nephrectomy is performed during renal transplantation, use 50365, which includes recipient nephrectomy. Do not report 50340 separately for that same work.
How does this differ from 50370?
50340 is removal of a recipient’s native kidney. 50370 is removal of a transplanted renal allograft.
What documentation supports reporting this code?
The operative report should establish that the kidney removed was the recipient’s native kidney and identify the side and procedure performed.
How is bilateral removal reported?
For bilateral recipient nephrectomy, report modifier 50; CMS payment for the bilateral procedure is 150%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for the nephrectomy.
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.
5,89850327,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537