50300
No office rateRemove cadaver donor kidney
Both describe living-donor kidney procurement. Use 50300 for the open approach; use 50547 when procurement is performed laparoscopically.
On this page
CMS RVU26D · Effective 2026-10-01
50547 Donor nephrectomy Medicare reimbursement rates in Texas
Reports laparoscopic removal and preparation of a living donor kidney for transplantation, performed by a surgeon during donor procurement. Compare 50547 office and facility rates across CMS payment localities in Texas.
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 50547 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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 50547 pays more and less in Texas
Transplant surgery
About 50547: Laparoscopic living-donor kidney procurement
Reports laparoscopic removal and preparation of a living donor kidney for transplantation, performed by a surgeon during donor procurement.
This service covers laparoscopic surgery to procure a kidney from a living donor for transplantation, including preparing the kidney for the transplant. A urologist or transplant surgeon typically performs it in a hospital operating room. The code describes work on the donor; it does not represent implantation into the recipient.
Report it when the operative record supports living-donor procurement by laparoscopy, rather than removal for treatment of the donor’s kidney disease. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. For eligible procedures 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 identifies a bilateral procedure, 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 50547
- 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 RVU25.68 · 56%
- Practice expense (office) RVU14.12 · 31%
- Malpractice RVU6.31 · 14%
1.6K
Medicare services in 2024 · #2638 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.
50547 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
50546 describes laparoscopic kidney removal for a non-donor clinical indication. Use 50547 when the kidney is procured from a living donor for transplantation.
No office rate
50545 is for laparoscopic radical kidney removal for disease. It is not the donor-procurement service represented by 50547.
No office rate
50548 describes laparoscopic removal of a kidney with the ureter for a clinical indication; 50547 identifies living-donor kidney procurement.
Compare 50547 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $1545.16 |
| Beaumont | Office Unavailable | Facility $1482.71 |
| Brazoria | Office Unavailable | Facility $1496.37 |
| Dallas | Office Unavailable | Facility $1516.02 |
| Fort Worth | Office Unavailable | Facility $1514.04 |
| Galveston | Office Unavailable | Facility $1507.43 |
| Houston | Office Unavailable | Facility $1622.92 |
| Rest Of Texas | Office Unavailable | Facility $1495.62 |
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50547 billing questions
How does this differ from a routine laparoscopic nephrectomy?
Use this code for laparoscopic kidney procurement from a living donor for transplantation. A nephrectomy performed to treat the donor’s disease is a different service.
Does the code include preparation of the donor kidney?
Yes. Kidney preparation for transplantation is part of the donor procurement service represented by this code.
Does this code describe the recipient’s transplant operation?
No. It reports the donor-side procurement operation, not implantation of the kidney into the recipient.
What documentation supports reporting this code?
The operative report should establish that the patient was a living donor and that the kidney was removed laparoscopically for transplantation. It should also describe the procurement and preparation performed.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What payment rules affect this service?
The 90-day global includes the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction; a bilateral procedure reported with modifier 50 is paid at 150%.
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.
5,93450544,,Laparoscopy pyeloplasty,A,,22.79,7.29,NA,7.29,,2.95,33.03,33.03,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93550545,,Laparo radical nephrectomy,A,,24.43,7.91,NA,7.91,,3.18,35.52,35.52,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93650546,,Laparoscopic nephrectomy,A,,21.32,8.03,NA,8.03,,2.96,32.31,32.31,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93750547,,Laparo removal donor kidney,A,,25.68,14.12,NA,14.12,,6.31,46.11,46.11,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93850548,,Laparo remove w/ureter,A,,24.73,7.71,NA,7.71,,3.22,35.66,35.66,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,93950549,,Unlisted laps px renal,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,94050551,,Kidney endoscopy,A,,5.45,5.14,,1.62,,0.70,11.29,7.77,0,000,0.00,0.00,0.00,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00