No office rate
Both describe kidney allotransplantation, but 50365 includes recipient nephrectomy during the transplant operation; 50360 is for transplantation without it.
On this page
CMS RVU26D · Effective 2026-10-01
50365 Kidney transplant Medicare reimbursement rates in Washington
Reports transplantation of a donor kidney when the recipient's native kidney is also removed as part of the transplant operation. Compare 50365 office and facility rates across CMS payment localities in Washington.
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 50365 in Washington?
Washington has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2770.33–$3004.11
2 of 2 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.
Transplant surgery
About 50365: Kidney allotransplant with recipient nephrectomy
Reports transplantation of a donor kidney when the recipient's native kidney is also removed as part of the transplant operation.
A transplant surgeon uses this code for a donor kidney implanted in a recipient when a recipient nephrectomy is performed as part of the same transplant operation. The service is generally performed in a hospital operating room. The recipient nephrectomy is included in this transplant service; it is not a separate nephrectomy performed independently of the transplant.
Choose this code instead of 50360 when the transplant operation includes removal of the recipient's kidney; 50360 describes the transplant without recipient nephrectomy. The operative report should support the transplant and the recipient nephrectomy performed during that operation. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 pays this bilateral procedure at 150%. Assistant-at-surgery payment, co-surgeons, and team surgery are permitted.
CMS billing rules for 50365
- 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 permitted.
- Team surgery
- Team surgery permitted.
Where the value comes from
- Work RVU44.98 · 54%
- Practice expense (office) RVU26.78 · 32%
- Malpractice RVU12.06 · 14%
102
Medicare services in 2024 · #4867 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.
50365 compared with similar codes
Office rates for Washington, from the same CMS release.
No office rate
50340 describes recipient nephrectomy as a separate service. When nephrectomy is performed as part of kidney allotransplantation, use 50365 instead.
No office rate
50370 describes removal of a previously transplanted renal allograft, not implantation of a donor kidney with recipient nephrectomy.
No office rate
50380 describes autotransplantation of the patient's own kidney; 50365 is for transplantation of a donor kidney.
Compare 50365 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.
2 of 2 payment localities
Rest Of Washington →
Office / nonfacility
Unavailable
Facility
$2770.33
Seattle (King Cnty) →
Office / nonfacility
Unavailable
Facility
$3004.11
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50365 billing questions
How does this differ from 50360?
Use 50365 when recipient nephrectomy is performed as part of the kidney transplant. Use 50360 for the transplant without recipient nephrectomy.
Can the recipient nephrectomy be reported separately?
The recipient nephrectomy is included when performed as part of the transplant reported with 50365. Document it in the operative report as part of the transplant operation.
What does the 90-day global period include?
CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period for 50365.
How is modifier 50 handled?
CMS pays 50365 with modifier 50 at 150% for a bilateral procedure. The operative documentation should support the bilateral service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made for 50365, and CMS permits co-surgeons and team surgery.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, CMS pays the highest-valued procedure in full and the other procedures at 50% when performed in the same session.
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.
5,90050329,,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
5,90650382,,Change ureter stent percut,A,,5.12,22.71,,0.80,,0.57,28.40,6.49,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00