50220 Remove kidney open
Also known as: simple nephrectomy, open nephrectomy, kidney removal
Open surgical removal of the kidney (nephrectomy) through an incision for uncomplicated cases.
In Plain Language
surgical removal of kidney; open kidney removal surgery
Clinical Context
Used for benign renal disease (chronic pyelonephritis, non-functioning kidney), renal infarction, traumatic injury, or when laparoscopic approach is contraindicated.
RVU Breakdown
| Work RVU | 18.21 |
| Total RVU | 18.21 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 18.21, this code ranks in the 79th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50220?
CPT 50220 (Remove kidney open) is a Surgery code. Open surgical removal of the kidney (nephrectomy) through an incision for uncomplicated cases.
What is the wRVU value for CPT 50220?
The work RVU for CPT 50220 is 18.21. This code is primarily used by Urology, General Surgery. It has a 90-day global period.
When is CPT 50220 used?
Used for benign renal disease (chronic pyelonephritis, non-functioning kidney), renal infarction, traumatic injury, or when laparoscopic approach is contraindicated.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.