50365 Rnl altrnsplj with rcp nfrct
Also known as: kidney transplant with nephrectomy, transplant with recipient nephrectomy, dual nephrectomy
Renal allograft transplantation with removal of the recipient's native kidney (recipient nephrectomy) performed during the same operative session.
In Plain Language
kidney transplant with removal of patient's kidney; transplant and native kidney removal
Clinical Context
Used when bilateral nephrectomy is indicated due to hypertension, infections, malignancy, or massive proteinuria, performed concurrently with transplantation.
RVU Breakdown
| Work RVU | 44.98 |
| Total RVU | 44.98 |
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 44.98, this code ranks in the 98th percentile among Surgery codes — 5.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50365?
CPT 50365 (Rnl altrnsplj with rcp nfrct) is a Surgery code. Renal allograft transplantation with removal of the recipient's native kidney (recipient nephrectomy) performed during the same operative session.
What is the wRVU value for CPT 50365?
The work RVU for CPT 50365 is 44.98. This code is primarily used by Transplant Surgery, Urology. It has a 90-day global period.
When is CPT 50365 used?
Used when bilateral nephrectomy is indicated due to hypertension, infections, malignancy, or massive proteinuria, performed concurrently with transplantation.
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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.