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See a sample rate comparisonCPT 50365 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Renal Allotransplant Implnt Of Grft; W/ Recipient Nephr, Renal Allotransplantation Implantation Of Graft; With Recipient Nephr
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50365 |
| Medicaid Fee Schedule | View Medicaid rates for 50365 |
National average reimbursement for CPT 50365 by major payers:
$3,730.90
$3,745.83
$3,960.44
$4,743.90
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CPT 50365
5 of 25 sample ratesHigher to lower in this preview
Columbia North Hills Hospital Subsidiary Lp, Medical City North Hills
Columbia North Hills Hospital Subsidiary Lp
$10,364.00Published rateSurgcenter Of Greater Dallas, LLC., Surgcenter Of Greater Dallas
Surgcenter Of Greater Dallas LLC
$2,172.00Published ratePotomac View Surgery Center, LLC
Potomac View Surgery Center LLC
$758.00Published rateAlliance Surgery Center At Cumming
$523.00Published rateOcotillo Surgery Center LLC
$130.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50365 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50365 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 50365 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 50360-CPT | High | Renal Allotransplant Implnt Of Grft; W/O Recipient Ne, Renal Allotransplantation Implantation Of Graft; Without Recipient Ne |
| 50365-CPT | High | Renal Allotransplant Implnt Of Grft; W/ Recipient Nephr, Renal Allotransplantation Implantation Of Graft; With Recipient Nephr |
| 50370-CPT | High | Remove Transplanted Kidney, Surgery To Remove A Transplanted Kidney That Has Been Rejected By The Recipients Immune System. |
| 50380-CPT | High | Transplant Renal Autograft |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50365. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50365 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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