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See a sample rate comparisonCPT 50380 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.
Transplant Renal Autograft
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 62 - Co-Surgeons 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 50380 |
| Medicaid Fee Schedule | View Medicaid rates for 50380 |
National average reimbursement for CPT 50380 by major payers:
$2,339.82
$2,582.61
$2,755.84
$3,176.77
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CPT 50380
5 of 25 sample ratesHigher to lower in this preview
Upper Arlington Surgery Center, Ltd., Riverside Outpatient Surgery Center
$13,332.00Published ratePremier Eye Surgery Center Of Colorado, LLC, Premier Eye Surgery Center
Premier Eye Surgery Center Of Colorado, LLC
$1,114.00Published ratePiney Orchard Surgery Center, LLC.
Piney Orchard Surgery Center
$758.00Published rateApollo Surgical Center LLC
$500.00Published rateMinimally Invasive Surgery Center, P.A.
$150.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 50380 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50380 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 50380 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 |
| 50380-CPT | High | Transplant Renal Autograft |
| 50400-CPT | High | Revision Of Kidney Ureter, Pyeloplasty Foley Y Pyeloplasty Plastic Operation On Renal Pelvis With Or Without Plastic Operation On Ureter Nephropexy Nephrostomy Pyelostomy Or Ureteral Splinting Simple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50380 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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