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2025 CPT code 50323

Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision of adrenal gland, and preparation of ureter(s), renal vein(s), and renal artery(s), ligating branches, as necessary.

Refer to CPT guidelines for Renal Transplantation procedures for appropriate coding and reporting.

Medical necessity for 50323 is established when a cadaveric kidney transplant is deemed medically necessary for a patient with end-stage renal disease, and standard backbench preparation of the allograft is required to make the kidney suitable for transplantation.

The physician is responsible for preparing the donor kidney on a back table, ensuring its viability for transplantation. This includes meticulous dissection and removal of surrounding tissues and structures, careful handling of vascular structures, and preservation of the ureter.

In simple words: The provider prepares a donor kidney from a deceased person for transplantation. This involves a standard preparation process on a back table, where the kidney is cleaned, surrounding tissues are removed, and the necessary vessels and ureter are prepared for connection in the recipient.

Backbench standard preparation of cadaver donor renal allograft prior to transplantation. This includes dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision of the adrenal gland, and preparation of the ureter(s), renal vein(s), and renal artery(s), ligating branches as necessary.Do not report 50323 in conjunction with 60540 or 60545.

Example 1: A cadaveric kidney is harvested and brought to a back table for preparation prior to transplantation into a recipient. The surgeon performs the standard backbench preparation, including removal of excess tissues, preparation of the renal artery, vein, and ureter, ensuring the organ is ready for implantation., During a complex kidney transplant procedure, a cadaveric kidney requires extensive backbench work due to anatomical variations. The surgeon performs 50323, addressing the complexities and preparing the allograft for successful transplantation., A patient with end-stage renal disease is undergoing a kidney transplant. A suitable cadaveric donor kidney is identified, and the surgeon performs the backbench preparation (50323) before implanting the kidney into the recipient.

Documentation should include the details of the backbench preparation, including the specific procedures performed, such as dissection, removal of attachments, excision of the adrenal gland, and preparation of the ureter, renal vein, and artery. The condition of the donor kidney and any difficulties encountered during the preparation should also be noted.

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