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BETA v.3.0

2025 CPT code 50325

Backbench standard preparation of a living donor renal allograft (open or laparoscopic) prior to transplantation.

This code is for the standard backbench preparation of a living donor renal allograft. Report additional reconstruction procedures separately.

Modifier 51 is used when multiple procedures are performed.

Medical necessity for this code is established by the performance of a living donor kidney transplant, where backbench preparation is a crucial step in ensuring the viability of the graft.

The surgeon performs the backbench work, which involves preparing the donor kidney for transplantation. This includes dissecting the kidney, removing surrounding tissue, and preparing the blood vessels and ureter for connection in the recipient.

In simple words: The surgeon prepares a kidney from a living donor for transplant surgery. This involves carefully dissecting the kidney, removing surrounding fat and tissue, and preparing the blood vessels and ureter for connection in the recipient.

Backbench standard preparation of a living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal vein(s), and renal artery(s), ligating branches, as necessary.

Example 1: A living donor undergoes a nephrectomy, and the harvested kidney is prepared on the backbench using standard techniques (50325) before being implanted into the recipient., A living donor kidney is procured laparoscopically, and the surgeon performs the standard backbench preparation (50325), including trimming excess fat and preparing the vessels and ureter., During a living donor kidney transplant, the surgeon performs standard backbench preparation (50325). Additional reconstruction of the renal artery is required due to anatomical variations and is reported separately (50328).

Documentation should include details of the backbench preparation, including the dissection and removal of perinephric fat, preparation of the ureter, renal vein(s), and renal artery(s), and any ligation of branches.

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