2025 CPT code 50360

Renal allotransplantation; implantation of graft without recipient nephrectomy.

Adhere to all guidelines provided in the CPT manual and other relevant coding resources. Be aware of the specific instructions for allotransplantation procedures, including those related to modifier use and documentation requirements. Pay close attention to national and payer-specific guidelines for appropriate use of modifiers, such as those specifying multiple procedures.

Modifiers may be used with 50360 to indicate additional procedures or circumstances.For example, modifier 51 might be used if another procedure was performed during the same surgical session.Refer to the CPT manual and payer-specific guidelines for appropriate modifier usage.

Medical necessity for a renal allotransplantation is established when a patient has ESRD requiring dialysis and is deemed a suitable candidate for transplantation. This assessment involves evaluating the patient’s overall health, including cardiovascular status, immune function, and presence of any other co-morbidities.The decision to proceed with transplantation considers the availability of a suitable donor organ and the patient's life expectancy with continued dialysis vs. transplantation.Documentation of these factors is essential to justify the procedure's medical necessity.

The clinical responsibility includes the complete surgical management of the recipient during the renal allotransplantation. This encompasses all phases of care, including preoperative assessment, surgical procedure, and postoperative monitoring.The surgeon is responsible for the accurate placement of the graft and its vascular and ureteral anastomosis, ensuring hemostasis and minimizing complications. Postoperative care involves monitoring the patient's renal function, electrolyte balance, and immune response to the transplanted organ. Close collaboration with nephrologists, immunologists, and other medical professionals is essential.

IMPORTANT Related codes include those for donor nephrectomy (50300, 50320, 50547), backbench work (50323, 50325, 50327-50329), andadditional procedures performed during the transplant.Modifiers may be necessary depending on the circumstances of the surgery.

In simple words: This code describes a kidney transplant surgery. A healthy kidney from a donor is placed into the patient without removing their existing kidneys. The surgeon connects the new kidney's blood vessels and tube to the patient's body.

This CPT code (50360) represents the surgical procedure of renal allotransplantation, specifically the implantation of a kidney graft from a donor into a recipient without the simultaneous removal of the recipient's own kidney (nephrectomy).The procedure involves meticulous surgical connection of the donor kidney's artery and vein to the recipient's blood vessels, typically the iliac vessels, and the connection of the donor's ureter to the recipient's bladder.The procedure is complex and requires significant surgical skill and expertise.Preoperative, intraoperative, and postoperative care are all included in this code.

Example 1: A 55-year-old male with end-stage renal disease (ESRD) secondary to type 2 diabetes receives a deceased-donor kidney transplant. The surgery involves implantation of the graft without nephrectomy. Post-operative care includes immunosuppressive therapy, dialysis if necessary and close monitoring for rejection., A 40-year-old female with ESRD due to chronic glomerulonephritis receives a living-donor kidney transplant from her sister. The procedure is successful, and the patient is discharged home after 7 days without need for further dialysis., A 60-year-old male with ESRD receives a cadaveric kidney transplant.During the procedure, an unexpected vascular anomaly requires additional surgical intervention to complete the anastomosis, necessitating the use of appropriate modifiers.

Complete medical history, including the reason for kidney failure, prior treatments (dialysis), and any other relevant comorbidities.Preoperative assessment including laboratory tests (blood work, urine analysis, imaging studies).Detailed surgical notes including description of the donor kidney, implantation technique, and complications if any.Postoperative course notes including renal function data, fluid balance, and immunosuppressive medication regimen.Pathology reports on the donor kidney (if applicable).Follow-up laboratory results and imaging studies as needed.

** Accurate coding requires thorough documentation and understanding of the entire surgical procedure and the patient's condition.Consult with coding specialists for complex cases to ensure proper billing and reimbursement.

  • Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
  • RVU: The relative value units (RVUs) for this code will vary based on geographic location, facility type (inpatient vs. outpatient), and other factors.Consult the appropriate fee schedule for current values.
  • Global Days : The global period for this procedure is not explicitly defined in the provided data. The global period typically covers the surgical procedure itself and the immediate postoperative care.Refer to the payer-specific guidelines for the exact number of days.
  • Payment Status: Active
  • Modifier TC rule: The Technical Component (TC) modifier is not applicable to this procedure, as it is a complete surgical procedure and includes all components of the allotransplantation process.
  • Fee Schedule : Fee schedules vary by year, payer, and geographic location.Historical fee data is not available in the provided context.
  • Specialties:Urology, Transplantation Surgery, Nephrology
  • Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Ambulatory Surgical Center
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