2025 CPT code 50365
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Renal allotransplantation, implantation of graft; with recipient nephrectomy.
Modifiers 50 (Bilateral Procedure) and 51 (Multiple Procedures) are applicable. Other modifiers might be necessary depending on the specifics of the case. Consult the CPT codebook and NCCI edits.
End-stage renal disease or other conditions leading to irreversible kidney failure that necessitates renal replacement therapy such as dialysis or transplantation. The procedure must be deemed medically necessary by a qualified nephrologist or transplant surgeon.
The surgeon performs the nephrectomy (removal of the recipient's kidney), prepares the recipient for the transplant, inserts the donor kidney, connects the vascular supply (renal artery and vein to iliac vein and hypogastric artery), and implants the ureter into the bladder. Post-operative care and management of complications are also the surgeon's responsibility.
In simple words: The doctor transplants a kidney from a deceased or living donor into the patient. The patient's own damaged kidney is also removed during the procedure.The new kidney is connected to the patient's blood vessels and bladder.
Renal allotransplantation involves the transplantation of a kidney and ureter from a cadaver or living donor into a recipient.The procedure includes the removal of the recipient's kidney (nephrectomy) and the implantation of the donor kidney, connecting the donor kidney's renal artery and vein to the recipient's iliac vein and hypogastric artery.The donor ureter is implanted into the recipient's bladder. Hemostasis is achieved, and layered closure of incisions is performed. A drainage tube may be placed.
Example 1: A 55-year-old male with end-stage renal disease receives a deceased donor kidney transplant.The procedure includes nephrectomy of the patient's native kidneys., A 40-year-old female receives a living donor kidney transplant from her sister. The patient's native kidneys are removed due to severe chronic kidney disease., A 60-year-old patient with a history of multiple failed kidney transplants undergoes a cadaveric kidney transplant with concomitant nephrectomy. The patient also requires secondary procedures such as ureteral reconstruction.
Preoperative assessment including renal function tests, tissue typing results, crossmatch compatibility, and thorough surgical history. Intraoperative notes including details of the nephrectomy, donor kidney preparation, vascular anastomosis, and ureteral implantation. Postoperative pathology reports, blood tests to assess graft function, and follow-up notes documenting complications.
** This code represents the complete renal allotransplantation procedure, including nephrectomy.Always verify with payer-specific guidelines for coverage and reimbursement.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may be applicable, depending on whether the services are furnished by a surgeon or an assistant.
- Specialties:Urology, Transplant Surgery, Nephrology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center