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CPT 50340: Nephrectomy, Kidney Removal
CPT code 50340 represents nephrectomy, the surgical removal of a kidney or part of a kidney, a high-impact procedure in urologic and oncologic care. Nationally, nephrectomy is performed for indications such as renal tumors, severe trauma, infection, and nonfunctional kidneys; it carries implications for inpatient surgical capacity, perioperative risk management, and post-operative care pathways. Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise clinical and billing overview of CPT code 50340, including the typical service setting (hospital operating room or ambulatory surgical center) and the surgical service line. The report outlines payer coverage considerations, commonly observed modifiers, and where available, benchmark metrics and policy considerations that affect authorization and payment for nephrectomy. The summary highlights clinical context for billing, common procedural scenarios, and administrative factors that influence claim processing and reimbursement for this major urologic surgery.
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Billing Code Overview
CPT code 50340 describes nephrectomy, a surgical procedure for removal of a kidney or part of a kidney. This procedure involves excision of renal tissue and may be performed for indications such as malignancy, severe trauma, uncontrolled infection, or nonfunctional kidney.
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Service type: Surgical procedure
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Typical site of service: Hospital operating room or ambulatory surgical center, depending on clinical complexity and patient status.
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