Does 50329 require prior authorization?

No, 50329 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 50329?

Medicare facility rate: $162.66. Non-facility rate: $162.66. Work RVU: 3.26.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

3.26

Facility

$162.66

Non-Facility

$162.66

Evidence that active infections are appropriately treated or resolved.
For members with HIV: documented CD4 cell count > 200 cells/mm³.
For members with HIV: documentation of absence of active AIDS‑defining opportunistic infection.
For members with HIV: documentation that the member is currently on effective antiretroviral therapy (ART).

AMBETTER-CP.MP.246 — Pediatric Kidney Transplant

ANTHEM-GL-A051131 — Status

ANTHEM-MP-A046252 — Pre-Merger Organizations

BCBSIL-SUR703.007 — Kidney Transplant

BCBSMT-SUR703.007 — Kidney Transplant

Ask Verity about documentation requirements, denial risks, or coverage in your state.