CPT code 51520: Bladder diverticulectomy, via cystotomy2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $573.14 for 51520 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 51520 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 51520 covers

51520 represents an open bladder operation in which the surgeon enters the bladder through a cystotomy and removes one or more bladder diverticula. A diverticulum is an outpouching of the bladder wall; this service is distinct from transurethral removal of an intravesical tumor. Urologists typically perform it in an operating room when operative excision of the diverticulum is planned.

Choose 51520 when the operative work is excision of bladder diverticulum through cystotomy, whether one or multiple diverticula are removed. The operative report should identify the diverticulum or diverticula and describe the cystotomy and excision, distinguishing the service from tumor removal or a broader partial cystectomy. CMS assigns a 90-day major-surgery global period: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 51520

Across 109 of 109 payment localities, the facility rate for 51520 runs from $499.71 in Arkansas to $702.24 in Alaska. Connecticut pays $573.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

51520 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 51520 in every payment locality

How the 51520 rate is calculated

Each of 51520’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 51520

51520 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 51520

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 51520 has changed in Connecticut

Price 51520 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates