CPT code 51555: Partial cystectomy, complicated procedure2026 Medicare rate & RVUs in Arizona
Reports complicated surgical removal of part of the bladder, typically for a localized lesion requiring more than a simple partial bladder resection.
In Arizona, Medicare pays $1,105.94 for 51555 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 51555 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 51555 covers
A urologist reports this service when surgery removes part of the bladder in a complicated partial cystectomy, such as resection of a localized bladder tumor that requires a technically involved bladder-wall removal. The operation is generally performed in a hospital operating room. The operative report should establish that the surgeon removed only part of the bladder and explain the complexity of the resection; the diagnosis alone does not distinguish this service from a simpler partial cystectomy.
Select this code based on the documented procedure and complexity, not merely the presence or size of a tumor. When the operation includes ureteral reimplantation, compare the code for partial cystectomy with that additional feature. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 Arizona compares for 51555
Across 109 of 109 payment localities, the facility rate for 51555 runs from $1,040.76 in Arkansas to $1,477.66 in Alaska. Arizona pays $1,105.94. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$1,105.94
- Los Angeles, CA · California$1,174.84+$68.90
- Washington, DC area · District of Columbia$1,229.94+$124.00
- Miami, FL · Florida$1,299.20+$193.26
- Chicago, IL · Illinois$1,270.44+$164.50
- Manhattan, NY · New York$1,282.30+$176.36
- Alaska · Alaska$1,477.66+$371.72
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,050.38 |
| ArkansasArkansas | — | $1,040.76 |
| Bakersfield, CACalifornia | — | $1,128.98 |
| Chico, CACalifornia | — | $1,119.89 |
| El Centro, CACalifornia | — | $1,120.41 |
| Fresno, CACalifornia | — | $1,119.89 |
| Hanford, CACalifornia | — | $1,119.89 |
| Madera, CACalifornia | — | $1,119.89 |
| Merced, CACalifornia | — | $1,119.89 |
| Modesto, CACalifornia | — | $1,119.89 |
| Napa, CACalifornia | — | $1,211.77 |
| Oxnard, CACalifornia | — | $1,160.50 |
| Redding, CACalifornia | — | $1,119.89 |
| Rest of CaliforniaCalifornia | — | $1,119.89 |
| Riverside, CACalifornia | — | $1,153.57 |
| Sacramento, CACalifornia | — | $1,152.36 |
| Salinas, CACalifornia | — | $1,147.50 |
| San Diego, CACalifornia | — | $1,157.38 |
| Marin County, CACalifornia | — | $1,255.72 |
| San Francisco, CACalifornia | — | $1,252.19 |
| San Benito County, CACalifornia | — | $1,283.70 |
| Santa Clara County, CACalifornia | — | $1,269.26 |
| San Luis Obispo, CACalifornia | — | $1,131.52 |
| Santa Cruz, CACalifornia | — | $1,155.11 |
| Santa Maria, CACalifornia | — | $1,147.13 |
| Santa Rosa, CACalifornia | — | $1,165.42 |
| Stockton, CACalifornia | — | $1,119.89 |
| Vallejo, CACalifornia | — | $1,206.68 |
| Visalia, CACalifornia | — | $1,119.89 |
| Yuba City, CACalifornia | — | $1,119.89 |
| ColoradoColorado | — | $1,132.91 |
| ConnecticutConnecticut | — | $1,187.03 |
| DelawareDelaware | — | $1,119.32 |
| Fort Lauderdale, FLFlorida | — | $1,216.73 |
| Rest of FloridaFlorida | — | $1,169.63 |
| Atlanta, GAGeorgia | — | $1,156.76 |
| Rest of GeorgiaGeorgia | — | $1,120.01 |
| Hawaii, Guam, HIHawaii | — | $1,122.62 |
| IowaIowa | — | $1,043.65 |
| IdahoIdaho | — | $1,052.90 |
| East St. Louis, ILIllinois | — | $1,212.97 |
| Rest of IllinoisIllinois | — | $1,164.23 |
| Suburban Chicago, ILIllinois | — | $1,222.07 |
| IndianaIndiana | — | $1,056.14 |
| KansasKansas | — | $1,051.79 |
| KentuckyKentucky | — | $1,090.42 |
| New Orleans, LALouisiana | — | $1,127.45 |
| Rest of LouisianaLouisiana | — | $1,093.81 |
| Metropolitan Boston, MAMassachusetts | — | $1,201.29 |
| Rest of MassachusettsMassachusetts | — | $1,134.61 |
| Baltimore area, MDMaryland | — | $1,185.73 |
| Rest of MarylandMaryland | — | $1,131.56 |
| Rest of MaineMaine | — | $1,068.38 |
| Southern Maine, MEMaine | — | $1,088.52 |
| Detroit, MIMichigan | — | $1,191.07 |
| Rest of MichiganMichigan | — | $1,119.15 |
| MinnesotaMinnesota | — | $1,064.00 |
| Metropolitan Kansas City, MOMissouri | — | $1,110.39 |
| Metropolitan St. Louis, MOMissouri | — | $1,116.51 |
| Rest of MissouriMissouri | — | $1,089.25 |
| MississippiMississippi | — | $1,064.57 |
| MontanaMontana | — | $1,129.08 |
| North CarolinaNorth Carolina | — | $1,073.66 |
| North DakotaNorth Dakota | — | $1,067.58 |
| NebraskaNebraska | — | $1,043.84 |
| New HampshireNew Hampshire | — | $1,127.39 |
| Northern New JerseyNew Jersey | — | $1,227.19 |
| Rest of New JerseyNew Jersey | — | $1,194.45 |
| New MexicoNew Mexico | — | $1,127.71 |
| NevadaNevada | — | $1,112.21 |
| NYC suburbs and Long Island, NYNew York | — | $1,317.75 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,210.77 |
| Queens, NYNew York | — | $1,272.75 |
| Rest of New YorkNew York | — | $1,084.91 |
| OhioOhio | — | $1,106.58 |
| OklahomaOklahoma | — | $1,077.17 |
| Portland, OROregon | — | $1,144.80 |
| Rest of OregonOregon | — | $1,097.35 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,174.01 |
| Rest of PennsylvaniaPennsylvania | — | $1,101.39 |
| Puerto RicoPuerto Rico | — | $1,130.70 |
| Rhode IslandRhode Island | — | $1,141.34 |
| South CarolinaSouth Carolina | — | $1,093.14 |
| South DakotaSouth Dakota | — | $1,060.31 |
| TennesseeTennessee | — | $1,056.57 |
| Austin, TXTexas | — | $1,134.64 |
| Beaumont, TXTexas | — | $1,097.56 |
| Brazoria, TXTexas | — | $1,110.04 |
| Dallas, TXTexas | — | $1,120.25 |
| Fort Worth, TXTexas | — | $1,118.89 |
| Galveston, TXTexas | — | $1,115.56 |
| Houston, TXTexas | — | $1,172.49 |
| Rest of TexasTexas | — | $1,105.41 |
| UtahUtah | — | $1,102.46 |
| VirginiaVirginia | — | $1,094.15 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,130.70 |
| VermontVermont | — | $1,075.26 |
| Rest of WashingtonWashington | — | $1,128.61 |
| King County, WAWashington | — | $1,209.43 |
| WisconsinWisconsin | — | $1,046.04 |
| West VirginiaWest Virginia | — | $1,138.61 |
| WyomingWyoming | — | $1,102.28 |
51555 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 51555 rate is calculated
Each of 51555’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.
How the rate is built · 51555
RVUs × geographic indexes × conversion factor
Work22.60
22.60 RVUs× 1.000 GPCI
Practice expense8.10
8.10 RVUs× 1.000 GPCI
Malpractice3.11
3.11 RVUs× 1.000 GPCI
Adjusted RVUs
33.8100
Conversion factor
$33.4009
Medicare rate
$1,129.28
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,032
- Code
- 51555
- Physician work
- 22.60
- Practice expense
- 8.10
- Malpractice
- 3.11
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.60 | × 1.000 | 22.6000 |
| Practice expense | 8.10 | × 0.969 | 7.8489 |
| Malpractice | 3.11 | × 0.856 | 2.6622 |
| Total RVUs | 33.1111 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$1105.94
Facility: (22.6 × 1 + 8.1 × 0.969 + 3.11 × 0.856) × $33.4009 = $1105.94
Payment rules and modifiers for 51555
51555 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 51555
Partial cystectomy, complicated procedure
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 51555
Partial cystectomy, complicated procedure
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
51555 without 51 · national facility
$1,129.28
Partial cystectomy, complicated procedure
51555-51 · Second procedure: 50%
$564.64
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 51555 has changed in Arizona
51555 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,105.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,105.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,105.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,105.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,197.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,197.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,197.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,197.00 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,224.48 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,224.48 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,224.48 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,224.48 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,204.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,227.88 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,227.88 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,227.88 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,227.88 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,243.68 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,243.68 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,243.68 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,243.68 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,251.07 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,251.07 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,251.07 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,251.07 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,289.34 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,289.34 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,289.34 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,289.34 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,294.08 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,294.08 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,294.08 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,294.08 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,292.71 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,292.71 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,292.71 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,292.71 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,294.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,294.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,294.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,294.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,293.86 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,293.86 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,293.86 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,293.86 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,296.69 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,296.69 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,290.24 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,290.24 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,282.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,282.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,282.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,282.50 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,245.46 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,245.46 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,245.46 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,245.46 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
51555 billing questions
How is this distinguished from a simple partial cystectomy?
Use this code when the operative report supports a complicated partial resection. A diagnosis of bladder tumor by itself does not establish that distinction; compare the documented operative work with the simple partial cystectomy code.
Which code applies when the ureter is reimplanted?
Compare this service with 51565, the partial cystectomy code that includes ureteral reimplantation. The operative report should show whether reimplantation was part of the procedure.
Is a bladder tumor removal through cystotomy the same service?
No. A tumor excision through cystotomy is a different procedure from partial removal of the bladder wall. Use the code that matches the documented surgical extent and technique.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; CMS does not permit team-surgery payment for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in that session are subject to the standard multiple-procedure reduction.
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
Show the CMS file lines behind this rate
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