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.

CMS RVU26DEffective Oct 1, 2026One payment locality234 Medicare services in 2024

In Arizona, Medicare pays $1,105.94 for 51555 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,105.94Hospital or facility

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.

We’ll open 51555 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arizona
  2. What 51555 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

51555 in Arizona vs other payment areas
  1. Arizona · this page$1,105.94
  2. Los Angeles, CA · California$1,174.84+$68.90
  3. Washington, DC area · District of Columbia$1,229.94+$124.00
  4. Miami, FL · Florida$1,299.20+$193.26
  5. Chicago, IL · Illinois$1,270.44+$164.50
  6. Manhattan, NY · New York$1,282.30+$176.36
  7. Alaska · Alaska$1,477.66+$371.72

Other areas in Arizona first, then benchmark localities. Bars start at $0.

Every other payment area

51555 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
51555 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 51555 in every payment locality

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

Office or facility?

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
Facility calculation for 51555 in Arizona
ComponentRVULocality factorAdjusted
Physician work22.60× 1.00022.6000
Practice expense8.10× 0.9697.8489
Malpractice3.11× 0.8562.6622
Total RVUs33.1111
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

Open 51555 in the RVU calculator

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

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

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%).

When to use modifier 51

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,105.94RVU26D
2026-07-01Not available in this setting$1,105.94RVU26C
2026-04-01Not available in this setting$1,105.94RVU26B
2026-01-01Not available in this setting$1,105.94RVU26A
2025-10-01Not available in this setting$1,197.00RVU25D
2025-07-01Not available in this setting$1,197.00RVU25C
2025-04-01Not available in this setting$1,197.00RVU25B
2025-01-01Not available in this setting$1,197.00RVU25A
2024-10-01Not available in this setting$1,224.48RVU24D
2024-07-01Not available in this setting$1,224.48RVU24C
2024-04-01Not available in this setting$1,224.48RVU24B
2024-03-09Not available in this setting$1,224.48RVU24AR
2024-01-01Not available in this setting$1,204.50RVU24A
2023-10-01Not available in this setting$1,227.88RVU23D
2023-07-01Not available in this setting$1,227.88RVU23C
2023-04-01Not available in this setting$1,227.88RVU23B
2023-01-01Not available in this setting$1,227.88RVU23A
2022-10-01Not available in this setting$1,243.68RVU22D
2022-07-01Not available in this setting$1,243.68RVU22C
2022-04-01Not available in this setting$1,243.68RVU22B
2022-01-01Not available in this setting$1,243.68RVU22A
2021-10-01Not available in this setting$1,251.07RVU21D
2021-07-01Not available in this setting$1,251.07RVU21C
2021-04-01Not available in this setting$1,251.07RVU21B
2021-01-01Not available in this setting$1,251.07RVU21A
2020-10-01Not available in this setting$1,289.34RVU20D
2020-07-01Not available in this setting$1,289.34RVU20C
2020-04-01Not available in this setting$1,289.34RVU20B
2020-01-01Not available in this setting$1,289.34RVU20A
2019-10-01Not available in this setting$1,294.08RVU19D
2019-07-01Not available in this setting$1,294.08RVU19C
2019-04-01Not available in this setting$1,294.08RVU19B
2019-01-01Not available in this setting$1,294.08RVU19A
2018-10-01Not available in this setting$1,292.71RVU18D
2018-07-01Not available in this setting$1,292.71RVU18C
2018-04-01Not available in this setting$1,292.71RVU18B
2018-01-01Not available in this setting$1,292.71RVU18AR1
2017-10-01Not available in this setting$1,294.60RVU17D
2017-07-01Not available in this setting$1,294.60RVU17C
2017-04-01Not available in this setting$1,294.60RVU17B
2017-01-01Not available in this setting$1,294.60RVU17A
2016-10-01Not available in this setting$1,293.86RVU16D
2016-07-01Not available in this setting$1,293.86RVU16C
2016-04-01Not available in this setting$1,293.86RVU16B
2016-01-01Not available in this setting$1,293.86RVU16A
2015-10-01Not available in this setting$1,296.69RVU15D
2015-07-01Not available in this setting$1,296.69RVU15C
2015-04-01Not available in this setting$1,290.24RVU15B
2015-01-01Not available in this setting$1,290.24RVU15A
2014-10-01Not available in this setting$1,282.50RVU14D
2014-07-01Not available in this setting$1,282.50RVU14C
2014-04-01Not available in this setting$1,282.50RVU14B
2014-01-01Not available in this setting$1,282.50RVU14A
2013-10-01Not available in this setting$1,245.46RVU13D
2013-07-01Not available in this setting$1,245.46RVU13C
2013-04-01Not available in this setting$1,245.46RVU13B
2013-01-01Not available in this setting$1,245.46RVU13AR

Price 51555 for an earlier date of service

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

Browse all communities in Arizona

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
RVUs for 51555PPRRVU2026_Oct_nonQPP.csv, line 6,032 (RVU26D)
Geographic factors for ArizonaGPCI2026.csv, line 6 (RVU26D)

Open CMS sourceHow we calculate rates

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